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Hiatal hernia Axialis, GERD Type A and Gastritis


First I would like to apologize for my English.

I've been diagnosed with Little hiatus hernia Axialis, GERD Type A and Gastritis.

I was treated since April 2018, with esomeprazole starting 2x1 40mg for 7 days 1 month once a day 40mg,amd after 20mg for another 3 months. But because I dont have relief from my symptoms I had control gastroscopy 15 days ago, and the same diagnose is confirmed but they change my medications: Now I was taking 2x1 40mg Pantoprazole for 14 days, then starting yesterday 1x1 in the morning 40mg for additional 1 month, and at same time I have to take sucralfate just before sleep.

Besides I take the medications all the time, have lost 15kg, in 4 months, I eat as directed by my doctor, I still have the symptoms like, nausea, bloated stomach, and occasionally when my stomach is so bloated I have high heart rate and difficulty in breathing, that cause me a lot of panic and I have finished maybe 9-10 times to ER, where they diagnose me with digestive problems and anxiety like panic attack. After injecting Reglan, Ranitidine and 5mg Diazepam, for about half an hour the symptoms are going to easy and I'm sent home.

I have done all tests for my heart including stress test, I've done test for my lungs, liver,kidneys, prostate, etc, etc, but everything is normal.

I think also develop some panic disorder because now I afraid also to go anywhere wher there is no hospital nearby.

Can someone please tell me how long will this last, what are your opinions for my situation.

And can anyone tell me, can I take Pantoprazole in the morning and in the evening Ranitadine on my own?

Can you suggest me something?

Thank you in advance
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replied December 25th, 2018
Thank you for asking at Ehealth forum!

I read your question and i understand your concern. Panic disorder may mimic the pain due to acid reflux due to hiatal hernia. if anxiolytics are working and its just the hernia causing discomfort despite all conventional remedies then i am afraid surgical correction is the next best option you have.

I hope it helps. Stay in touch with your healthcare provider for further guidance as our answers are just for education and counselling purposes and cannot be an alternative to actual visit to a doctor.
Take care
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