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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for hiatus hernia

Hi
I suffer from acid reflux, hiatal hernia, gastritis, barretts esophagous no dysplasia and under 2 centemeters thanfully as well asHpylorai diagnosed 2 months ago via upper endoscopy. Doctor also said i have motlity problems with gastric emptying due to symptoms although never tested me for it and so it wasnt really confirmed. Have been trying to take all the meds prescribed and had trouble with a couple of them. I have 2 questions, first one is that I have been prescribed motilium for gastric emptying and have taken it maybe 10 times or 10 pills. It works in helping me digest and empty the stomach as the most uncomfortable thing was that after eating I felt food was still not yet digested and this caused a choking or pressure sensation in my throat and continous belching to get releif. Motilum does the job. HoweverI have very bad side effects from the drug. Anxiety, hot flashes, restlestness, panic and chnge in mood, rining in left ear some dizziness and sometimes headache which is tolerable. I have tried breaking the pill in half and the effects are a little less but still present. I am afraid ths pil although sais that it doesnt cross the brain barrier but it could, actually is doing so in me or I simply cant tolerate it. I am sensitive to this kind of medication since after trying reglan I literally went crazy!! impossible to take for me. Ie read that many people had side effects to motilium as they got used t the pill and then things got better. Due to all the symptoms from the different thing found in my test I hve been suffering from anxiety and depression. Ive lost 15 lbs in 1 month simply because im eating half what i normally did. I am 34 yo male, 6ยด1 and current weight is 160lbs.nd Question is should I continue taking it or should i completley stop the drug nd try getting another drug most probably abraod since there are so few drugs here in the US available to treat this condition. What should i do?? Second question is that this morning at breakfast i got very anxious after started feeling I had some food not going down and seemed to be stuck in my lower throat or esophagous. Felt like thick flem and it wasnt my anxiety cause i felt it mainly as i exhaled. Started feeling light headed, weak and panic was extreme!! I took a protonix to see if it would help since i thought it could be reflux however it didnt really take the sensation away completley. Im belching fruit that i ate and feeling pretty weak and anxious to say the least. Still feel something is there and dont know if it is the digestion problem, reflux and or anxiety, hiatal hernia or really something is simply stuck. Should I go to the ER or should i just let it pass and see how i react after eating dinner? Im concerned as I have felt this sensation before or similar but this time i def feel like ther could be something there. Please help and thanks so much for your time and your advice.......Daniel
Tue, 21 Oct 2014
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General & Family Physician 's  Response
hello daniel...
thanks for your query on HCM,
the only and best treatment for hiatus hernia is getting it surgically rectified...
do visit a surgeon..
get yourself investigated thoroughly...
do get it surgically rectified...
it will give you a speedy and long lasting relief...
drugs dont give that potential benefits for a long time..
it may so happen that if the abnormality is not treated in time, it may lead to untoward complications also...
better do act soon and get relieved soon..
wish you a speedy recovery
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