Concluded Case

What should be best way of diagnosis and management

28 years old female pt having complain pain and burning sensation over upper abdomen since 9 month .. being treated with many gastro and other physicians ..No relief.. MC regular . All the vitals are normal . All the other parameters are normal .. Having Happy family life with two kids .. Diagnosis and treatment

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HITUS HERNIA .. GERD ... HYPERACIDITY Reassurance and counciling required. Frequent small quantity meal. Avoid oily spicy and fast food. PPI Antacids. Ondestron. Angiolytic SOS

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Hitus hernia is a condition responsible for GERD as complaints suggest Rx long term treatment Ppis Ondestron Antacids Fractional meals Sos surgical intervention

Thanx dr Saurabh Burkul
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HITUS HERNIA .. GERD ... HYPERACIDITY Reassurance and counciling required. Frequent small quantity meal. Avoid oily spicy and fast food. PPI Antacids. Ondestron. Angiolytic SOS

Thank you doctor
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Hiatus hernia,with GERD. Treatment- Mainly conservative treatment as it is hills grade 2 Tab levosulpiride 75 mg O.D Tab Pantoprazole 40 mg B.D Liq,Sucralfate 2 tsf × 8 hourly Avoid - citrus fruits , chillies and spices Life style modifications with dinner at least 3 hours before going to bed . Tab Etizolam 0.25 mg can help Get H.Pylori tested and if present- H.P kit for 2 weeks Only if symptoms are not relieved after treatment for 3 months- laparoscopic fundoplication can be considered

SUGGESTIVE. OF HIATUS HERNIA SINCE ONLY. PROBLEM. IS. WITH... ...PAIN. AND. BURNNG. SENSATION.... SO. NEEDS 1. CHANGE. OF. EATING. HABITS... AND. DIET. PATTERN 2. DRINKING. LUKE. WARM. WATER. IN THE. MORNING... 3. FREQUENT. USE. OF. .GREEN. VEGETABLES... TURMERIC. LACED. MILK 4. SYMPTOMATIC MANAGEMENT..

Symptoms of upper abdomen pain OGD scopy shows hiatus hernia Oesophageal manometry shows Normal oesophago gastric junction pressure and normal relaxation Normal oesophageal peristalsis Impression Mild acid peptic reflux disease Adv No indication for surgical intervention Conservative treatment with proton pump inhibitor with GI motility agent Combination of ESoz D 40 mg once daily Itopride 50 mg one tablet three times a day before good

? HIATUS HERNIA .. GERD.. HYPERACIDITY.. MANAGEMENT.. PPI.. ANTACIDS.. ANXIOLYTIC..SOS..

Tnx Dr Ashok Leel sir
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Hiatus hernia If after giving medicine not relieved condition then advice to pt for surgical procedure

Thank you doctor
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Hiatus hernia. When such medical line of treatment is not giving any result,pt needs surgical procedure. Consult gestro surgeon.

Abdomen is divided into 9 quadrant sir without knowing exact quadrant no opinion can be given stomach is famous for reffered pain. So primary lesion may be somewhere else . likewise gallbladder pain may be reffered to right shoulder.

Hitus herenia Ad to get it operated upon

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