Hiatus Hernia
Diagnosis:
Heart burn
increased by lying down and decreased in upright position.
History of
dyspepsia and heart burn.
Investigation:
Barium swallow
in Trendlenberg position.
Manometric studies
to assess lower esophageal sphincter.
Treatment:
1- Antacids.
(see gastritis)
2- Drugs of
peptic ulcer. (see gastritis)
3- Drugs to
assess motility of stomach (prokinetics).
- Domperidone
tab. 1×3 before meals.
- Motinorm tab.
= Motilium tab.
- Farcotilium
cap. = Dompidone tab.
4- Instructions →
decrease body weight, avoiding cigarette, spicy food and heavy meals before sleeping.
Indications of
surgery:
- Sliding hernia
(small or large).
- Large paraoesophageal
hernia.
- Complications
(anemia).
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