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What drugs aids with intermittent pain due to hiatal hernia?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

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.
Answered by Dr. Mian Shah Yousaf

Education:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a Medical Gastroenterologist with 12 years of clinical experience who completed his MBBS in 2011 from Khyber Medical University. He did his internship at the Lady Reading Hospital, Peshawar. He then joined Khyber Teaching Hospital for two years of FCPS training in Medicine, followed by three years of Gastroenterology training at the Aga Khan University Hospital, Karachi. After Completing FCPS training, he started working as a Consultant Gastroenterologist, Hepatologist, and Endoscopist.

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Hello,

Welcome to our portal.

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?
Answered by Dr. Mian Shah Yousaf

Education:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a Medical Gastroenterologist with 12 years of clinical experience who completed his MBBS in 2011 from Khyber Medical University. He did his internship at the Lady Reading Hospital, Peshawar. He then joined Khyber Teaching Hospital for two years of FCPS training in Medicine, followed by three years of Gastroenterology training at the Aga Khan University Hospital, Karachi. After Completing FCPS training, he started working as a Consultant Gastroenterologist, Hepatologist, and Endoscopist.

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Welcome back. 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.

Medically reviewed by Dr. Vinodhini J.
Published At April 11, 2020
Reviewed At April 23, 2025

Education:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a Medical Gastroenterologist with 12 years of clinical experience who completed his MBBS in 2011 from Khyber Medical University. He did his internship at the Lady Reading Hospital, Peshawar. He then joined Khyber Teaching Hospital for two years of FCPS training in Medicine, followed by three years of Gastroenterology training at the Aga Khan University Hospital, Karachi. After Completing FCPS training, he started working as a Consultant Gastroenterologist, Hepatologist, and Endoscopist.

This doctor is not available for online consultations on the platform anymore.

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Education:

BDS

Professional Bio:

Dr. Vinodhini J. is a Dental Surgeon with extensive years of clinical experience. She specializes in the diagnosis, prevention, and treatment of dental and oral health issues, including restorative, surgical, and cosmetic procedures. With a patient-centered approach, she focuses on maintaining oral health, alleviating discomfort, and enhancing smiles. Her expertise ensures comprehensive care tailored to each patient’s dental needs and overall wellbeing.

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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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Education:

FCPS Gastroenterology

Professional Bio:

Dr. Mian Shah Yousaf is a Medical Gastroenterologist with 12 years of clinical experience who completed his MBBS in 2011 from Khyber Medical University. He did his internship at the Lady Reading Hospital, Peshawar. He then joined Khyber Teaching Hospital for two years of FCPS training in Medicine, followed by three years of Gastroenterology training at the Aga Khan University Hospital, Karachi. After Completing FCPS training, he started working as a Consultant Gastroenterologist, Hepatologist, and Endoscopist.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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