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  1. #1
    Join Date
    Nov. 28, 2004
    Location
    Massachusetts, USA
    Posts
    869

    Default Hiatel hernias - advice? how to treat?

    Hi,

    Looking for feedback on what people have done to successfully treat hiatel hernias? Besides the usual treatment for them (elevating bed, watching food, small meals, etc. acid reflux (OTC Prilosec, etc), any words of advice? So far none of the usual treatments are working.

    Thanks in advance!



  2. #2
    Join Date
    Jan. 4, 2007
    Location
    TX
    Posts
    40,113

    Default

    How old are you, were you born with one, is it a new situation, any co-morbid conditions, like Barret's esophagus or other?

    I have one I was born with, was not diagnosed until I was almost 60 and food was not passing thru and it had to be stretched with an endoscope they run down your throat then and again four years later.

    If you have a narrowing and stretching may help, give it a try.
    Some people only need it once, some once every few years, some need it a few times a year and it changes if and when you may need it next, it is not a regular thing.

    To stretch it, they put you barely under, not full anesthesia and you are good to go in a couple of hours, you can even go eat then if you want.
    You may be very sore for a few days, don't let that scare you.
    That is a routine procedure, gastroenterologists are very good at it any more.

    Depending on how bad your hiatal hernia is, the Dr may suggest surgery, a fundectomy the most common one, but generally they don't go there until it is a last resort.

    Watch what you eat, no caffeine, no spicy stuff etc. and small meals.
    If eating out, a "to go box" is your friend, you can take some/most of the meal home and eat a bit at a time.

    Have your regular Dr refer you to a good specialist for that kind of problem.



  3. #3
    Join Date
    Oct. 3, 2002
    Location
    Boogerville, USA
    Posts
    858

    Default

    I have (had?) a huge one.
    I rarely have a problem with it since I went from 240lbs to 165lbs. I am 5'8" with extremely long legs and a *very* short waist.



  4. #4
    Join Date
    Aug. 27, 2004
    Location
    The Land of Oz
    Posts
    679

    Default

    My mom has one and she takes a double dose of Prilosec OTC daily. That works pretty well for her. She had to be a little bit more careful than most people with what she eats, but for the most part the double dose makes daily life more comfortable for her.



  5. #5
    Join Date
    Sep. 4, 2007
    Location
    Crossville, TN
    Posts
    1,123

    Default

    I had Nissen Fundoplacation to correct my issues which included a hiatel hernia. They pushed the hernia down and covered it with gortex mesh and I have not had an issue since.



  6. #6
    Join Date
    May. 10, 2001
    Location
    NW Washington
    Posts
    1,075

    Default

    I am the same as nasalberry - lost a bunch of weight and it pretty much went away.

    Tho if you aren't overweight to start with, that advice won't help much. :-)



  7. #7
    Join Date
    Aug. 22, 2000
    Location
    CT
    Posts
    2,357

    Default

    Hey Dance,
    Was your fundoplication an open surgery or laproscopic? What was your diagnosis that led to the surgery?
    I have bad GERD with esophagitis. Have been on all the medications which help but dont completely control. Not overweight.
    I read about this procedure and would hope it would help my situation!



  8. #8
    Join Date
    Sep. 4, 2007
    Location
    Crossville, TN
    Posts
    1,123

    Default

    Mine was laproscopic. I have had food regurgitation issues since I was a kid. Basically the sphincter muscle between my stomach and my esophagus never shut. Medications obviously didn't help. So the surgery was recommended and although the recovery sucked it has been almost 7 years and I have had no real issues. I am very glad I did it.



  9. #9
    Join Date
    Nov. 28, 2004
    Location
    Massachusetts, USA
    Posts
    869

    Default

    Hi,

    I'm th OP.

    I don't think it's a weight issue as I am 5'8" and weigh 128, 50 years old. I've never been above 135.

    It's a new problem, a quite annoying new problem. I'm a self-proclaimed "wuss" and I realize there are far worse problems to have!

    The dr. hasn't recommended much other than to continue Prilosec which isn't doing a thing to help.

    I've been eating small meals, drinking lots of water, no caffeine, no alcohol, no chocolate or anything else fun.

    Thanks muchly for these (and any more) responses!



  10. #10
    Join Date
    Mar. 2, 2007
    Location
    Upper and Lower Canada
    Posts
    2,849

    Default

    I was diagnosed when I was in my mid thirties. After about six months of avoiding coffee, spicy foods, etc., my symptoms went away for the most part, except for a brief annual reappearance in spring and fall. The thing that has eliminated them entirely (knock on wood!) is stopping yoga. All that hanging upside down really did a number on my condition. Everytime I went down for a sun salutation I came up with heartburn, LOL.



  11. #11
    Join Date
    Sep. 23, 2010
    Posts
    561

    Default

    Experiment with your diet. I used to have heartburn and reflux. After eliminating fatty foods and dairy from my diet, and losing about 10 lbs as a result, no more heartburn



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