Hello,
You have a relatively severe case of acid peptic disease and having hiatal hernia is worsening the condition.By itself small hiatus hernia does not cause symtoms but it contributes to reflux oesophagitis.Hence the severity of acidity and the related symptoms like the dull ache as well as headache.
Proton pump inhibitor (omeprazole and its group) is used to treat it.Protonix is pantoprazole and prilosec is omeprazole.The fact that you are being benefitted by these drugs indicate that you might have developed erosive esophagitis.
Barrett's oesophagus is another risk in such circumstances.This is a change in epithelium of oesophagus due to constant exposure of the esophageal epithelium to the gastric acid.It has the potential for malignant changes if constant acidic trauma continues.
Treatment in mild and moderate cases is usually managed by medicines.A very severe case may require sugery.
Advice includes lifestyle and dietary changes which I am sure you may have been briefed by your doctor.For your convenience,I am mentioning it once again.These are-
- weight reduction
- sleeping with head elevation by 4-6 inches
- avoiding situations where abdominal pressure is raised
- avoiding smoking
- avoiding meals with large quantities of fluids
- avoiding fatty food,coffee,alcohol,mint,orange juice and chocolate
- avoiding certain medications like calcium channel blockers, anticholinergics and smooth muscle relaxants.
It is good that you have relief with prilosec.
Protonpump inhibitors are superior to H2 blockers though the two can be prescribed together.The dosage is decided by the doctor depending on the case and its severity.
Hope this information was useful and helpful for your recovery.
