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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes GERD And Acid Reflux In A Person With Hiatal Hernia?

Eating makes me feel hungry. I have a hiatal hernia, GERD and acid reflux. I have tested my sugar when I have the hungry feelings so I know it is not high blood sugar. It appears that something to do what digestion (eating) or having a bowel movements makes me feel hungry. I know about fodmaps and I have IBS. Wheat and fodmaps make it worst, but often no matter what I eat, I feel hungry
Wed, 31 Aug 2016
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General & Family Physician 's  Response
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.     Albendazole 400 mg at bed time only once – one tablet only
3.     Quit smoking and alcohol
4.     Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day
5.     Avoid a particular food if pain occurs particularly after eating that food. Allergy particularly occurs for dairy products
6.     Avoid eating 3 hours before lying down
7.     Raise the head of your bed
8.     Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits
9.     Investigation –Barium meal X – ray
Thanks
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What Causes GERD And Acid Reflux In A Person With Hiatal 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. Albendazole 400 mg at bed time only once – one tablet only 3. Quit smoking and alcohol 4. Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day 5. Avoid a particular food if pain occurs particularly after eating that food. Allergy particularly occurs for dairy products 6. Avoid eating 3 hours before lying down 7. Raise the head of your bed 8. Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits 9. Investigation –Barium meal X – ray Thanks