How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. D. Love Your Own Question

Dr. D. Love
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18208
Experience:  Family Physician for 10 years; Hospital Medical Director for 10 years.
21597572
Type Your Medical Question Here...
Dr. D. Love is online now

I was told I had a hiatues hernia but i have looked at all

Resolved Question:

I was told I had a hiatues hernia but i have looked at all the symptoms but i dont really feel i fit ifeel sick nearly all the time the first meal of the day is the worst i frequently feel sick faint and light headed but i dont get heatburn my only digestive problem has been wind.
Submitted: 2 years ago.
Category: Medical
Expert:  Dr. D. Love replied 2 years ago.
Hello from JustAnswer.
It will help if you could provide some further information.
How long have you been having these symptoms?
Was a test done to establish the diagnosis of a hiatal hernia?
Has any other evaluation been done for these symptoms?
Customer: replied 2 years ago.

I have had this about 9 months the docter sent me for a scan, blood tests they came back clear i then had a barium meal scan this showed acid reflux i take omeprazole tablets 2 a day i am on the list for a magic eye scan but this problem is interfering with my everyday living.

Expert:  Dr. D. Love replied 2 years ago.
Was the first scan an ultrasound of the liver and gallbladder?
Did the barium meal also show the hiatal hernia?
Have you noticed any improvement in symptoms with the omeprazole?
Customer: replied 2 years ago.

My dr said after looking at the barium scan i had the hiatues hernia not really any difference taking the tablets to the best of my knowledge the first scan was an ultra sound but i am not really sure

Expert:  Dr. D. Love replied 2 years ago.
Thank you for the additional information.

There are several issues to consider in this situation.

First, if there was hiatal hernia seen on the barium meal test, then there is no doubt that it is present. However, it may not be the cause of any symptoms. A large number of people will have a hiatal hernia that never causes symptoms.

It also is not surprising that a hiatal hernia is present, as they become increasingly common with age, and most people in their 70s have a hiatal hernia when checked.

So, the question is not whether you have a hiatal hernia, but whether the symptoms that you are having could be due to the hiatal hernia.

If a hiatal hernia is causing a person to feel sick, it would usually because of acid reflux. Acid reflux can occur in people without a hiatal hernia, but a hiatal hernia can increase the risk of developing acid reflux. It is true that the most common symptom of acid reflux is heartburn, but there are a fair number of people that get other symptoms without heartburn from acid reflux. In your case, since the barium meal test showed acid reflux, you are having acid reflux, but that does not prove that it is the cause of your symptoms.

The other issue would be that there has been an appropriate evaluation to exclude other possible causes of your symptoms. If the ultrasound was done of the liver and gallbladder and the blood tests included tests of the liver and pancreas, this would exclude the other common causes of feeling sick. Therefore, if this other evaluation was negative, it is reasonable to deduce that the acid reflux associated with the hiatal hernia is the cause of your symptoms. If the omeprazole is not providing any improvement in symptoms, there are a couple of options. One option would be to use a higher dose of the omeprazole. It also may help to augment the omeprazole with the use of a liquid antacid several times per day. It also would be reasonable to try raising the head of your bed. Many people with acid reflux notice greater symptoms in the morning, and this is apparently due to increased acid reflux that occurs when lying down. Placing 6 inch/15 cm blocks under the feet at the head of the bed can help acid reflux. Sleeping on extra pillows is not as effective, because it causes the body to bend at the middle, which can increase reflux. Raising the head of the bed will keep the body straight, but at an angle to decrease the amount of reflux. It also may help to use a short course of domperidone, although this medicine is typically not used for long-term management.

If I can provide any further information, please let me know.
Dr. D. Love, Doctor
Category: Medical
Satisfied Customers: 18208
Experience: Family Physician for 10 years; Hospital Medical Director for 10 years.
Dr. D. Love and other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.co.uk/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.co.uk/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.co.uk/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.co.uk/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.co.uk/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.co.uk/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.co.uk/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions