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Suggest Treatment For GERD And Nausea

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Posted on Mon, 14 Nov 2016
Question: I have GERD (mostly at night), a sliding hiatal hernia, and just a day ago started recovering from nausea (might have been a stomach bug). My stool has been clay colored for two days (after the nausea) and my stomach is "rumbling" since the nausea. No issues with bowel movements. Those are "regular". I am taking pantoprazole in the morning and ranitidine at night. I sleep on a seven inch wedge pillow due to the hiatal hernia. I have no stomach pain upper or lower abdomen and have been sleeping well...I just have rumbling and lighter stool. Eating light has actually helped me feel better and I have been on the low food map diet (no gluten, no lactose, no wheat, no high fructose). What could be causing the stomach rumbling and lighter stool? Thank you.
doctor
Answered by Dr. Prasanna Heijebu (6 hours later)
Brief Answer:
Possible obstruction in the hernia.? Require an ultrasound abdomen

Detailed Answer:
Hello Madam.

I can certainly understand your concern.

This could possibly represent an imminent obstruction in the hiatal hernia. This can present with rumbling and a change in stool quality and quantity.

At this point , it's very important to get an ultrasound abdomen to rule out obstruction.

Further management, if any, is largely based on test results.

Post your further questions if any.
Thank you.
Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Prasanna Heijebu (34 minutes later)
It is a small sliding hiatal hernia and my doctor does not recommend surgery. If the intestinal rumbling does not subside or stool does not darken up I will immediately contact my doctor. I have no pain front or back. Do you agree? Thank you for replying.
doctor
Answered by Dr. Prasanna Heijebu (29 hours later)
Brief Answer:
It's safe to get an ultrasound Abdomen

Detailed Answer:
Hello Madam.

I agree with you.

But in all cases, it important to get an ultrasound Abdomen to be on safer note.

Pain might not be an accurate indicator of the underlying abnormality in Sliding hernia.

Post your further queries if any.
Thank you.
Note: For more detailed guidance, please consult an Internal Medicine Specialist, with your latest reports. Click here..

Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
Answered by
Dr.
Dr. Prasanna Heijebu

General & Family Physician

Practicing since :2010

Answered : 1422 Questions

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Suggest Treatment For GERD And Nausea

Brief Answer: Possible obstruction in the hernia.? Require an ultrasound abdomen Detailed Answer: Hello Madam. I can certainly understand your concern. This could possibly represent an imminent obstruction in the hiatal hernia. This can present with rumbling and a change in stool quality and quantity. At this point , it's very important to get an ultrasound abdomen to rule out obstruction. Further management, if any, is largely based on test results. Post your further questions if any. Thank you.