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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For GERD And Hernia

I have GERD and a Hiatal Hernia. I have been tested for both. It has been under control using Zantac. I had a virus and the doctor placed me on Omnicef. Since then I have had an some pain after I eat. I belch and pass gas and it goes away. Could this be something else besides the GERD like gallbladder.
Wed, 7 Sep 2016
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General & Family Physician,  's  Response
It is mostly due to hiatus hernia. Hiatus hernia is a common condition. In hiatus hernia, there is a herniation of the upper part of stomach into thorax through the esophageal hiatus because of weakness in the diaphragm resulting in reflux esophagitis (GERD). GERD often causes heartburn, a burning feeling in the chest and throat.
Advice
1.     Omeprazole 20 mg per oral empty stomach in the morning for 10 days
2.     Quit smoking and alcohol
3.     Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day
4.     Avoid a particular food if pain occurs particularly after eating that food. Allergy particularly occurs for dairy products
5.     Avoid eating 3 hours before lying down
6.     Raise the head of your bed
7.     Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits
8.     Investigation –Barium meal X – ray
Thanks
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Suggest Treatment For GERD And Hernia

It is mostly due to hiatus hernia. Hiatus hernia is a common condition. In hiatus hernia, there is a herniation of the upper part of stomach into thorax through the esophageal hiatus because of weakness in the diaphragm resulting in reflux esophagitis (GERD). GERD often causes heartburn, a burning feeling in the chest and throat. Advice 1. Omeprazole 20 mg per oral empty stomach in the morning for 10 days 2. Quit smoking and alcohol 3. Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day 4. Avoid a particular food if pain occurs particularly after eating that food. Allergy particularly occurs for dairy products 5. Avoid eating 3 hours before lying down 6. Raise the head of your bed 7. Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits 8. Investigation –Barium meal X – ray Thanks