hiatus hernia
| Discussion in 'All Categories' started by shehzar javed - Jan 17th, 2013 1:11 pm. | |
shehzar javed
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Hi doctor, How are you.My name is Shehzar.My concern is regarding my father Mr Javed Mansoor who got operated last year in MAX hospital for Hiatus Hernia.Everything seems to be fine.However he is finding it impossible to puke(when if someone had a bad /poisonous thing the body makes call to barf) I would really appreciate a piece of advice from you. Thank you Shehzar |
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re: hiatus hernia
by Dr J S Chowhan -
Jan 20th, 2013
12:00 pm
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Dr J S Chowhan
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Dear Mr Javed Laparoscopic Nissen fundoplication may be secure and effective therapy for gastroesophageal reflux disease. Although some patients may have gastrointestinal complaints throughout the first A few months after laparoscopic Nissen fundoplication, the vast majority of these symptoms will resolve and don't require chronic treatment. We propose patient education and reassurance to the complaints that can come up during this initial period, and reserve further evaluation for symptoms that persist beyond Three months. Most sufferers who have undergone laparoscopic Nissen fundoplication for gastroesophageal reflux disease will have gastrointestinal complaints during the initial 3 postoperative months. Almost all of these patients may have resolved their symptomatology after Three months. Those that have persistent symptoms after 3 months warrant evaluation for operative failure. Approximately 80% of patients complain of numerous symptoms immediately after laparoscopic Nissen fundoplication. These symptoms typically are treated medically lacking any extensive evaluation to identify the source. We reviewed our experience of laparoscopic Nissen fundoplication to discover the length of postoperative symptomatology in our patient population, and offer a rational method of this issue. Persistent bloating/flatulence might be treated with simethicone and dietary modification; further treatment can consist of speech therapy to retrain/control swallowing frequency. The main cause of persistent diarrhea often just isn't clear; vagal injury often is implicated. The treatment of persistent diarrhea includes antidiarrheals; further evaluation in the lower gastrointestinal tract (for irritable bowel syndrome, pseudomembranous colitis, etc) are. You should assure father as with the time these symptom will be relieved. With regards Dr J S Chowhan |