Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

131 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for hiatal hernia and acid reflux

Answered by
Dr.
Dr. Ramesh Kumar

Gastroenterologist

Practicing since :1986

Answered : 1996 Questions

default
Posted on Fri, 3 Mar 2017 in Liver and Gall Bladder
Question: I have a heatial hernia and acid reflux. My only real complaint is that I throw up and gag a lot but its becoming less so and I think its related to anxiety. They did a catscan and everything was normal except the hernia and the acid reflux.How necessary/potentially life saving is an endosconspy? My only main complaint is that I easily gag and/or dry heaves if I don't rush to the bathroom the second that I feel the urge to go.

doctor
Answered by Dr. Ramesh Kumar 1 hour later
Brief Answer:
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!
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Ramesh Kumar 36 minutes later
Well they did tell me that it was a small hernia. What possible treatments exist that can only be given as a result of getting the endoscopy and that can't be treated without getting the endoscopy? What other alternatives are there? Is blood work a good starting point? What other options do I have? What If I keep putting this endoscopy off?
doctor
Answered by Dr. Ramesh Kumar 9 hours later
Brief Answer:
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.


Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Medical Topics

Recent questions on  Gastritis

doctor1 MD

had horrible pain in upper abdomen for 4 years ... gastro did two upper endoscopies ... tried nexium, zantac ... had two spine surgeries ... said the pain was referred ... didn t help ... told it was fibro ... have chronic fatigue and pain ... liver labs elevated ... kidney labs elevated ... told inflammation, gastritis, celiac ... all this happened at the same time: high blood pressure, hypothyroidism, chronic pain, insomnia, headaches, couldn t lie, sit or stand ... had to sit up for months to sleep ... pain worse on right side ... but on left side, too - gastro said may be where the intestines loop under the ribs on each side ... have too many doctors and too many diagnoses ... getting colonoscopy next month ... should I go to a university hospital? i was on percocet for 2 years ... 13 visits to ER for skeletal/muscular pain ... strange lines on my abdomen - looks like ribs are swollen and then a line that matches rib line 2-3 inches below ... a little bumpy and goes from left side to right side of body ...

doctor1 MD

Hi sir,Myself juhi upadhyay,having problem of acute gastritis.Since 14 years every time i get a pain in region near leaver.It fells like tender and as the day passes the pain increases and this rest for 3-4 days.i use to take antacids like Rabaprzole,omeprazole etc,but it cant give me relief for more then 2 hrs,but pain is constant.I had USG several time but it did not revealed anything,then last year i had endoscopy in which hiatus hernia was detected.Then last month again i got problem of this kind of pain followed by seviour acidity,and i only get relief if i do vomit.Then i was hospitalized and doctor prescribe a H-pylori test.The test was positive with count of 1.14 IGg.In a treatment they gave me course of ULCIKIT for 21 days.I wan to ask how much possibility of re-occurrence of that pain and acidity even after completion of the course.I am married and wan to know it do lead any side effect(ULCIKIT).Please answer.

doctor1 MD

I am female age 45...in perimenopause-recently had a period after two and half months. Daily experience of feeling bloated and look like I m pregnant(I am not), bowel changes include urgent need to move bowels several times during the day yet urgency doesn t match quantity-stools are soft to loose, often feel indigestion, bloat, occasional heartburn. My diet is relatively healthy, exercise 1-3 X s wk. Can t seem to beat the bloated, gassy feelings I experience daily. Have had gastritis in the past but didn t last this long, but I m not ruling it out either. Concerned symptoms may be a gastritis, food allergy/sensitivity, or perhaps a diverticulosis. Suzane

doctor1 MD

I recently had a baby 6 mos ago. Since then my stomach has been acting up-which I am seeing a gastrologist. I have been diagnosed with gastritis and am taking protonix in am and zantax 300 at night. (2 years ago had same stomach issue was scoped and took protonix for couple months and stomach issues went away until after pregnancy). This week I went in for a thorough check up and physical. My doc took blood tests-everything came back awesome except my vit B12 levels, which were at 183. With the hoiday weekend upon us everyone is gone now to ask questions. My doc told me to come in for B12 shot and then to do it once a month for 3 mos. They will then recheck to see course of action. Could my gastritis be the cause for the deficiency? and should I do the shots or take supplements. What course of action should I take. I would think if it is my stomach causing the issue supplementation wouldn t work if there is absorption problem. Stomach issues also run in my family and my aunt passed away from stomach cancer young. Is there another test I should be doing?

doctor1 MD

I ve been pretty sick fora week. It began when my GP thought I might have clot in my right leg (swelling, redness , warmth) so she sent me to the hospital for a sonogram. It was negative, but the doctor there wanted me to come back the next day.I...

doctor1 MD

I have a pain on the right side of chest more toward the back. I feel it when I take a deep breath, or cough . and it feels almost like a sore because food brushes against the affected areas as its going down. It feel like irs between the right...

doctor1 MD

Pain on left upper side of chest, out of breath, sweating in cold room, extremely fatigued and acid reflux .