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Hiatal Hernia
At GastroDoxs in Houston, Dr. Scott specializes in diagnosing and treating hiatal hernias, offering tailored care plans from lifestyle adjustments to laparoscopic surgery. With over 15 years of expertise, he aims to relieve severe reflux and improve quality of life.
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Common Causes and Risk Factors
Age-related weakening of the diaphragm
Increased abdominal pressure (obesity, pregnancy, heavy lifting)
Smoking, which weakens muscles and connective tissue
Family history of hiatal hernia
Signs and Symptoms
Heartburn or acid reflux after meals
Chest or upper abdominal pain or discomfort
Difficulty swallowing (dysphagia)
Regurgitation of food or liquids
Shortness of breath, especially with larger hernias
How Dr. Scott Diagnoses Hiatal Hernia
Dr. Scott uses a step-by-step approach:
Medical History and Physical Exam
He reviews your symptoms such as heartburn, chest or upper abdominal discomfort, trouble swallowing, or regurgitation and evaluates risk factors like obesity, smoking, or history of heavy lifting. During the physical exam, he gently checks for abdominal tenderness and observes breathing or positional triggers.
Upper Endoscopy (EGD)
Dr. Scott uses a flexible tube with a camera to inspect the esophagus and stomach. This confirms the presence and type of hiatal hernia, helps identify any inflammation, ulcers, or signs of reflux-related damage.
Barium Swallow X-ray
You drink a barium solution that coats your upper digestive tract.
X-ray images reveal the size and location of the hernia and show whether stomach contents are refluxing into the esophagus.
Treatment
Our Team offers a full range of care for hiatal hernia.
1. Lifestyle and Diet Modifications
Eat smaller meals more often to reduce pressure on your diaphragm
Avoid spicy, greasy, or acidic foods that trigger reflux
Raise the head of your bed by 6-8 inches to prevent nighttime symptoms
Quit smoking and limit alcohol to strengthen muscle tone
2. Medications
Antacids for quick, over-the-counter relief
H2 blockers to lower stomach acid production
Proton pump inhibitors (PPIs) to heal inflamed esophageal tissue
3. Minimally Invasive or Surgical Procedures
Laparoscopic fundoplication to reposition the stomach and tighten the diaphragm opening
Endoscopic techniques for reflux control in selected cases
Access to clinical trials exploring novel, less-invasive hernia therapies
Dr. Scott Liu, MD, is a board-certified gastroenterologist with over six years of experience and a background in military medicine. He earned his medical degree from the University of Maryland, Baltimore, completed his Internal Medicine residency at Naval Medical Center Portsmouth, and finished his Gastroenterology fellowship through the National Capital Consortium. Dr. Liu provides comprehensive care for a broad range of digestive conditions, including abdominal pain, acid reflux, liver disease, chronic diarrhea, and colon cancer screening. He is a member of the American College of Gastroenterology and is known for his disciplined, patient-focused approach and clear communication.
Frequently Asked Questions
What is the ICD-10 code for a hiatal hernia?
The code is K44.9 - for a diaphragmatic hernia without blockage or tissue damage.
How long is the recovery after surgery?
Most people feel better in 1-2 weeks. Full recovery takes 4-6 weeks.
What is life like after surgery?
You'll start with a soft-food diet for a few weeks. Most patients return to normal meals and feel less heartburn.
Are there any risks?
Yes. Risks may include bleeding, infection, or gas-bloat syndrome. Dr. Scott will explain everything clearly before the procedure.
Is a hiatal hernia permanent?
It can be managed with diet, medicine, or surgery. Many people feel much better with the right care.
Can children get hiatal hernias?
Yes, but it's more common in adults over 50. Children with hernias need special care.
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