|Discussion in 'All Categories' started by MICHAEL HIGGS - Jun 10th, 2012 5:26 am.|
|pressure around chest and pain in middle of chest taking lansoprazole 30mg but still getting pain,doctor said got small hernia but im always in pain and dont no what to do can u help me.|
re: Hiatus hernia by Dr J S Chowhan - Jun 12th, 2012 6:40 am
Dr J S Chowhan
|Dear Michael Higgs
Hiatal Hernia is really a condition in which the upper area of the stomach of the person suffering will protrudes in to the chest cavity through an opening of the diaphragm called the esophageal hiatus. This opening usually is large enough to support the esophagus alone. With weakening and enlargement however, the opening makes it possible for upward passage as well as entrapment of the upper stomach over the diaphragm.
A thorough history is going to be taken to determine associated symptoms, circumstances, and risks for a number of diseases. Tell the doctor about foods or activities which help or worsen the symptoms.
A complete physical exam will concentrate on the digestive, pulmonary, and cardiovascular systems. A rectal exam and stool test for blood might be essential to determine whether there's bleeding in the digestive system.
Initial tests in hiatus hernia is:
Electrocardiogram (ECG) to consider electrical disturbances from the heart from disease
Chest x-ray to consider pneumonia, collapsed lung, or any other problems in the chest
Blood tests to look for anemia, infection, or injury to one's heart, pancreas, or liver
Other tests concentrating on the cardiovascular and pulmonary organ systems if suspicion remains high for problems during these areas.
Barium swallow or upper GI x-ray series may be performed by a radiologist.
Endoscopy may be performed by a gastroenterologist. A long fiberoptic scope is passed with the mouth and into the stomach looking for the best ulcer, tumor, or other injury. A biopsy is required.
Self-Care which should be done in patient
Changes in lifestyle in many cases are essential to avoid the signs of hiatal hernia.
Modify your activities:
Minimize heavy-lifting, straining, bending over.
Improve seated posture; don't slouch.
Sleep on an incline, with head of bed raised 4-6 inches on blocks.
Choose standing activities after a meal rather than sitting or reclining.
Modify your diet plan. Steer clear of the following:
Fried or fats
Meals within 2-3 hours of bedtime
Large meals (eat smaller meals more frequently)
Try over-the-counter remedies. Seek advice from your doctor or pharmacist first if you are taking other medications, are pregnant, or have other medical conditions, before beginning therapy in your own home.
Antacids for example Mylanta, Maalox, Gaviscon, or Tums for acute symptoms
Antacids such as Zantac, Tagamet, Pepcid, or Axid to prevent symptoms
Medical treatment for hiatal hernia can include prescription-strength antacids such as lansoprazole (Prevacid), omeprazole (Prilosec), or rabeprazole (Aciphex).
Surgical treatments rarely are essential or worth the risk unless an urgent situation exists, like a strangulated hernia.
Some individuals don't react to home care or treatment and consult an over-all surgeon or thoracic surgeon concerning the latest options. Various techniques happen to be tried to fix the defects of hernia with some success.
With these advice you should try to modify your life style or you should go for surgery. Actually you should consult one physician and then he will examine you and advice you these investigations.
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