Doctor insights on:
"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. ...Read more
Yes: Typically this would be due to large hiatal hernias also known as paraesophageal hernias. An upper GI contrast study can help with the diagnosis. ...Read more
Heartburn: Not all hiatal hernias are symptomatic, but can explain symptoms if present. Commonly have heartburn, sore throat in morning, maybe even chest pain (from esophagus). Gerd (reflux disease) may even make asthma worse. See your doctor. Treatment usually starts with acid-reducing meds, with further studies like endoscopy or radiograph ordered at your doctor's discretion. ...Read more
Many: Typical symptoms of a hiatal hernia include the sensation food is stuck in the chest, intermittent chest pain and/or pressure, and feeling full quickly after eating. This is typocall for a large hernia, and can be diagnosed with an upper GI contrast study and/or upper endoscopy. The only treatment for a hiatal hernia is a surgical procedure. Small hernias typically don't cause symptoms. ...Read more
Define locally: Do you mean "the community you live in" or "under local anesthesia"? Hiatal hernia is often used to describe gastroesophageal reflux disease (gerd); while there is overlap, they are two distinct diseases. Tests for gerd include endoscopy (egd), pressure recordings of the esophagus, and a 24-ph study. A hiatal hernia is best seen on ct, although indirect info will be obtained by egd. ...Read more
Can GI doctors do test for hiatal hernia and how do I tell them I would like that checked. Heart burn with nausea right upper abdo. Pain dizziness
Yes: If you are having reflux symptoms, hiatal hernia is a common finding. It can sometimes be detected on an UGI or can be seen if an EGD/upper endoscopy is deemed necessary. How do you tell them - just tell them your concerns, your symptoms, and that you think you have a hiatal hernia and would like to be checked for that. Very simple. Just be honest. ...Read more
Doctor evaluation: The best "tests" are an evaluation and answering questions of possible symptoms by your doctor, such as food reflux into the throat, heartburn, feeling of food sticking when swallowed. Simple chest x-ray can be done, sometimes a ct scan, and likely best is a referral to a gastroenterologist for possible endoscopy procedure. ...Read more
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. ...Read more
Stretched diaphragm: There is normally a hole in the diaphragm through which passes the esophagus. The diaphragm separates the abdominal and chest cavities, and the chest cavity is like a vacuum. When the normal opening stretches out and becomes large enough, the stomach gets "sucked" into the chest slowly. Why some get this and others don't is largely a mystery. ...Read more
I have an enlarged uterus and ovary and a hiatal hernia, also top of my stomach has thickened. What does this all mean?
Depends: If you had a ct scan of your abdomen and pelvis and the results included the above, they may be incidental findings, unless you have symptoms. A uterus > 13cm, an ovary >3cm should be evaluated. It does happen with er visits and imaging that you get a secondary benefit by knowing something is amiss before you have symptoms. Visit with your regular doc. ...Read more
C Gastroenterologist: If you are like most people, you are using "hiatal hernia" to mean gastroesophageal reflux disease (gerd). Proven rx include dietary changes, avoidance of caffeine, tobacco, and alcohol, wt loss, and acid-lowering meds. If your symptoms are bad at night, putting the head of the bed up on blocks helps, as does eating dinner early. If symptoms persist, it's best to see a GI dr (gastroenterologist). ...Read more
Have severe sleep apnea, treated with cpap. I wonder if I have hiatal hernia;.could being full of gas when waking be a symptom? Could HH cause dizzynes
Hiatal hernia: It's possible. With Capp you are likely swallowing a great deal of forced air which can make you gassy and bloated but also force the stochastic up through the diaphragm and create hiatal hernia and reflux. May want to discuss with doctor pressure adjustment, biPAP, HOB elevation and anti-relic meds as well as weight loss. ...Read more
Acid reflux: Stomach acid refluxing back into esophagus is painful. So avoiding acid stimulation and overfilling your stomach will help. Alcohol, and tobacco drive acid production. Also avoid large fatty meals, carbonated beverages, and lying down after eating (stay upright for 2 hours). Check in with your doc to consider anti acid medication and referral for scoping/egd. Tums, (calcium carbonate) over the counter, work well. ...Read more
I try to avoid toxic drugs and treatments. What can I try before I go for traditional medical care for hiatal hernia?
GERD: If you are like most people, you are using "hiatal hernia" to mean gastroesophageal reflux disease (gerd). This can be well-managed by avoiding the foods that cause heartburn, avoiding smoking, alcohol, and caffeine, and losing weight (if overweight). If your symptoms are bad at night, putting the head of the bed up on blocks helps, as does eating dinner well before bedtime. Hope this helps! ...Read more
Had nissenfundlication for gets over 10yrs ago. Gerd seems to be back. Btw I also have barrett esoph. Went to dr. Ct scan says hiatal hernia. Reason?
Common: Herniation of the stomach in to the chest (hiatal hernia) is a common x-ray finding after nissen. It's clinical significance however is highly variable. I would see a surgeon with significant experience in dealing with hiatal hernia for a consultation. May need more test. Best of luck. ...Read more
There have been reports of familial hiatal hernias (see reference). Most, however, are thought to be acquired.
http://www. Ncbi. Nlm. Nih. Gov/pmc/articles/pmc1727703/. ...Read more