Joe Brian, 6?3? tall and 265 pounds, came to the physician with complaints of indigestion, heartburn, a bloated feeling, and occasional vomiting. He states that he sometimes wakes up with the taste of vomit in his mouth. He also complains of chest pain and states, "Sometimes I feel like I am having a heart attack." After performing an endoscopy, the physician diagnoses a hiatal hernia with
esophageal reflux and esophagitis. The physician prescribes a histamine receptor antagonist and antacids before meals and at bedtime. ?
What additional symptoms that may occur should the client be made aware of? What are the complications of a hiatal hernia?
Chronic irritation from the acids may result in cancer. If the hernia is unmanageable with medical treatment, surgery may be performed. ?
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