What are the methods for treating esophageal hiatal hernia?

Patient's question:

Acid reflux, difficulty swallowing, feeling blocked in the chest, dry heaving, hiccups, the throat also feels completely blocked as if something is stuck, unable to eat much and not very hungry, had black stools a while ago but it's gone now!

Doctor's answer:

Hello, for hiatal hernia patients, both medical and surgical treatments can be adopted. Medical treatment is particularly effective for mild cases and often includes medications such as esophageal mucosal protective agents and prokinetics.
Medical treatment is recommended for patients with mild conditions, often involving medications like esophageal mucosal protective agents and prokinetics.
Surgical treatment is the primary approach for hiatal hernia, and it is advised to seek medical attention early. Delaying treatment may lead to complications such as esophageal erosion, stenosis, or incarceration of the hernial sac, worsening the condition.
Heartburn is often related to gastritis. Difficulty swallowing, a feeling of blockage in the chest, and dry retching may indicate liver qi stagnation. Hiccups and abnormal throat sensations could be due to liver qi affecting the stomach or esophagitis. Black stools may be related to dietary factors, so proper rest, blood regulation, and dietary adjustments (e.g., drinking more soup and avoiding spicy foods) are recommended. Blood tests, gastroscopy, and liver/biliary examinations should also be considered to check for abnormalities.

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