Treatment & Care

Acid reflux can be aggravated by many different things, including lifestyle, medication, diet , pregnancy , weight gain, and certain medical conditions. Rarely, your doctor may advise against surgery because of the special condition of your hernia. Barrett’s esophagus is a precancerous condition affecting the lining of the esophagus (the swallowing tube that carries foods and liquids from the mouth to the stomach). Stomach acid backs up into the esophagus from acid reflux or GERD, causing injury to the esophageal lining. HALO ablation technology is capable of achieving complete removal of abnormal or diseased tissue without damage to the normal underlying structures.

Symptoms of acid reflux include heartburn , regurgitation of bitter acid into the throat, bitter taste in mouth, ches pain, dry cough , hoarseness , feeling of tightness in the throat, and wheezing. Paraesophageal hernia is a type of hiatal hernia where the junction of the stomach and the esophagus remains in place, but part of the stomach is squeezed up into the chest beside the esophagus. Direct inguinal hernia: The direct inguinal hernia occurs slightly to the inside of the site of the indirect hernia, in an area where the abdominal wall is naturally slightly thinner. It rarely will protrude into the scrotum and can cause pain that is difficult to distinguish from testicle pain. Unlike the indirect hernia, which can occur at any age, the direct hernia tends to occur in the middle-aged and elderly because their abdominal walls weaken as they age.

Potential Lifestyle Changes You may be able to manage heartburn symptoms by adjusting your eating, sleeping, and lifestyle habits. The doctor inspects portions of the linings of your esophagus, stomach, and the upper portion of your small intestine and then reinspects them as the instrument helpful site is withdrawn. Acid reflux can be prevented in some cases by changing the habits that cause the reflux including avoiding alcohol , not smoking , limiting fatty foods and other food triggers, maintaining a healthy body weight, and avoiding large meals within 3 hours of bedtime.

A small number of people with GERD may need surgery because of severe reflux and poor response to medical treatment. However, surgery should not be considered until all other measures have been tried. Fundoplication is a surgical procedure that increases pressure in the lower esophagus. Endoscopic procedures that involve making the LES function better or using electrodes to promote scarring of the LES are newer options in treatment. Gastric Bypass Surgery refers to a surgical procedure in which the stomach is divided into a small upper pouch and a much larger lower “remnant” pouch and then the small intestine is rearranged to connect to both. GBP leads to a marked reduction in the functional volume of the stomach, accompanied by a resolution of refluxing of stomach acids to the esophagus. The stomach acids are redirected down the digestive system. The operation is also prescribed to treat morbid obesity.

Long-term use of antacids, however, can result in side effects, including diarrhea , altered calcium metabolism (a change in the way the body breaks down and uses calcium ), and buildup of magnesium in the body. Too much magnesium can be serious for patients with kidney disease If antacids are needed for more than 2 weeks, a doctor should be consulted. These kinds of hernias may be treated without surgery, perhaps using abdominal binders. Paraesophageal hernias are less common, however they are a cause for concern because the herniated portion of the stomach may have a portion of its blood supply choked off. This condition is known as incarceration with strangulation.

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