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I have been suffering from chronic nausea for 2 years, had blood tests normal except for low testosterone, brain scan normal, CT abdomen normal, LFT normal, had Gastroscopy came back as normal but then had barium swallow which showed Hiatal hernia and reflux, have been taking reflux meds for years.
Take valium for anxiety about nausea.
Have seen 2 ENTs first one said i don't have menieres, second one said i might have it but medication did not help at all.
What could be causing this nausea?
Dr does not want me to have Hernia surgery because they say it wont stop nausea if reflux meds haven't worked and they say fundoplication surgery leaves lots of people feeling worse than before the surgery.
Please help!

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replied January 12th, 2009
Digestive and Bowel Disorders Answer A5349
In most cases, patients with a hiatal hernia don't experience any discomfort and no treatment is required.

Usual symptoms of a hiatal hernia are chest pain, nausea, belching, and heartburn. Difficult swallowing is found in severe cases. Symptomatic patients should elevate the head of their beds and avoid lying down directly after meals until treatment is rendered. If the condition has been brought on by stress, stress reduction techniques may be prescribed, or if overweight, weight loss may be indicated. Antisecretory drugs like proton pump inhibitors and H2-receptor blockers can be used to reduce acid secretion.

Where hernia symptoms are severe and chronic acid reflux is involved, surgery is sometimes recommended, as chronic reflux can severely injure the esophagus and even lead to esophageal cancer. The surgical procedure used is called Nissen fundoplication. In fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of gastric acid. The procedure is now commonly performed laparoscopically. With proper patient selection, laparoscopic fundoplication has low complication rates and a quick recovery. Success rates of the surgical treatment is above 80%. Less than 20% of patients won’t benefit from the surgery.

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