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Norgestimate-ethinyl Estradiol Triphasic Viagra Professional, Propiedades FГsicas Ejemplos Hydrochlorothiazide, To schedule an appointment with Virginia Mason's Gastroenterology Department, call (206) 223-2319.How to fix a hiatal hernia yourself lipitor Ace Inhibitors And Anesthesia Femcare,Дoes Tenofovir Cure Hepatitis B Sporanox, The aims of surgery may include pulling your stomach back down into your abdomen, decreasing the size of the opening in your diaphragm, reconstructing an esophageal sphincter or removing the hernia sac. Virginia MasonвЂ™s esophageal surgery team will carefully review which surgical approach is best for you, including the possibility of minimally invasive surgery. When medications do not relieve heartburn and acid reflux, or if complications such as severe inflammation or narrowing of the esophagus arise, surgery may be required. Proton pump inhibitors (PPIs): Your doctor may prescribe a PPI to block acid production and heal the esophagus.H-2-receptor blockers: To reduce acid production and provide longer relief of your symptoms, your doctor may prescribe cimetidine, famotidine, nizatidine or ranitidine.Antacids: Over-the-counter antacids and their prescriptive counterparts may provide quick relief of symptoms by neutralizing stomach acid.Elevate the head of your bed by 30 degrees by using a block under the bed or a wedge pillow.

Eat several hours before sleeping and avoid lying down after a meal.Avoid large meals and certain foods and drinks that trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion and caffeine.Your doctor will review your symptoms with you and may recommend you: Hiatal hernias may be treated with medication, surgery or lifestyle changes. Upper endoscopy: A small tube with a camera is inserted through your mouth and throat to examine the inside of your esophagus and stomach to check for inflammation.

X-ray of your upper digestive system: You may be asked to drink a liquid that coats the inside of your digestive tract to allow your doctor to see a silhouette of your esophagus, stomach and upper intestine. Tests and procedures used to diagnose a hiatal hernia include: Your doctor may suspect a hernia based on your medical history and your signs and symptoms, and may refer you to a gastroenterologist.

Vomiting of blood or passing of black stools.

Regurgitation of food or liquids into the mouth, which can include a bitter or acid taste.

Persistent heartburn вЂ“ a burning or pressure sensation behind or below the breastbone.

No response to gastroesophageal reflux disease (GERD) medication.

Dysphagia вЂ“ difficulty eating or swallowing, or the impression of food sticking in the chest area.

Chest pain, often centrally located and unresponsive to antacids.

Acid reflux вЂ“ backflow of stomach acid into the esophagus.

Hiatal hernias are more common in people 50 years and older. Common hiatal hernias вЂ“ often called вЂњslidingвЂќ hiatal hernias вЂ“ occur when the upper stomach moves from the abdominal cavity through the diaphragm, over the lower part of the esophagus, and up into the chest cavity. When an internal body part pushes into another area of the body, it is called a hernia.