Suggest Treatment For Hiatal Hernia And Acid Reflux
Yes it should be done.
Detailed Answer:
Hi as per your query,
Role of endoscopy in a case of hiatal hernia with gastritis is,
It allows visual assessment of the mucosa of the esophagus, stomach and duodenum. The presence of erosive esophagitis or Barrett’s esophagus can be determined.Barrett's esophagus is a serious complication of GERD, which stands for gastroesophageal reflux disease. In Barrett's esophagus, normal tissue lining esophagus changes to tissue that resembles the lining of the intestine. About 10% of people with chronic symptoms of GERD and Hiatal hernia develops Barrett's esophagus. Further, the size and type of hernia can be determined. Inability or difficulty reaching the duodenum in the presence of a large hiatal hernia is diagnostic of a volvulized paraesophageal hernia.Therefore in a diagnosed case of hiatal hernia endoscopy is should be done and is necessary to rule out further complications arising out of hernia.
Thanks!
Follow up answer.
Detailed Answer:
Hi again
Possible treatment (can be given without endoscopy)
-over-the-counter antacids to neutralize stomach acid.
-over-the-counter or prescription proton pump inhibitors to prevent acid production, giving your esophagus time to heal.
-Surgery(depends on endoscopy)
-rebuilding weak esophageal muscles.
-putting your stomach back in place and making your hiatus smaller.
Alternatives are-
Barium X-ray-you drink a liquid with barium in it before taking an X-ray. This X-ray provides a clear silhouette of your upper digestive tract.
Lifestyle changes-Acid reflux causes most hiatal hernia symptoms. Changing your diet can reduce your symptoms. here are also certain foods that may increase your risk of heartburn. Consider avoiding spicy foods,chocolate,foods made with tomatoes,caffeine,citrus fruits stopping smoking and alcohol.
Precaution-
losing excess weight'not straining during bowel movements, getting help when lifting heavy objects and avoiding tight belts and certain abdominal exercises.
No blood work will not help.
Try to go for life style modificaton changes and medication for 21 days.If not relieved go for endoscopy.