instruction: hello doctor I have a hiatal hernia I am wondering if protein shake hurt my hernia the pain is usually mild and comes and goes recently I have been not feeling too well and my hiatal hernia pain become moderate and doest really go away I am currently on rabeprazole and motilium
output: hello I reviewed your endoscopy and histopathology report you have a small hiatus hernia and it has no specification association with proteins shake your report also shows chronic gastritis which also adds to your discomfort this issue usually improves with medications but recurs after some time my recommendations will be some changes in your medications for some time and then will readjust and down titrate again meanwhile you need some precautions as well hiatus hernia leading to herd gastroesophageal reflux disease or gastritis capsule rabeprazole one in the morning and one in the evening before meals for four weeks and then only in the morning for four weeks tablet motilium before meals for two weeks syearup gaviscon alginate 10 my three times daily after meals for two weeks and then as per need avoid late night eating no eating two hours before bed decrease coffee intake avoid smoking drink plenty of water one hour regular exercise after 10 days