I am 21 years female. My stomach is burning after eating and sometimes pain for nearly 3 months. My stomach is even bloating. I took ultrasound scan it is normal and I have done endoscopy. The report showed large hiatus hernia 35 cm. Gastrosurgeon provided gastric tablets like esomeprazole. But the symptoms reoccur when I don't take gastric tablets. What to do? Can you suggest what might be the problem?

Dr. Karuna ChawlaHomeopathy Doctor26yrs exp

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Follow this 1. Don't take tea empty stomach. Eat something like a banana (if you are not diabetic) or any seasonal fruit or soaked almonds and a glass of water first thing in the morning (within 10 mins of waking up). No only biscuits or rusk will not do. 2. Don't overeat 3. Take your breakfast every day. Don't skip it. U should eat whatever your mother or grandparent eat in bfast. I mean to say whatever is your traditional food. If punjabi eat paratha, if belongs to south then take idli/ dosa etc. 4. Have light meals every 2 hours (in addition to your breakfast, lunch n dinner) e.g. Nariyal paani, chaach, a handful of dry fruits, a handful of peanuts, any fresh n seasonal fruit, a cup of curd/milk etc 5. Finish your dinner at least 2 hours before going to sleep. 6. Maintain active life style7. Avoid fast foods, spicy n fried foods, carbonated beverages 8. Take a lot of green vegetables n fruit. 9. Drink lot of water.10. Everyday preferably sleep on same time exercise in the form of yoga, cycling, swimming, gym etc.Till lock down do suryanamaskar every day. for this homeopathy offers good results. Consult online.  

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Dr. Vijay Kumar SinghGeneral Surgeon15yrs exp

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Hi lybrate-user, thank you for reaching out to Lybrate. I completely understand how difficult it must be for you while suffering from a large symptomatic hiatus hernia. I would try to answer your queries the best I can. * first of all let us understand what is hiatus hernia. When you swallow food after chewing, it goes through the food pipe which we call "esophagus" the esophagus passes though your chest and enters the abdomen via a small opening (in the diaphragm which is a thin muscle separating chest and abdomen) and then joins the stomach. Now the stomach produces acid which helps in breaking down food so that it can be digested easily. Usually, this acidic content from stomach only moves forward towards the intestine. It cannot go back into the esophagus. However, in case of hiatus hernia, this acidic content can go back up into the esophagus. This causes irritation in the esophagus leading to burning and pain. Similarly it also causes feeling of bloating or fullness soon after taking a meal. * the medical treatment for this problem includes (1) drugs like esomeprazole that reduce acid production in the stomach, thus providing relief from the burning sensation, (2) drugs like esomeprazole when combined with prokinetic agents are more effective as they help move the food from stomach to intestine faster than usual thus there is less content in stomach to regurgitate back to esophagus, (3) antacids can also be used for the same reason as they neutralize the acid in stomach. * along with medications or if you want to avoid taking medications, there are several lifestyle changes that can help: (i) avoiding spicy food, fatty-fried foods, coffee, tea, alcohol, smoking (ii) avoiding heavy meals, specially before bed time. Take frequent small meals instead. Having an early dinner is beneficial. (iii) exercise is helpful. Maintaining a healthy weight is quite beneficial. (iv) if this problem is specially worse while sleeping or lying down, slightly elevating the head end of bed can be helpful. * if all else fails or problem becomes severe, there is surgery to fix this problem. I hope I have been of help with my answer. If you wish to discuss the problem or treatments further, you can always contact me here on Lybrate. Wishing you good health.  

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Jigar J PatelGeneral Surgeon4yrs exp

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You have diagnosed with hiatal hernia on endoscopy. In hiatus hernia junction between esophagus and stomuch migrated upward (sliding hiatus hernia) or part of stomuch mostly fundus migrated in chest cavity and so its create pressure differance between stomuch and esophagus so your content of stomuch refluxed in esophagus and you get this symptoms first line of management of it life style modification avoid oily and spicy food do not go for bed rest just after eating sleep with 45 to 60 degree angle (propped up position) small frequent meal and antacid (esmoprazole) if after it not resolved you have to go for laproscopic fundoplocation results of this surgery are very promising thanks.  

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Dr. Manohar L.DawanGeneral Surgeon14yrs exp

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Better to go for surgery... Fundoplication by Laparoscopy  

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