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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Gastroscopy Showed Up Hiatus Hernia. Risk?

I just had a gastroscopy done and it showed a hiatus hernia 32 cm (paraosphageal type) I have no problems with it, except sometimes experience pain on eating a bigger meal than normal, and then I can only get relief by being sick to my stomach. But this does not happen all the time. What is the risk of living with this?
Fri, 5 Jul 2013
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Gastroenterologist,  's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).

I think it is 3.2cm rather then 32cm

Hiatus hernia most of the times is asymptomatic and do not cause any problems even if it persist for a long period of times.

However few disease like gastroesophageal reflux disease, acid peptic disease are more commonly associated with hiatus hernia

Paraesophageal hernia if very large may ocassionaly may strangulate.

So what all you have to do is:

1.Avoid fatty meals
2. Dont lie down soon after meals for at least half hour
3.Take small and frequent meals, instead of full meals at a time
4. wear loose clothes
5. If you are overweight or obese do weight reduction with dieting and exercise
6. Take proton pump inhibitor along with a prokinetic agent for further relief from pain if required

I hope I have answered your query and this will help you. Remain in touch and get-well soon
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Gastroscopy Showed Up Hiatus Hernia. Risk?

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM). I think it is 3.2cm rather then 32cm Hiatus hernia most of the times is asymptomatic and do not cause any problems even if it persist for a long period of times. However few disease like gastroesophageal reflux disease, acid peptic disease are more commonly associated with hiatus hernia Paraesophageal hernia if very large may ocassionaly may strangulate. So what all you have to do is: 1.Avoid fatty meals 2. Dont lie down soon after meals for at least half hour 3.Take small and frequent meals, instead of full meals at a time 4. wear loose clothes 5. If you are overweight or obese do weight reduction with dieting and exercise 6. Take proton pump inhibitor along with a prokinetic agent for further relief from pain if required I hope I have answered your query and this will help you. Remain in touch and get-well soon