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A 31-year-old member asked:

is having a bochdalek hernia inherited, if so from the mom or dads side?

2 doctor answers4 doctors weighed in
Dr. James Cummings
Dr. James Cummingsanswered
Neonatology 39 years experience
Multifactorial: Bochdalek hernia, a type of diaphragmatic hernia, is thought to be multifactorial in nature, meaning that there is both a genetic predisposition and an inciting environmental "trigger". While the genetic predisposition may be inherited, it is unclear from which side, mother or father, is involved.
Dr. Nikolaos Zacharias
Maternal-Fetal Medicine 26 years experience
Unknown.: Geneticists are currently trying to pinpoint the most common mutations reasponsible for cdh - nobody knows for sure what all the possible genetic underpinnings are at this time.

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A 21-year-old member asked:

Should I eat more lighter meals rather less heavy meals to lessen my hiatal hernia symptoms?

2 doctor answers5 doctors weighed in
Dr. Mike Moore
Dr. Mike Mooreanswered
Family Medicine 8 years experience
Yes: Eating smaller, more frequent meals can improve your hiatal hernia symptoms. Keep a food diary to make sure you don't overeat. Also try to eat only at meals, and avoid empty calories in snacks. Lastly, try to avoid caffeine and alcohol, which can significantly worsen reflux symptoms.
A 30-year-old member asked:

Are there different types of hiatal hernias?

3 doctor answers9 doctors weighed in
Dr. George T Tsai
General Surgery 27 years experience
Yes: There are 4 types: 1) sliding 2)rolling 3)sliding and rolling 4) hernia containing abdominal organs such as colon, small bowel or even solid organ such as spleen. Sliding / type i hernia is the most common and may contributing to reflux events. Type 2-4 may have dramatic presentations and acute surgical indication.
A 40-year-old member asked:

How is a hiatal hernia diagnosed?

4 doctor answers13 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
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.
CA
A 37-year-old member asked:

Where are hiatal hernias located?

2 doctor answers4 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
Diaphragm: The diaphragm is the dome-shaped muscle that separates the abdominal from the chest cavity. All people have a hole in the diaphragm thru which the esophagus passes; this is called the hiatus of the diaphragm. This hole can become enlarged, allowing the esophagus and stomach to yo-yo up into the chest, causing reflux (gerd).
A 44-year-old member asked:

Is a hernia operation anything to worry about and are there any necessary precautions?

3 doctor answers8 doctors weighed in
Dr. Barry Rosen
General Surgery 34 years experience
Risks vs. Benefits: Hernia surgery is very common and also very safe; however, no operation is risk-free. Therefore, the decision to have surgery requires balancing the benefits w/the risks--this is a conversation that you need to have w/a surgeon. In general, keeping one's weight down lowers the risk of hernia surgery. Of course, smoking increases the risk of any operation. Good luck.

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Last updated Nov 22, 2013

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