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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Large Esophageal Hiatal Hernia

I will be 80 yrs old may 1---I have a large Esoph. Hiatal Hernia with ulcers---Dr suggest surgery--I have other health problems----terified of surgery---it didn t sound like mine could be done Lapisc. What are my chances---I have had 3 bad gastrointestanal bleeds---I fear dyeing with this surgery----
Thu, 24 Dec 2015
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Gastroenterologist,  's  Response
Hello! Thanks for putting your query in HCM. I am a Gastroenterologist.
Large hiatus hernia is an indication for surgery. However at this age and with your apprehension for surgery and with past history of GI bleed, if you were my patient then I would have treated with medicines and some life style changes. For which I will advise you :
1.to avoid tea, coffee, oily and spicy food.
2.Also avoid citrus fruits.
3.Among medications take a proton pump inhibitor like rabeprazole and a prokinetic agent like domperidone.
4.Dont lie down at least for 2 hrs after any meal and
5. Dont drink water for at least 2 hrs with any meal.

I hope I have answered your query and this will help you . Wish you a good health
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Suggest Treatment For Large Esophageal Hiatal Hernia

Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Large hiatus hernia is an indication for surgery. However at this age and with your apprehension for surgery and with past history of GI bleed, if you were my patient then I would have treated with medicines and some life style changes. For which I will advise you : 1.to avoid tea, coffee, oily and spicy food. 2.Also avoid citrus fruits. 3.Among medications take a proton pump inhibitor like rabeprazole and a prokinetic agent like domperidone. 4.Dont lie down at least for 2 hrs after any meal and 5. Dont drink water for at least 2 hrs with any meal. I hope I have answered your query and this will help you . Wish you a good health