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Hitus Hernia issue
Hello
I was diagnosed with hitus hernia GRED with Esophagatis (LA gradeA) severe Antral Gastritis mild duodenitis hitus hernia issue.
I finish h pylori kit and later did not review with test again. This was completed year back now some time I feel upper stomach fullness and bloating and burbing, mild inflammation in upper side of stomach which is constant after I was diagnosed with GRED issue.
Please suggest do I need to redo test again endoscopy or do I need to test for h pylori reoccurance check
Answers (7)
Avoid fried and spicy food
Water intake more
Green leafy vegetables more
Fiber meal
Walk
Do connect and consult
Will help you
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kindly do connect and consult with me for better treatment plan and advice on your case via PRACTO app
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LAPROSCOPIC SURGERY
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please book a consultation to review your reports and decide whether an H. pylori test or repeat endoscopy is needed both are not automatically required.
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Your symptoms may be due to persistent GERD, gastritis, or recurrent H. pylori infection. Consider an H. pylori stool antigen or urea breath test, as eradication was not confirmed. Repeat endoscopy may be needed if symptoms persist or alarm features develop. Please consult a gastroenterologist for further evaluation and treatment.
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Dr. Divyansh Jain
General Physician
1 yrs exp
Ghaziabad
Hello,
Your previous endoscopy showed hiatal hernia, GERD with LA Grade A oesophagitis, antral gastritis, and mild duodenitis.
Your current symptoms of upper abdominal fullness, bloating, and burning may be related to persistent acid reflux, functional dyspepsia, or recurrent gastritis.
Importantly, since you completed H. pylori treatment without a follow-up test, successful eradication has not been confirmed.
A hiatal hernia can contribute to ongoing reflux symptoms, but it does not necessarily require surgery.
My recommendation is to confirm H. pylori eradication before considering another endoscopy, unless warning symptoms are present.
Next Steps
Consult a gastroenterologist to review your previous endoscopy and current symptoms. Get an H. pylori stool antigen test or urea breath test to confirm eradication. Testing should be performed at least 4 weeks after antibiotics or bismuth and after stopping proton pump inhibitors (PPIs) for 2 weeks, under medical guidance, to avoid false-negative results. Your doctor may recommend a supervised 4â8-week PPI course for GERD symptoms. Repeat endoscopy is not routinely necessary for uncomplicated LA Grade A oesophagitis, but may be indicated if symptoms persist despite treatment or warning signs develop. Avoid repeating H. pylori antibiotics without confirmation of persistent infection.
Health Tips
Eat smaller meals, avoid overeating, and identify foods that trigger your symptoms. Avoid lying down for at least 2â3 hours after eating. If you experience nighttime reflux, elevating the head of your bed may help. Seek medical attention if you develop difficulty swallowing, persistent vomiting, unexplained weight loss, black stools, vomiting blood, or severe chest pain. My recommendation: An H. pylori eradication test is the most appropriate next investigation because you never confirmed successful treatment. A repeat endoscopy can be considered if symptoms persist despite appropriate therapy. Most patients with mild oesophagitis and a hiatal hernia can be managed effectively with medication and lifestyle modifications. Wishing you a speedy recovery!
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Dr. Anuj Mothsra
General Practitioner
7 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.