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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Severe Fatigue, Acid Reflux And Abdominal Bloating

Hello I have IBS , although the last few months i have had a burning sensation in my stomach with severe bloating after every meal even small meals i was diagnosed with a small hernia and reflux 8 yrs ago i also feel very fatigue and weak sometimes , do you think my hernia has got worse ?
Tue, 6 Sep 2016
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General & Family Physician 's  Response
It must be hiatus hernia which causes reflux esophagitis. Hiatus hernia is a protrusion of any abdominal structure other than the esophagus into the thoracic cavity through a widening of the hiatus of the diaphragm. Sliding hiatus hernia (type 1) is the most common type in which the gastro-esophageal junction migrates above the diaphragm. Acid is allowed to reflux back into the esophagus causing inflammation of the lining of the esophagus and the symptoms of gastro-esophageal reflux disease (GERD) such as heart burn, nausea vomiting, and burping. Other symptoms are dull chest pain, shortness of breath, and palpitations due to irritation of vagus nerve.
In majority of cases, patient experience no life-altering discomfort, and no treatment is required. Symptomatic treatment is sufficient.
Advice
1.     Omeprazole 20 mg per oral empty stomach in the morning for 10 days
2.     Domperidone 10 mg per oral when you feel nausea
3.     Avoid alcohol, smoking, spicy food, and non-steroidal pain killer, coffee, fatty foods, mint, chocolate, tomato-based foods
4.     Avoid eating 3 hours before lying down
5.     Raise the head of your bed
6.     Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day
7.     Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits
8.     Investigations
a.     Hb%
b.     Occult blood in stool
c.     Barium meal X – ray
If you do not get relief after above measures then contact your doctor.
Thanks
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Suggest Treatment For Severe Fatigue, Acid Reflux And Abdominal Bloating

It must be hiatus hernia which causes reflux esophagitis. Hiatus hernia is a protrusion of any abdominal structure other than the esophagus into the thoracic cavity through a widening of the hiatus of the diaphragm. Sliding hiatus hernia (type 1) is the most common type in which the gastro-esophageal junction migrates above the diaphragm. Acid is allowed to reflux back into the esophagus causing inflammation of the lining of the esophagus and the symptoms of gastro-esophageal reflux disease (GERD) such as heart burn, nausea vomiting, and burping. Other symptoms are dull chest pain, shortness of breath, and palpitations due to irritation of vagus nerve. In majority of cases, patient experience no life-altering discomfort, and no treatment is required. Symptomatic treatment is sufficient. Advice 1. Omeprazole 20 mg per oral empty stomach in the morning for 10 days 2. Domperidone 10 mg per oral when you feel nausea 3. Avoid alcohol, smoking, spicy food, and non-steroidal pain killer, coffee, fatty foods, mint, chocolate, tomato-based foods 4. Avoid eating 3 hours before lying down 5. Raise the head of your bed 6. Do not heavily at a time. Divide your meals into smaller portions and eat them frequently during the day 7. Avoid spicy foods, fatty foods, mint, chocolate, tomato-based foods, coffee, and citrus fruits 8. Investigations a. Hb% b. Occult blood in stool c. Barium meal X – ray If you do not get relief after above measures then contact your doctor. Thanks