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Hiatal hernia and chances of GERD - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: GERD
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3632 Questions
User :   I was recently diagnosed with a Hiatal Hernia, via an Endoscopy. The reason for the procedure was to rule anything out (they thought I had IBS). My symptoms include nausea, and occasional chest pain when lying down. This is effecting my life in regards to my job and children. I have contacted the doctor and they will try to get me in sooner, but right now i'm not scheduled for another appointment until February 2011. What are some ways to treat these symptoms? I also had a biopsy done for a unusual Z line. After some reaserch, it states that is a sign of possible Barrett's Esophagus. If I do have this, is it serious?
Doctor :   let me read ur query
Doctor :   ok
User :   OK
Doctor :   can u tell me the grade of haital hernia that u have ?
User :   it says "There was a 3cm cliding hiatal herina visible in the esophagus; the diaphrgmatic hiatus and the top of the gastic folds were at 37 and 34cm. The Z line was visualized at 34 cm form the entry site; this was lightly irregular and biopsied.
Doctor :   nausea, and occasional chest pain when lying down could be due to GERD or reflux disease which results due to a hiatal hernia as well
User :   I don't get heart burn though, i did when pregnant, but not now
Doctor :   may i know ur age, weight, height and occupation ?
User :   29, 145, 5'3" and I'm in the Military
Doctor :   ok
Doctor :   have u tried any medications like prilosec , etc ?
User :   Yes, they have me on a med for IBS and I think Xantac?
Doctor :   also can u mention the findings of the biopsy done ?
User :   I haven't received those results yet
Doctor :   do u think the symptoms are cotrolled with zantac ?
Doctor :   ok
User :   Most days, if I take it, it does control the symptoms, but I have bad days where nothing helps....but it's always the same type of pain
Doctor :   as of now your symptoms are not that severe at most days as u say
User :   correct...
Doctor :   so continue with zantac twicce daily
Doctor :   if the symptos are more you can take any antacid like prevacid
User :   Ok
Doctor :   once u have the biopsy result, which i presume to be normal
User :   ok
Doctor :   post pregnancy u wil;l have some kind of GERD like issues
Doctor :   which will resolve over time
User :   Anything else? Thank you for your time. I will try the additional antacid when things get to much and wait to see my doctor.
Doctor :   antacids and zantac for the moment will help
Doctor :   also if the symptoms increase , u can consult ur doc who can prescribe pantoprqaxole for u
User :   Ok. Thank you again. I think you provided me some options and peace of mind.
Doctor :   u r welcome
Doctor :   thanks for consulting me here
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