Hiatus hernia medical therapy

Hiatus Hernia Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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Overview

In most cases, sufferers experience no discomfort and no treatment is required. However, when the hiatal hernia is large, or is of the paraesophageal type, it is likely to cause esophageal stricture and discomfort. Symptomatic patients should elevate the head of their beds and avoid lying down directly after meals until treatment is rendered. If the condition has been brought on by stress, stress reduction techniques may be prescribed, or if overweight, weight loss may be indicated. Medications that lower the lower esophageal sphincter (or LES) pressure should be avoided. Antisecretory drugs like proton pump inhibitors and H2 receptor blockers can be used to reduce acid secretion.

Medical Therapy

• Medications
  • Antacids, such as Maalox, Mylanta, Gelusil, Rolaids and Tums, can be used to neutralize stomach acid. Over-the-counter antacids.
  • H-2-receptor blockers, such as cimetidine, famotidine, nizatidine or ranitidine.
  • Proton pump inhibitors (PPI), such as lansoprazole and omeprazole.