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A 34-year-old member asked:

My infant has gerd, what is the chance that they have a hiatal hernia?

2 doctor answers6 doctors weighed in
Dr. Edward Neilsen
Family Medicine 19 years experience
Very Low: Although not impossible, an infant that is growing, developing well, and meeting milestones is highly unlikely to have a major GI problem, even with reflux. In fact most babies do have some degree of reflux, and rarely does medicine help with this - although it can help with the discomfort associated with reflux.
Dr. Alan Ladd
General Surgery 27 years experience
Unlikely: Though many children may have symptoms of reflux with episodes of vomiting, it usually is only of concern if there is associated respiratory problems or poor weight gain. The symptoms are monitored to see if they improve once advancement of diet to more solid food occurs. If significant symptoms, including respiratory complaints, evaluation would include a contrast study to exclude hiatal hernia.

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CA
A 38-year-old member asked:

How does a hiatal hernia cause gerd?

2 doctor answers8 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
"Yo-Yo" stomach.: One mechanism that prevents reflux of food or acid from the stomach up the esophagus is the fact that the pressure within the abdominal cavity is higher than the pressure in the stomach. If the stomach "yo-yo's" into the chest cavity through a hiatal hernia, the negative pressure within the chest cavity changes this pressure gradient, favoring reflux.

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Last updated Jun 10, 2014
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