Just had my scope- question on hernias/ulcers

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Regular Member

Date Joined Mar 2007
Total Posts : 443
   Posted 6/15/2007 10:52 AM (GMT -6)   
Just woke up from my procedure an hour ago, so sorry if this post doesn't make a lot of sense. tongue

After my procedure was done, I asked the nurse about my results. She brought over the file, and looked at it, and said I had a "duodenal" hernia. She then said the dr would come in and explain it to me. The dr came in, and said I had a hiatal hernia" (as well as some erosion in the stomach. No ulceration of the esophagus, but she did take biopsies and checked my colon as well, because of some other symptoms).

Can anybody tell me the difference between a hiatal and a duodenal hernia? Or am I thinking "duodenal ulcer" and hiatal hernia? Sorry.. this is somewhat new to me, and I'm rather confused. eyes

She said she's putting me on Protonix? Any comments on that? I don't think I've even heard of it before. Sounds like a colonic or something. LOL
Finally, a legit dx! Lyme! What else is wrong with me?! LOL

Regular Member

Date Joined Apr 2007
Total Posts : 57
   Posted 6/26/2007 3:57 AM (GMT -6)   
scool  A hiatal hernia is when part of your stomach bulges up into your chest cavity.  Duodenal is the word that describes the small opening to your stomach, in particular, the sphincter that closes off your esophagus. A small hernia may not even be noticed. A large hernia can cause you to have Reflux, the contents of your stomach moving up into your esophagus. Your doctor checked your esophagus to see if there was damage there, would seem he did not find any, that is very good! But you may often have heartburn, gas, and bloating.
    See your doctor to find out what specifically is your situation. I know he will want you to keep stomach acid away from your esophagus. This can be done, if your lucky, by not lying down after meals for a few hours. If it is a bit more serious, you may have to restrict your diet of acidic foods. Whatever your instructions are, follow them! If you do not have Barrett's, consider yourself lucky! If you can control your condition with diet, consider it a gift. Many have to avoid almost every food you think of, acidity foods, tomato products (soup, sauce, paste) onions, garlic, alcohol, smoking, fatty foods, geez you don't want to know!
    Some hernias have to be repaired with surgery. I've known a couple of people who have had this done, it's not very fun. Once you reach that plateau, surgery corrected stage I mean, then you will have to watch your diet for the rest of your life. Heartburn turns to gastritis, gastritis turns to Reflux, Reflux turns to Barrett's Esophagus, and Barrett's turn to cancer.
    Find out exactly whay you have and what you need to do to control it, hopefully keeping it contained to it's present condition.
    I went through the gambit with my Father, first heartburn, then double hernia surgery, reflux, then he had a hard time swallowing, Barrett's, then he began to lose weight because he couldn't chew things small enough for them to get down, then cancer.
    Good luck to you, really nail your doctor to the wall until he tells you everything!

Veteran Member

Date Joined Sep 2005
Total Posts : 1744
   Posted 6/26/2007 6:41 AM (GMT -6)   
Hi Sylvie,
I've also recently had an upper EGD done and I had similar findings.  A small hiatal hernia (which is probably just an incidental finding because it's not large enough to cause my reflux), erosive gastritis and erosive esophagitis.  As Gremma explained already, the gastritis and esophagitis are probably the direct results of acid and/or bile reflux.  Erosive refers to actual damage, as opposed to nonerosive gastritis, etc... (more associated with h. pylori).  No barrett's, thankfully, although there is some concern since I've been on a double dose PPI for almost 5 years now and still managed to get erosive gastritis and erosive esophagitis.  The biopsies your doctor gets back should tell you what has caused your erosions in the stomach (sounds like erosive gastritis to me).  Hopefully, the protonix, which is a PPI like prilosec, nexium, aciphex, etc..., will take care of your problem and provide you much needed relief.  I don't know what I'd do without aciphex.  I will probably be on it for life, but then compared to the damage I could sustain without it, I would rather take it and count myself blessed.
Best of luck to you,
Current dx: Rheumatoid Arthritis
Suspected dx: UCTD/Early Lupus
Current Meds: Enbrel, Plaquenil, Aciphex, Ultracet, Zyrtec, Allavert-D, Zantac, Tylenol PM
Past Meds: Relafen, Vioxx, Mobic, Voltaren, Sulfasalazine, Entocort, Prednisone, Humira, Reglan

Regular Member

Date Joined Mar 2007
Total Posts : 443
   Posted 6/28/2007 8:18 AM (GMT -6)   
I'd like to know what you can do to keep from needing the sugery on the hernia. Every now and then, it seems like it presses into my diaphragm, because my breathing is just slightly altered. It isn't painful, and I'm not gasping for breath, but it's not exactly a great feeling.

Still don't have my test results back, so I have no idea what the doctor may have found.. I go in for a colonoscopy tomorrow.. hopefully that gives a bit more insight into my issues.
Currently sporting: Lyme, ulcer & hernia, and thyroid nodules. Oh my!

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