acid reflux and hiata hernia

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.

[Ratnakar Kini, MD]

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.

[farzan]

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