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HomeAnswersMedical Gastroenterologyhiatal herniaI suffer from moderate pain in my hiatal hernia is consistent. Why?

What drugs aids with intermittent pain due to hiatal hernia?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At April 11, 2020
Reviewed AtMay 16, 2024

Patient's Query

Hello doctor,

I have a hiatal hernia, I am wondering if protein shake hurt my hernia. The pain is usually mild and comes and goes. Recently, I have been not feeling too well, and my hiatal hernia pain become moderate and doest really go away. I am currently on Rabeprazole and Motilium.


Welcome to icliniq.com.

I reviewed your endoscopy and histopathology report. (attachment removed to protect patient identity).

You have a small hiatus hernia and it has no specification association with proteins shake. Your report also shows chronic gastritis which also adds to your discomfort. This issue usually improves with medications but recurs after some time.

My recommendations will be some changes in your medications for some time and then will readjust and down titrate again. Meanwhile, you need some precautions as well.

Probable diagnosis

Hiatus hernia leading to GERD (gastroesophageal reflux disease), or gastritis.

Treatment plan

Capsule Rabeprazole one in the morning and one in the evening before meals for four weeks and then only in the morning for four weeks. Tablet Motilium 1-1-1 before meals for two weeks. Syrup Gaviscon (Alginate) 10 ml three times daily after meals for two weeks and then as per need.

Preventive measures

Avoid late night eating. No eating two hours before bed. Decrease coffee intake. Avoid smoking. Drink plenty of water. One hour regular excercise.

Regarding follow up

After 10 days.

Patient's Query

How bad is my hiatal hernia? What food or activities do i need to avoid? Why does protein make my stomach rumble?
Welcome back Stanley Wiputra. 1 .Your hiatal hernia is small one. It is not bad at all by itself but it causes you regurgutation and reflux which causes your symptoms. 2.Protein rich diet can increase acid secretion in stomach more thats why it can cause symptoms in some peoples. 3. These are the things which you should avoid or do. >Avoid late night eating,  >No eating 2 hours before bed >Decrease Coffee intake >Avoid Smoking >Drink plenty of water >1 Hour regular Excercise >Elevate head end of your bed by 5 Inch. 4.Take the above prescribed medications regularly and it will help out in this issue. 5. Your Hiatal hernia disturb you but you have to worry much as in long term it is not dangerous. Thank you. Incase of any further querry, you can ask anytime. Let me know about your treatment response in 2 weeks.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Mian Shah Yousaf
Dr. Mian Shah Yousaf

Medical Gastroenterology

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