LPR with chronic cough

Question

Asked for Female, 38 Years

I was diagnosed with small sliding hiatal hernia and Gerd by gastro with extra manifestations -LPR as i had chronic cough and would vomit mucus n food. Upper GI , throat scope , barium swallow done . I was put in omeprazole 40 mg a day and then on cocktail of 20 mg Omperazole n 20 mg famotidine. I have made all lifestyle changes but my symptoms dont subside. I still get chronic cough. I lost 15 kgs of wt. i am not sure what to do now .

Answers (1)

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Dr. Pramod Shinde Bariatric Surgeon 41 yrs exp Nashik Consult Now · Accepted Answer

Dr. Pramod Shinde

Bariatric Surgeon 41 yrs exp Nashik

Consult Now

The LPR is a mechanical phenomenon: the hiatus hernia and LPR does not disappear with medicines: this needs surgery: Hiatus hernia is repaired laparoscopically or robotically: that surgery should give a permanent relief to you In surgery the sliding hernia is brought back into abdomen, hiatus opening is narrowed and a new valve is created using Fundus part of the stomach: this prevents gerd and LPR

Next Steps

Consult a surgeon who does Hiatus hernia surgery: get pre surgery tests like Manometry and 24 hourpH done

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