Hiatal Hernia - Effective Treatments

What kinds of treatments have been effective for your hiatal hernia?

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How is a hiatal hernia treated?

Treatment of large para-esophageal hernias causing symptoms requires surgery. During surgery, the stomach is pulled down into the abdomen, the esophageal hiatus is made smaller, and the esophagus is attached firmly to the diaphragm. This procedure restores the normal anatomy.

Since sliding hiatal hernias rarely cause problems themselves but rather contribute to acid reflux, the treatment for patients with hiatal hernias is usually the same as for the associated GERD. If the GERD is severe, complicated, or unresponsive to reasonable doses of medications, surgery often is performed. At the time of surgery, the hiatal hernia is eliminated in a manner similar to the repair of para-esophageal hernias. However, in addition, part of the upper stomach is wrapped around the lower sphincter to augment the pressure at the sphincter and further prevent acid reflux.

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See what others are saying

Comment from: Mendy, 65-74 Female (Patient) Published: January 14

I am 69 years old and was diagnosed with a hiatal hernia many years ago. The only medication that has worked for me is Nexium, 40 mg. Recently, I have been taking the Nexium two times a day and also some antacid over-the-counter pills. On New Year's Day, I went to the emergency room because I thought that I was having a heart attack. I had eaten a very small amount of scrambled eggs and felt so bloated that I thought I would burst. I began getting a great deal of pressure in my upper abdomen, back, neck, and upper arms. I couldn't stand up straight. I took two antacid pills and continued to feel worse. I finally went to the ER and thankfully my EKG and cardiac enzymes were fine. On X-ray, the doctor saw what he thought was my esophagus being pushed to one side of my chest. Then he did an MRI and said that it was a GI problem, gave me a GI cocktail, and I immediately felt better. I can't get an appointment with a GI doctor until April.

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Comment from: cy, 45-54 Male (Patient) Published: December 05

I had surgery for a hiatal hernia because it was causing my stomach to partially twist, which happens in only 5 percent of hiatal hernia cases. Its official name is a partial stomach volvulus which is extremely dangerous if it twists and gets stuck. I was very lucky that mine did not, but given enough time it would have. I had to wait 10 months for my surgery which was extremely stressful. After waking up from surgery I was in more pain then I have ever been in, but in time that went away and I am extremely happy I got it done.

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