Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

What Causes Chest Pain With Hiatus Hernia And GERD?

my 16 year old daughter looks like has a hiatus hernia.....and GRD.......having a scope down to have a look just waiting on appointment.......in hospital emergency yesterday for 4th time in 10 months.....had to have morphine for pain again......today has woken up with a pain in one side of chest....near bottom of breast and goes thru to back area.......she says an ache......could this be from the vomiting she had with this attack?
Mon, 27 Oct 2014
Report Abuse
General Surgeon,  's  Response
Hi! Good afternoon. I am Dr Shareef answering your query.

If I were your doctor, based on the symptoms narrated and after a thorough physical examination, I would advise for an ultrasound abdomen to rule out any chances of gall stone disease and/or a pancreatitis. Also some basic blood tests like a CBC, LFT, serum amylase and lipase might be worthwhile. Once these are excluded and GERD is confirmed with endoscopy, the following might be of help:

1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.
2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food
3) Regular routine exercises like morning walk depending on your medical fitness.
4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards


I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.

Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.


I find this answer helpful
Note: For further follow up on digestive issues share your reports here and Click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Morphine


Loading Online Doctors....
What Causes Chest Pain With Hiatus Hernia And GERD?

Hi! Good afternoon. I am Dr Shareef answering your query. If I were your doctor, based on the symptoms narrated and after a thorough physical examination, I would advise for an ultrasound abdomen to rule out any chances of gall stone disease and/or a pancreatitis. Also some basic blood tests like a CBC, LFT, serum amylase and lipase might be worthwhile. Once these are excluded and GERD is confirmed with endoscopy, the following might be of help: 1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity. 2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food 3) Regular routine exercises like morning walk depending on your medical fitness. 4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.