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If you've been told surgery is your only option — or that you'll be on PPIs forever — there are some things you need to know first.

In this video, Dr. Vikki Petersen breaks down 5 of the most common hiatal hernia myths and sets the record straight with research-backed facts.

THE 5 HIATAL HERNIA MYTHS:

❌ MYTH #1: Surgery is a permanent fix Nearly 1 in 4 patients require PPI medication again within a few years. Up to 50% experience complications including difficulty swallowing, bloating, and inability to burp or vomit.

❌ MYTH #2: PPIs are safe to take long-term PPIs are only approved for 2 weeks at a time. Long-term use is linked to increased risk of heart attack, stroke, osteoporosis, dementia, stomach cancer, and a weakened microbiome.

❌ MYTH #3: Acid reflux always causes heartburn 50% of reflux is completely silent. It may show up as chronic cough, hoarseness, or trouble swallowing — and some reflux is caused by too little acid or bile, making PPIs completely ineffective.

❌ MYTH #4: Endoscopy is the gold standard for diagnosis Endoscopy misses the most common type of hiatal hernia nearly 48% of the time. Manometry and impedance pH monitoring are far more accurate — but rarely used.

❌ MYTH #5: You have to be overweight to have hiatal hernia Weight alone isn't the issue — visceral fat is. A person can be a normal weight and still have dangerous levels of visceral fat driving abdominal pressure and symptoms.

ABOUT DR. VIKKI:

Dr. Vikki Petersen is a functional medicine doctor and founder of Root Cause Medical Clinic. She specializes in gut health, digestive disorders, and identifying the root cause of chronic symptoms rather than managing them indefinitely with medication.

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Disclaimer: Educational content reviewed by licensed medical staff. This content is provided for informational and educational purposes only and is not intended to diagnose, treat, cure, or prevent any disease. It is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of your physician or other qualified healthcare provider with any questions you may have regarding a medical condition or treatment plan. Never disregard professional medical advice or delay seeking it because of something you have read or heard here. The information shared reflects clinical experience and current scientific research at the time of publication. Individual results may vary, and no guarantees of specific outcomes are made. This content does not establish a doctor-patient relationship.

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