Hiatal Hernia

If it works for you, I’d take a look at the studies again. They’re really not definitive. But I get it. I’ve weaned down from 40 to 20 to 10 mg. So I guess I’m trying to wean off too like so many here.

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I have to say, I did not refuse and had the test the day before to ck out the motility of my esophagus. After the surgery and just before I was released, the Dr. came in and told me my esophagus was of little help and I would need to stay on soft foods for the rest of my life. That was after a Nissen Fundoplication with a partial esophagus wrap and partial mesh implant. Had I not taken that test he would not have known to do partial. I am soooo happy and feel great now. I did check out the reliability of his thoughts. LOL yep he was right. After getting bread stuck on the way down, I am now taking it seriously. I am aware there are smart good Dr. in many cities but the experience I had at the FL Mayo was unsurpassable, If you are going to have the operation I highly recommend Dr Edwards and his team!!!

I only take 10 mg and it works but after surgery hoping I don't take it anymore!!

I just had a new procedure done; Endoflip. I have hiatal hernia and a LES (lower esophagus valve) that opens with respiration and is grade II and also mild muscular ring around bottom of my esophagus which I am sure caused by LPR (Silence Gerd). This is the spot that food rarely gets stuck and causes pain. I am sure Hiatal Hernia has caused this and LPR. I have to do the 24-hour acid test, which I am not looking forward to do, to see if my Gerd is acidic or not. Unfortunately, I cannot take PPIs or H2 Blockers as they cause Candida and SIBO. When these pills remove the gas and acid, then, some people get SIBO. I still don't want to do the hernia surgery as my doctor told me I will get bloated so badly that I have to go on diet as I am now.

I believe that someone on here asked about a Esophageal Manometry test. I believe that is one of the tests I had. I have terrible drainage in my throat, especially when lying down at night and I always contributed it to my sinuses since I have terrible allergies, etc. My ENT said it wasn't coming from my sinuses but I totally disagreed so I had the test done. With this particular test, the wire was inserted in my nose down into the esophagus and I had to wear the darn thing for 24 hours. It didn't really hurt but was extremely annoying especially trying to sleep. The results were that I have Gerd and terrible reflux in addition to a hiatal hernia. Even with those results, I still think that some of the drainage is from my sinuses.

I was diagnosed with an inguinal hernia several weeks ago, and the flare ups have been debilitating. I'm 62 and have a complicated history including a daily infusion of antibiotic through a PICC line to keep a hip replacement infection at bay. I'm also on Prednisone since my oncologist had to stop my immunotherapy because it caused pericardial effusion.
The doctors I consulted with today determined that the risk factor is too high for surgery. I also have a hiatal hernia which hasn't been as painful, but I'm unable to get a recommended colonoscopy because of it. It's complicated. The doctors also mentioned that it would be unlikely I'd get clearance for surgery from cardiology due to the effusion and atrial stenosis.
For now, I'm good for a few days, maybe a week or so, and then a flare up for which I can do nothing to relieve but lay down, ice up, and take acetaminophen. The pain during the flare up really prevents me from doing anything else and causes some nausea - in addition to the fear of the hernia becoming strangulated. I've already been to the Emergency Department once for the pain, the best they could do was push the hernia back in, which I've been told I can do on my own. Ouch.
Since surgery seems out of the question for now, how does one manage a hernia like this? I'll be getting new hernia truss but the one I'm using now doesn't seem to be making a difference in whether I have a flare up or not. What can I do to not activate a flare up?

I don't know if this would be problematic in your situation, but you might want to see if this exercise might help you - "warm water method" https://www.healthline.com/health/how-to-fix-a-hiatal-hernia-yourself#other-natural-remedies
Basically, the idea is that you drink and then shake down your stomach to pull down out of the esophagus with the weight of the water. Walking around after eating also helps, in the same vein.