Hiatal Hernia. What helps? Surgery or no...

Posted by betterb4 @betterb4, Feb 13, 2017

I was just diagnosed with a small hiatal hernia but I’m feeling pretty miserable. I was a perfectly healthy person and this all started a couple months ago. It started with a feeling of a “lump” at the bottom of my esophagus (or top of my stomach). Sometimes I had a burning feeling in my esophagus. I mentioned it with my gastroenterologist before a routine colonoscopy; she pretty much dismissed it but immediately put me on Prilosec in the morning and Zantac.It really doesn’t help very much. before bed. I had and EGD and she diagnosed and irritated esophagus and stomach and a small hiatal hernia.
I have now given up coffee, wine, chocolate, beef, tomatoes and eating after dinner (everyday the list grows.) We have propped our bed at an angle. I am afraid to eat. She insists that the hernia is not causing this, but it must be. I’m in my 50’s, perfect weight and have never even had heartburn. If this doesn’t improve soon, I am thinking of going to Mayo for a full evaluation. I can’t live this way and I DO NOT want to be on medicine the rest of my life.

@betterb4

I am now following a low acid diet. (wasn’t much I had to give up as I pretty much have always eaten a low acid diet) I am diagnosed with GERD and a small hiatal hernia. The confusing part for me is how suddenly this happened. I haven’t ever had any heartburn except a few bouts when I was pregnant more than 25 years ago. How can it be so sudden? and severe? This makes me think the hernia caused it whereas my doctor thinks it’s only contributing. The Prilosec doesn’t seem to be helping much. Zantac helps a little.

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Interestingly, I never had heartburn until I was pregnant, too. It went away for about two years after I had my youngest, and then the GERD started constantly all of a sudden and stayed. I know that my GERD and hernia were caused by my sphincter ceasing to function. I’m not sure if there are other causes. At least you know that Zantac works a little better than Prilosec for you. You might want to keep a journal of which foods are better or worse for you, and this way you can keep track of symptoms to see if they worsen over time.

Liked by virtuous69

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@betterb4

Do you need a referral to go to Mayo Clinic in Rodchester?

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Hello @betterb4. As @kdubois mentioned, you do not need to be referred to Mayo Clinic unless your insurance requires it. You can find all of that information by going here and going through the appointment process, http://mayocl.in/1mtmR63.

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Just ran across some interesting information on using melatonin to treat GERD. Would like to know what the medical profession thinks of this.
There is a lot of information out there, this is one study I ran across: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2821302/

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@betterb4, interesting… I’ve never heard of melatonin to treat GERD. @JustinMcClanahan, do you have any insight on this?

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@kdubois

@betterb4, interesting… I’ve never heard of melatonin to treat GERD. @JustinMcClanahan, do you have any insight on this?

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@kanaazpereira may be better suited to have some insight on this question. Kanaaz, in your experience with GI, have you heard anything about melatonin and GERD?

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Hi @betterb4,

Here’s what I found:

Melatonin, which is usually thought of as the sleep hormone made in the pineal gland, is actually produced nearly 500 times more in the intestinal tract.The study that you cite, suggests that using melatonin, along with anti-acid medications like omeprazole, may lessen the acidity (pH level) in the stomach.
A few studies have shown the potential of melatonin to reduce inflammation in people with Crohn’s and ulcerative colitis (IBD), but further research is needed.

Here’s a link from Mayo Clinic that lists the effectiveness of melatonin used to treat different conditions: http://mayocl.in/2m2Gsxf
Hope this helps.

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