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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Did Laparoscopic Fundopilation Repair For Hiatus Hernia. No Evidence Of Hernia. Heartburn, Cough. What Else Could Be The Reason?

Was diagnosed with a hiatus hernia 18 years ago, was treated with Omenaprazole and symtoms went away until 2 years ago was then put on patoprazole 40mg but symptoms have persisted. went in for surgery 4 weeks ago for laproscopic fundopilation repair only to be told that they could not find any evidence of a hernia!. Have now been put on 40mg pataprazole plus Ganaton 30mg and mucosta 30mg before every meal. but the symtoms are still the same heartburn and a sensation of needing to cough all the time any other sugestions? Thanks
Mon, 30 Dec 2013
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General Surgeon,  's  Response
Hello!

Thank you for the query.

Your symptoms are caused by GERD which is caused by some problems with lower esophageal sphincter. One of the treatment is fundoplication which I assume that has been done. Usually it helps a lot with symptoms, however in some cases full relief is impossible.
Cough is very common symptom with GERD and can indicate asthma.
The treatment you have for acid reflux is a good one and is hard to advice anything more. For sure you should avoid coffee, alcohol, fatty foods, chocolate. Put your head a little bit higher while lying down, do not eat 2 hours before the meal.
For cough, please consult pulmunologist and have blow test done.

Hope this will help.
Regards.
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Did Laparoscopic Fundopilation Repair For Hiatus Hernia. No Evidence Of Hernia. Heartburn, Cough. What Else Could Be The Reason?

Hello! Thank you for the query. Your symptoms are caused by GERD which is caused by some problems with lower esophageal sphincter. One of the treatment is fundoplication which I assume that has been done. Usually it helps a lot with symptoms, however in some cases full relief is impossible. Cough is very common symptom with GERD and can indicate asthma. The treatment you have for acid reflux is a good one and is hard to advice anything more. For sure you should avoid coffee, alcohol, fatty foods, chocolate. Put your head a little bit higher while lying down, do not eat 2 hours before the meal. For cough, please consult pulmunologist and have blow test done. Hope this will help. Regards.