Why can doctors miss the presence of Hiatal Hernia Syndrome. It's sheet number of symptoms is one problem.

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The symptoms are acid reflux, bloat, abdominal discomfort, heart palpitations, shortness of breath, anxiety and panic attacks, trouble swallowing, hoarseness - to list just a few. There are up to 20.

You can see that these symptoms cover many organ systems of your body: heart, lungs, stomach, digestion, and brain. It's no wonder that what you receive from specialists, who are not communicating with one another, is a palliative drug that can improve your symptoms but does not address the root cause.

And, unfortunately, in the case of PPIs and psychiatric medication, is known to worsen the root cause through its effect on your microbiome.

It's not that your doctors don't care; they are constrained by our medical model to make a diagnosis and then provide the appropriate care, typically a drug, that is approved. 

What the research below does confirm is that the root cause of the problem involves physical/mechanical changes within the digestive tract along with neurological effects (primarily the vagus nerve) which explain what people suffering with this syndrome experience.

How to fix it? One has to establish the causative agents that have created the increased inta-abdominal pressure within the body. Finding a clinician who understands the full depth and breadth of these interactions and how to identify the "why" can really open the door to improvement.

If you'd like help we're here for you. The best next step is to contact us for a consultation and then we can determine if what we do is a good fit for you. Call 727-335-0400.

References:
1. Kahrilas PJ, Pandolfino JE. Hiatus hernia. Nat Rev Dis Primers. 2021;7(1):1. doi:10.1038/s41572-020-00241-1

2. Schlottmann F, et al. Hiatal hernia: a review on diagnosis and treatment. J Thorac Dis. 2017;9(Suppl 12):S1108–S1117. doi:10.21037/jtd.2017.06.120

3. Roman S, Kahrilas PJ. Challenges in the diagnosis of gastroesophageal reflux disease. Clin Gastroenterol Hepatol. 2012;10(9):864–871. doi:10.1016/j.cgh.2012.02.018

4. Tutuian R, Castell DO. Management of atypical manifestations of GERD. Am J Gastroenterol. 2006;101(8 Suppl):S38–S44. doi:10.1111/j.1572-0241.2006.00657.x

5. Vaezi MF, et al. Proton pump inhibitors and risk of adverse events: a critical appraisal of current evidence. Gastroenterology. 2017;153(1):35–48. doi:10.1053/j.gastro.2017.04.047

6. Moayyedi P, et al. Long-term proton pump inhibitor use and safety: a review of evidence and position statement by the American Gastroenterological Association. Gastroenterology. 2017;152(4):706–715. doi:10.1053/j.gastro.2017.01.031

7. Mittal RK, Balaban DH. The esophagogastric junction. N Engl J Med. 1997;336(13):924–932. doi:10.1056/NEJM199703273361306

8. Bredenoord AJ, Pandolfino JE, Smout AJ. Gastro-oesophageal reflux disease. Lancet. 2013;381(9881):1933–1942. doi:10.1016/S0140-6736(12)62171-0

9. Farré R, et al. Mechanisms of gastroesophageal reflux disease: lessons from animal models. Am J Physiol Gastrointest Liver Physiol. 2017;312(1):G1–G15.

#guthealth #hiatalhernia #rootcausemedicine 

Disclaimer: The information provided in this video is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of your physician or other qualified health provider with any questions you may have regarding your health, medical condition, or treatment options. Never disregard professional medical advice or delay in seeking it because of something you have seen or heard in this video.
The views expressed are based on my clinical experience and