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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is my abdominal pain due to hiatal hernia or diverticulosis?

73 year old female. Developed left mid abdominal pain about one month ago associated with eating. This pain disappeared after an hour or so in the beginning but now lingers longer especially associated with size of meal. Weight loss of 4 lbs since August this year. Now some occasional pain on right abdomen as well. Have moderate sized hiatal hernia and history of diverticulosis on the left. Gallbladdeer removed several years ago. Not due for colonoscopy until next year. UL set up for next week.Pain occurs before food has a chance to reach the lower bowel. Pain is getting progressively worse
Tue, 18 Jun 2019
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General Surgeon 's  Response
Hi,

Noted the history related to a 73 year old female about pain that started a month ago in left mid abdominal area, associated with eating, reduced after an hours in the beginning, weight loss, history of hiatal hernia and diverticulosis.
As per the history that you have provided this looks to be not related to hiatal hernia or diverticulitis.
This looks to be to associated with gastritis with or without ulcer.
This can be easily diagnosed by the following ways:
Upper GI Endoscopy.
Relief with a PPI like Omeprazole and antacids.
Once the endoscopy is done you will get an exact diagnosis making it possible to have proper management.
Also go for the following:
Soft bland diet.
Small frequent meals.
No stress or anxiety.
Avoid chilly and oily foods.
Walk around for half an hour after food and lay in a upright or head-up position.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. T Chandrakant, ENT & General Surgeon
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