Just got diagnosed with a sliding hiatus hernia and dealing with constant acid reflux. Do I really need surgery or can meds and lifestyle changes help manage it?

Answered by 1 Apollo Doctors

Dr Kamran Mohammed

General Practitioner

MBBS
FIDM
5+ Yrs

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For a sliding hiatal hernia with associated acid reflux, surgery is not always necessary. Many individuals can effectively manage their symptoms with medication and lifestyle changes. Surgery is typically reserved for cases where other treatments have failed or complications arise, particularly if the hernia is large or causes severe symptoms

Dr. Kamran Suggests...

Consult a Gastroenterology/gi Medicine Specialist

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Answered 14/08/2025

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I often find myself vomiting bile when I wake up if I haven't slept for at least six hours. I've also noticed my appetite isn't what it used to be. It's starting to worry me a bit. Could you shed some light on what's going on and how I might address this?

Vomiting bile after waking up, especially with less than 6 hours of sleep, and experiencing low appetite, may indicate an underlying issue such as gastroesophageal reflux disease (GERD), acid reflux, or a digestive disorder; consider consulting a gastroenterologist

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I'm taking Metolar XR 25 and have been on it for about 10 or 11 years now. My blood pressure is staying pretty stable, but I've been dealing with some uncomfortable GI issues. I'm having lots of gas, stomach rumbling, loss of appetite, and a burning sensation in my stomach. Plus, constipation is a problem. Do you think it's time to switch medications?

no continue same medicatons..

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I'm a bit concerned about my liver function test results. My SGOT level is 50 IUL and my SGPT level is 78 IUL. Could you explain what these numbers mean and what I should do next?

Your liver function test results show mildly elevated SGOT (50 IUL) and SGPT (78 IUL) levels, indicating potential liver stress or damage

Answered by 1 Apollo Doctors

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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.