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What causes constant upper and lower abdominal discomfort while having a hiatal hernia?

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Posted on Fri, 11 Jan 2019
Question: I have a hiatal hernia and a ventral hernia under the hiatal that needs repaired. very swollen and uncomfortable . also my lower colon or stomach is swollen and bloated. I hurt really bad on left side and low and I am constipated and have hemmriods and cry from pain and hurt in pelvis and have a light brown discharge and poopi feels it is right at the bottom of rectum I am so scared and needing a good surgeon to fix hernias scared.

I have severe back pain and I have never hurt this bad. I look like a monster I am so swollen. I can see in the upper ab because the hiatal hernia and ventral are stuck out from the stomach like a round ball that hurts when I touch it I hoped I don't have cancer.
doctor
Answered by Dr. Bhagyesh V. Patel (42 minutes later)
Brief Answer:
Detailed description herewith.

Detailed Answer:

Hello,

Warm welcome...

I have evaluated your query thoroughly.

* The upper abdomen discomfort is from a hiatus hernia, pelvis discomfort is due to a substantial amount of indigestion.

Kindly provide further details so that I can answer your query completely.

1. Is there any bleeding per rectum.
2. Any alteration in weight and appetite if any.
3. Vomiting after meals if any.
4. Systemic illness as diabetes or others if present.
5. Provide available reports as a scanned copy in an attachment if possible.
6. Was colonoscopy performed till now for constipation?

Primary guidelines at this point

- Maintain hydration with plenty of liquids.
- Dietary preference for a soft, light, bland diet with high fiber content as green leafy veg, whole grains, cereals, pulses, organic fresh fruits.
- Intake of bulk-forming laxative as Ispaghula husk 3 teaspoonfuls at night with a glass of lukewarm water.
- PPI as omeprazole or other with sips of water morning and evening on empty stomach with sips of water.
- Tab. tylenol for pain relief.

- Walking in the fresh air, deep breathing exercises, YOGA will support.
- Keep timings of breakfast, lunch, dinner fixed till possible.
- Avoid prolonging fasting, overeating.
- Keep the head end of the bed elevated for 30 degrees when sleeping.
- Avoid stress, anxiety.
- Manage to have a regular sound sleep of 6 - 7 hours.

Awaiting your response.

Regards.
Above answer was peer-reviewed by : Dr. Nagamani Ng
doctor
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Follow up: Dr. Bhagyesh V. Patel (1 hour later)
their is no bleeding from rectum only weight gain want to eat but get nauseous I get severe gas and belch, I vomited one time within the month and had to go to the hospital cause blood pressure was up I am not diabetic . I have never had colonoscopy the ct their were several mildly distended jejunal loops with suggestions of subtle mucosal thickening a fat containing midline ventral subumbilical abdominal wall hernia with a 1.2 cm wide neck mild sigmoid diverticulosis I have fibro and osteopenia a grade 2 anterolisthesis at l 5-s1 incidental small;l duodenal diverticulum done 11/30/2017. much more swollen now lots of brown discharge
doctor
Answered by Dr. Bhagyesh V. Patel (9 minutes later)
Brief Answer:
Follow up.

Detailed Answer:

Hi,

Thanks for the details.

* According to the description, this seems more to be multifactorial colon motility-related issue, rather than cancer.
* Additional suggestions

- Intake of probiotics with the prescription of your doctor.
- Discuss the requirement of colonoscopy with your doctor.
- Surgery for hernia repair.
- Avoid smoking or alcohol if consuming.

Wishing you fine recovery.

Regards,
Dr. Bhagyesh V. Patel, General Surgeon
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 20416 Questions

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What causes constant upper and lower abdominal discomfort while having a hiatal hernia?

Brief Answer: Detailed description herewith. Detailed Answer: Hello, Warm welcome... I have evaluated your query thoroughly. * The upper abdomen discomfort is from a hiatus hernia, pelvis discomfort is due to a substantial amount of indigestion. Kindly provide further details so that I can answer your query completely. 1. Is there any bleeding per rectum. 2. Any alteration in weight and appetite if any. 3. Vomiting after meals if any. 4. Systemic illness as diabetes or others if present. 5. Provide available reports as a scanned copy in an attachment if possible. 6. Was colonoscopy performed till now for constipation? Primary guidelines at this point - Maintain hydration with plenty of liquids. - Dietary preference for a soft, light, bland diet with high fiber content as green leafy veg, whole grains, cereals, pulses, organic fresh fruits. - Intake of bulk-forming laxative as Ispaghula husk 3 teaspoonfuls at night with a glass of lukewarm water. - PPI as omeprazole or other with sips of water morning and evening on empty stomach with sips of water. - Tab. tylenol for pain relief. - Walking in the fresh air, deep breathing exercises, YOGA will support. - Keep timings of breakfast, lunch, dinner fixed till possible. - Avoid prolonging fasting, overeating. - Keep the head end of the bed elevated for 30 degrees when sleeping. - Avoid stress, anxiety. - Manage to have a regular sound sleep of 6 - 7 hours. Awaiting your response. Regards.