Bariatric Surgery/Hiatal Hernia

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Question
Hello Dr Pilcher i dont know if you can help me with my question but of all the Drsb available you seemed to be the one most suited to my question.
I have been diagnosed with a hiatal hernia and i suffer from chronic nausea, i have tried all the recomended adjustments to diet and i dont drink or smoke and i take anti reflux medication but the nausea still persists.
Could it be the diaphragm squeezing my stomach that is causing the nausea?
Do you have any Knowledge of hiatal hernia surgery helping someone with my problem of chronic nausea?

Thank you for your time.

Answer
Scott,
It is possible that the Hiatal hernia is causing your nausea, but more likely a different problem with your stomach such as slow gastric emptying.  The right type of doctor to help you define this problem would be a gastroenterologist, also called a GI doctor.

There is such a thing as surgical repair of a Hiatal Hernia, but I do not recommend you consider surgery to treat the nausea until your stomach function has been thoroughly tested.  If it seems this has already been done, then you may benefit from seeing a general surgeon.

Best wishes,
Dr JP

Bariatric Surgery

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John Pilcher, MD

Expertise

I can answer medically oriented questions about bariatric surgery including: patient selection, preparation for surgery, differences between types of bariatric surgery, aftercare following bariatric surgery. I can answer detailed questions about gastric bypass, Lap-Band, gastric sleeve, and revision bariatric surgery. I am only somewhat familiar with Biliopancreatic diversion. I am not prepared to answer insurance or other financial questions related to bariatric surgery.

Experience

I have been a practicing bariatric surgeon since 1995. About 85% of my current practice consists of bariatric surgery, including all of the above procedures except biliopancreatic diversion. I am the senior surgeon of a 5-surgeon group. I am recognized among surgeons and other medical professionals as the most experienced bariatric surgeon in my region.

Organizations
Fellow of American College of Surgeons Member, American Society for Bariatric Surgery

Education/Credentials
BA in Biochemistry - University of Virginia Medical Degree - University of Virginia Surgical Residency - University of Virginia

Awards and Honors
Alpha Omega Alpha

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