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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Hiatus Hernia For Which Endoscopy Was Done. Taking Omeprazole But The Symptoms Are Still There. What To Do?

I have been diagnosed with a hiatus hernia after having had an endoscopy. I am taking 40 mg of Omeprazole but symptoms are still there. Specialist now wants me to have a test where probe is passed trans-nasally into gullet for 24 hours with portable instrument worn on shoulder. He has mentioned the valve at the end of the gullet and I also have Sjogrens which he says can be affected. I do not want to have this very intrusive test. Please tell me what you think?
Thank you.
Hilary.
Mon, 8 Jul 2013
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Pathologist and Microbiologist 's  Response
Hello,

Hiatus hernia is due to a hole(Defect) in the diaphragmatic muscle.

So there is a structural defect.

If the symptoms are not improving with medicines then you need to undergo investigation to assess the problem.

You may need this procedure because this is a dynamic condition.

you may always go for a second opinion if your aren't confident.
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Had Hiatus Hernia For Which Endoscopy Was Done. Taking Omeprazole But The Symptoms Are Still There. What To Do?

Hello, Hiatus hernia is due to a hole(Defect) in the diaphragmatic muscle. So there is a structural defect. If the symptoms are not improving with medicines then you need to undergo investigation to assess the problem. You may need this procedure because this is a dynamic condition. you may always go for a second opinion if your aren t confident.