Diaphragmatic Hernia (Hiatal Hernia): Drug Therapy
Therapy goals
Improvement of the symptomatology
Avoidance of complications of pyrosis (heartburn) as a sign of refluxesophagitis (esophagitis caused by frequent reflux of acidic gastric juice into the esophagus).
Therapy recommendations
Symptomatic therapy (for axial hiatal hernia): depending on the severity of symptoms:
Long-term therapy often necessary due to high recurrence rates (recurrence).
Maintenance dosing (step down) according to symptoms in more severe courses of gastroesophageal reflux disease (synonyms: GERD, gastroesophageal reflux disease; gastroesophageal reflux disease (GERD); gastroesophageal reflux disease (reflux disease); gastroesophageal reflux; reflux esophagitis; reflux disease; Reflux esophagitis; peptic esophagitis); inflammatory disease of the esophagus (esophagitis) caused by the pathological reflux (reflux) of acid gastric juice and other gastric contents.
On demand therapy (when needed) for milder courses of GERD with a dose every 2-3 days.
In the absence of therapeutic success doubling or tripling the dose possible.