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Questions for Dr. Kennedy
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hiatus hernia and acid reflux
Posted by: Phil
Date: February 22, 2001 6:06 PM

I am a 63 year old male diagnosed with a small hiatus hernia and acid reflux. My doctor has prescribed Zantac and said wait for 6 months. Does this sound like the best treatment? What would you do for yourself? I am also badly bloated.

RE: hiatus hernia and acid reflux
Posted by: Ron Kennedy, M.D.
Date: February 22, 2001 6:52 PM

For myself I would avoid Zantac or any drugs if at all possible. I would sleep in a 45 degree position - a good recliner would be perfect. Aerobic exercise works to strengthen the diaphragm, a defect in which is the problem in reflux. Unless you have always had reflux, what has happened is that your diaphragm has become thinner, at least around the place your esophagus passes through it. I would also look into the possible need for testosterone and/or growth hormone, the two hormones which have major roles in muscular fitness. Also, the completeness of your digestion is in question since you mentioned bloating. That could mean heavy metal toxicity or other chronic toxicities (coffee, alcohol, antibiotics to name a few) which may have damaged you gut. Explaining the repair of that is an entire article which I have already written. See

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