Question 1

have upper abdomin discomfort and pain, months now. gp suspects a hiatal hernia.  now noticed referred shoulder pain when press below the ribs centre of abdomin.  does this influence urgency of being seen?  referred to hospital but no appointment yet

Accepted Answer

Gallstones?: Have you had any imaging done?  Upper abdominal discomfort can be many things.  Gallbladder disease can present as you describe.  That is best evaluated with ultrasound.  CT scan may be helpful as well, and will identify a hiatal hernia.  The most common symptom of hiatal hernia is heartburn that's hard to treat.

Question 2

can a hiatal hernia cause refered right shoulder pain?

Accepted Answer

Not normally: A hiatal hernia can caused referred pain to the left shoulder rarely but not normally to the right shoulder. One way it could cause some referred pain would be if the hiatal hernia is causing so much irritation to your diaphragm that its spasming on the right, which could lend itself to some referred pain, but this is not very common. I hope this helps!

Question 3

doc found 8mm nodule in distal esophagus. referred. me to another doc for ultrasound  waited months now going next week, cancer? i have hiatal hernia.

Accepted Answer

Usually not: Distal esophageal  Ca is a lesion of mucosa most often induced by H.pylori.  It pesents with ulceration and then invasion of wall of esophagus with gradual obstruction.  US good to look at extent of Ca invasion into muscular wall of esophagus.  Many causes of nodule in wall? for which bx indicated.

Question 4

how is a hiatal hernia repaired?

Accepted Answer

Laparoscopic Surgery: A hiatal hernia is an enlargement of the normal hole in the diaphragm muscle thru which the esophagus passes to enter into the abdomen. A hiatal hernia may lead to gerd by virtue of the stomach yo-yo-ing up thru the hiatus into the chest.  Surgical repair involves three key steps: return the stomach to the abdominal cavity, tighten the hole in the diaphragm, and create a new valve to rx  reflux.

Question 5

could hiatal hernia get smaller?

Accepted Answer

No: Hiatal hernias don't resolve. Fortunately, most do not cause symptoms or problems. They often enlarge with time, but not always.

Question 6

how is a hiatal hernia diagnosed?

Accepted Answer

X-RAY, Endoscopy,etc: A hiatal hernia is an enlargement of the hole in the diaphragm thru which the esophagus passes to enter the abdominal cavity.  This commonly leads to the stomach "yo-yo-ing" up into the chest, which may cause gerd (reflux).  This can be seen by ct scan and by upper endoscopy.

Question 7

hiatal hernia how can i cure it ?

Accepted Answer

Treat reflux: Don't need to cure it. If you have acid refux symptoms like heartburn their are medications you can take to relieve yor discomfort.

Question 8

how do you know you have a hiatal hernia?

Accepted Answer

Scope vs X-ray: There are multiple ways to make this diagnosis, but the most common ways are upper endoscopy (a camera inserted into your mouth and stomach) or some type of x-ray. Often you will drink a dye and have an "esophagram" test.  Ct scans can often show large hiatal hernias as well, but may not show a small one.  Talk to your doctor to see what's best for you.

Question 9

what happens during hiatal hernia attack?

Accepted Answer

Hiatal Hernia: A hiatal hernia is a condition in which part of the stomach or other abdominal contents sticks upward into the chest, through an opening in the diaphragm. When these organs become trapped they can lose their blood supply and an emergent operation is required.

Question 10

hiatal hernia tips and tricks, what to do?

Accepted Answer

Complex: Hiatal hernia is a spectrum of disease from mild with no symptoms, to a severe, life threatening condition. Large hernias are also called paraesophageal, and can be associated with progressive symptoms of difficulty swallowing, sensation of food sticking in the lower chest, vomiting, chest pain/pressure, anemia, and weight loss. Consider a consult w/ an experienced laparoscopic surgeon if present.

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Doctor answers about:

Hiatal hernia referred pain

A member asked:

Have upper abdomin discomfort and pain, months now. gp suspects a hiatal hernia. now noticed referred shoulder pain when press below the ribs centre of abdomin. does this influence urgency of being seen? referred to hospital but no appointment yet

A member asked:

Can a hiatal hernia cause refered right shoulder pain?

A member asked:

Doc found 8mm nodule in distal esophagus. referred. me to another doc for ultrasound waited months now going next week, cancer? i have hiatal hernia.

A member asked:

How is a hiatal hernia repaired?

A member asked:

Could hiatal hernia get smaller?

A member asked:

How is a hiatal hernia diagnosed?

A member asked:

Hiatal hernia how can i cure it ?

A member asked:

How do you know you have a hiatal hernia?

A member asked:

What happens during hiatal hernia attack?

A member asked:

Hiatal hernia tips and tricks, what to do?

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