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GERD (Acid Reflux) (Expert Forum)
acid reflux and hiata hernia
Answered by
Ratnakar Kini, MD - Gastroenterology, Pediatrics, acid reflux, gerd, colitis
Gastroenterologist & Hepatologist
India
This forum is for questions and support regarding Gastroesophageal Reflux Disease (GERD) / Acid Reflux with topics including: Causes, Constipation, Diagnosis, Diarrhea, Drugs and OTC medications, Living with GERD, Loss of Appetite, Preventing Flare-ups, Research, Risk Factors, Symptoms, Support, Surgery, Tests, Treatments.
acid reflux and hiata hernia
by tonya43, Jul 10, 2009 06:53PM
i have been diagnosed with gerd and a hiata hernia i am a black female 5ft2 and 233 pounds i have been on five different prescriptions currently i am on 60 mg of kapidex i have been losing weight and losing my appetite sometimes the kapidex gives me relief sometimes it doesn't what can i do for relief when it doesn't work? and how far can acid reflux travel.
Doctor's Answer
by Ratnakar Kini, MD, Jul 14, 2009 07:32AM
, Jul 14, 2009 07:32AM
Hi,
Hiatal hernia is a risk factor for GERD.
GERD is treted with-
A. PPI ( kapidex) - Taken once before breakfast and once before dinner. If no response switching to another PPI like nexium may be done.
B. Life style modifications -
1. Head elevation while sleeping
2. Small frequent meals
3. Going to bed 2- 3 hours after food
4. Avoiding bed time snacks
5. Avoiding smoking and alcohol
6. Avoiding tight fitting clothes
7. Avoiding cola, citrus drinks, carbonated drinks, tea, coffee, spicy food
8. Weight reduction
If there is no improvement at the end of 8 weeks reevaluation is done with 24 hours pH monitoring test.
If confirmed and medicines are not effective then the option left is surgery.
Hiatal hernia is a risk factor for GERD.
GERD is treted with-
A. PPI ( kapidex) - Taken once before breakfast and once before dinner. If no response switching to another PPI like nexium may be done.
B. Life style modifications -
1. Head elevation while sleeping
2. Small frequent meals
3. Going to bed 2- 3 hours after food
4. Avoiding bed time snacks
5. Avoiding smoking and alcohol
6. Avoiding tight fitting clothes
7. Avoiding cola, citrus drinks, carbonated drinks, tea, coffee, spicy food
8. Weight reduction
If there is no improvement at the end of 8 weeks reevaluation is done with 24 hours pH monitoring test.
If confirmed and medicines are not effective then the option left is surgery.
Member Comments (2)
by farzan, Jul 12, 2009 10:01AM
i am 23 and i have a bad headche i know its related to stomach because when i didnt eat food for example 8 hours its become a bad headche i have H.pyluri what should i do?i go to many doctor but couldnt help me thank s for ur help
