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[Dysphagia] Hiatal hernia
I think you are missing a diagnosis of GERD here from his symptom
description . . .particularily when reflux can exacerbate or bring on
esophagitis. The smoother diet should help with the hiatal hernia, but would
request the MD consider whether he had GERD. Also you could counsel this
patient about reflux precautions such as not wearing tight belts,
waistbands; avoiding caffinated products such as coffee, tea and chocolate,
avoiding carbonated products such as sodas, elevating the head of his bed 30
degrees, etc., and remaining upright at least 30 minutes following eating.
Physicians don't always cover those topics when discussing managing reflux.
Good luck.
JoAnn Eaton
----- Original Message -----
From: "AnnaMaria Koo" <AnnaMaria.Koo@sjhc.london.on.ca>
To: <dysphagia@b9.com>
Sent: Wednesday, April 27, 2005 1:38 PM
Subject: [Dysphagia] Hiatal hernia
> Not sure it this is within our scope of practice but I received a
> referral for a 78 yr gentleman who has bouts of nausea/vomiting for
> several months. On endoscopic examination they found hiatus hernia and
> esophagitis. Amongst other medical issues he was placed on a minced
> diet and thin fluids due to mild oropharyngeal dysphagia. He also
> consistently has sensation of regurgitation (although he may not produce
> actual food/liquid) My question is that is there any direct intervention
> from an S-LP perspective that would reduce regurgitation? Dietitians
> would have recommendations in terms of diet modifications. However I
> don't see a correlation with this patient's dysphagia and hiatus hernia
> /esophagitis....but I could be wrong.
>
> Anna Maria
>
> Anna Maria Koo
> Speech-Language Pathologist
> Specialized Geriatric Services & CORP
> SJHC, Parkwood Site
> ext.42205
>
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