Dr. Nick Gabriel, D.O.

This depends on the size of the hiatal hernia. Also, the surgery has to be tailored if you have GERD as well. A hiatal hernia is an actual defect in your diaphragm or breathing muscle where the esophagus exits the thoracic cavity or chest cavity to connect to the stomach in the abdominal cavity. Some hiatal hernias if they are small can be repaired with just suture. If the hernia is bigger a mesh may have to be used. The mesh can either be synthetic or biologic. I prefer to use a biological mesh.

Avoid foods that may cause constipation. Constipation increases abdominal pressure which can cause hernias. Always good to have vegetables and fruits in your diet. Take care.

This is all dependent on what type of colon surgery you have. Most colon surgeries are completed laparoscopically patient recovery is much faster. Some of my patients have gone home as early as a day or two. Full recovery with regards to being pain-free usually takes about 4 weeks with reasonably good bowel function.

Once you have hemorrhoids, they can symptomatically be decreased by avoiding constipation, prolonged sitting. Take stool softeners as needed. Warm sitz baths at least twice a day.

After gallbladder surgery, you may become intolerant to certain foods. The most common food intolerance associated is dairy. Other foods that may cause intolerance may include fatty foods and greasy foods. It would be advisable to keep a log of what foods to avoid.

Most vasectomies can be done under local anesthesia. Post-procedure pain can usually be managed with Tylenol or ibuprofen and considerably better within 48 hours.

Most endoscopies or colonoscopies can be done with sedation anesthesia. More complex endoscopies may need general anesthesia.

The first thing that has to happen is for her to be honest with herself. If information is hidden from a physician, then it’s hard for us to order the necessary tests to figure out what the problem is. If she is truly bleeding from somewhere, she may already have liver cirrhosis and signs and symptoms associated with it.

Sedation is usually sufficient. If there are underlying conditions which may entail risk of aspiration or respiratory issues, general anesthesia with intubation May be necessary.