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Internist
Internist, Board Certified Physician
Category: Medical
Satisfied Customers: 4761
Experience:  Int. Med., Gastroenterology. Fellow American College of Physicians. Trained, located in the U.S.
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does a hiatial hernia ever go away when i will return to normal

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does a hiatial hernia ever go away? when i will return to normal? last april i was diagnosed with gerd and esophagel spasms. i was put on zantac, prolisec and pepcid ac. i take pepcid ac, that works best for me, i have least side effects. but it seems as if everything i eat (even water) i can feel moving through my chest area and sensation in back. i had an endoscopy in december and mild inflammation and a hiatial hernia were found. how does this effect me and other parts in my body near that area (heart, lungs, etc)? i know that on days i eat better i feel better, on days i eat bad, i feel worse. i also know i have to lose weight to help. will i ever feel normal again? i believe my hernia came from poor posture when eating, i would bend over and eat alot.
Submitted: 4 years ago.
Category: Medical
Expert:  Internist replied 4 years ago.
I will try to answer all your questions and then give you up to date recommendations for the treatment of esophagitis. A hiatal hernia will never go away unless it is operated on or if it it caused by increased pressure in abdomen, ie pregnancy, fluid. The esophagitis or inflammation can affect you by giving you pain in the chest and it can radiate to the back. Hopefully with the following recommendations you will feel normal. Your hiatal hernia did not come from poor posture or bending over.

You have GERD. GERD= gastro esophageal reflux disease

If your heartburn symptoms are severe or persist you should see your doctor. For now you might want to try the following measures.

Eat bland foods. Although many doctors tell their patients to avoid spicey foods, fatty foods, citrus fruits, tomato juice or sauce, chocolates, alcohol and carbonated drinks, coffee (also decaf), there is no scientific evidence that is is helpful. You should avoid PROVOCATIVE foods which are any foods that specifically causes you discomfort. You should also stop smoking. You should not eat anything 2 hours before bedtime. The head of the bed should be raised 6-8 inches (can use large cans with sand) and try sleeping with left side down IF you have nighttime reflux. Don't lie down for 2-3 hours after a meal. Some medications may make the reflux worse, including anti-cholinergics, NSAIDS, antibiotics, anti-depressants, nitrates, progesterone, beta blockers and calcium channel blockers, iron, potassium, sedatives and bronchodilators. Several non-prescription agents may help; Gaviscon, Mylanta or Maalox as directed on bottle, acid suppressing agents such as OTC Tagamet, Zantac, Pepcid, or Axid or the stronger agents ( PPI's) such as Prilosec or Nexium, Prevacid, Aciphex and Protonix. Again follow instruction on the labels. Your Doctor may want to double your dose if you fail to improve.

It is important to LOSE WEIGHT if you or overweight. This has been clearly associated with worsening of reflux disease.

If you do not improve on the above regimen or if you have trouble swallowing or pain upon swallowing your doctor may want to proceed with other tests such as endoscopy or pH monitoring.

If your symptoms persist or worsen, surgery ( laparoscopic Nissen Fundoplication ) may be considered.

Here are useful websites:

http://www.aboutgerd.org/

http://health.howstuffworks.com/difference-between-heartburn-and-acid-reflux.htm


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Internist, Board Certified Physician
Category: Medical
Satisfied Customers: 4761
Experience: Int. Med., Gastroenterology. Fellow American College of Physicians. Trained, located in the U.S.
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