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Doctor insights on: Axial Hiatus Hernia

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What is a hiatus hernia?

What is a hiatus hernia?

Stomach: A hiatal hernia is the protrusion (or herniation) of the upper part of the stomach into the chest through a weakness in the diaphragm (muscle that helps you breathe), where the esophagus (tube from the mouth to the stomach) has to pass through. Risk factors include: older age, obesity, straining, and hereditary factors. Treatment depends on the size and type of hiatal hernia, as well as symptoms.

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Dr. David Earle
1,438 Doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more


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What is a hiatus hernia symptoms?

Variable: Typically, small hiatal hernias do not cause symptoms, or may be a contributing factor to heartburn or regurgitation. Large hiatal hernias (paraesophageal) can cause chest pain and pressure, difficulty swallowing, anemia due to bleeding ulcers, and weight loss due to avoidance of food. See your doctor to find out more.

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What are the symptoms of hiatus hernia?

What are the symptoms of hiatus hernia?

Acid Reflux: Bad heartburn, fullness/pain in upper abdomen/chest (worse after eating), regurgitation of bitter fluid (especially when lying flat or bending over), sometimes difficulty breathing, frequent pneumonias, asthma attacks. Severity of symptoms depends on how large the hernia is. Most hiatal hernias are small and cause mild heartburn or no symptoms at all.

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Difference between hiatus hernia and ulsar pain?

Difference between hiatus hernia and ulsar pain?

Differences: Ulcers tend to cause pain in the upper stomach and is often described as burning, gnawing, or hunger-like, and sometimes can be crampy or vague. You can also have discomfort after eating with increased belching, early satiety, upper abdominal fullness, nausea, and sometimes vomiting.Type I hiatal hernia pain feels like reflux/heartburn.Larger hernias can cause nausea, retching, and fullness after eating

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Can hiatus hernia cause pain in upper right back?

Can hiatus hernia cause pain in upper right back?

Usually not: Hiatal hernia by itself usually does not cause pain, but it is usually accompanied by gerd, which can cause epigastric or substernal (both in front of body) pain. Pain in right back could be from gallbladder problems. See a doctor for advice.

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Can a hiatus hernia be detected using just a scan?

Ct scan: Cr scan can be utilized to detect a hiatal hernia. A gastroscopy can also detect it and tell you how far down and the condition of the stomach and esophagus. A ph probe will tell you if the reflux is causing harm. Eat well and exercise.

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Is it possible for a child to have a hiatus hernia?

Is it possible for a child to have a hiatus hernia?

Rare: Yes but very rare in children, rarely will see gerd, reflux problems, but infants & newborn will have dangerous congenital diaphragmatic hernias.

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What are the symptoms of a strangulated hiatus hernia?

What are the symptoms of a strangulated hiatus hernia?

A few: Usually chest pain and pressure, associated with the inability to eat, and / or vomiting. The vomiting is frequently in the form wretching without liquid or good coming up, or "dry heaves". Could also be vomiting blood. This represents an emergency, life threatening situation.

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I have a hiatus hernia and was wondering how long recovery would be?

I have a hiatus hernia and was wondering how long recovery would be?

Variable: Usually, a laparoscopic hiatal hernia repair is combined with an anti-reflux procedure known as a nissen fundoplication. Patients are typically back to most normal activities in about two weeks. There is also usually some difficulty swallowing for 3-6 weeks. In the end, the goal is to be better than you are now, so ask your surgeon what the odds are or improvement.

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What are the symptoms of a hiatus hernia and what can be done for it?

Many: Typically, only large hiatal hernias cause symptoms such as difficulty swallowing, chest pain, feeling full quickly, and fatigue due to anemia from ulcers. Diagnosis can be made with an upper GI contrast study. Treatment is surgical repair, best done by a general or thoracic surgeon with experience in laparoscopic repair. Hope this helps.

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Will a hiatus hernia go away by sticking to a specific diet, and for how long?

Will a hiatus hernia go away by sticking to a specific diet, and for how long?

Never: A hernia never goes away until a surgeon repairs it. Diet modifications may control the symptoms of a hiatal hernia so that you do not need medication to control the symptoms. But if you want it to go away, you have to talk to a surgeon.

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I take 20mg of Omeprazoldaily for hiatus hernia problems, is this safe to take longterm?

Proper diagnosis: A hiatal hernia simply means the stomach is a bit higher above the diaphragm than what is expected. It does not cause symptoms in and of itself. Reflux of stomach acid into the foodpipe (esophageal reflux) can cause heartburn in which case use of weight loss, antacids and elevation of the torso in the bed is advised. Only after these fail should a drug such as Omeprazole be considered.

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What to do if I have a hiatus hernia and read this case report could this happen to me if had similar symptoms?

What to do if I have a hiatus hernia and read this case report could this happen to me if had similar symptoms?

Depends: Case reports are just that. Don't take everything you read literally. Most people with hiatal hernias have little to no symptoms. If you do have symptoms, pain, nausea, vomitting, bleeding, etc., see your doctor immediately.

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Hi, I have a small hiatus hernia and don't know what kind of exercise can I do. Can someone please help me. I want to exercise.

Hiatal hernia: A small hiatal hernia, meaning no bigger than 2cm, shouldn't be a problem when it comes to exercise. It may cause you some heartburn, and strenuous exercise may exacerbate that a bit, but for the most part you should be able to do whatever exercises you want to.

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How are anxiety and a hiatus hernia different?

How are anxiety and a hiatus hernia different?

Different issues: Anxiety, or sometimes called "globus hystericus", can cause some people to feel a sticking sensation in their throat after eating, and even cause trouble swallowing. A hiatus hernia is an anatomical defect at the diaphragm that allows the stomach to rise into the chest. This may or may not cause any symptoms at all. See your doctor for complete history and physical exam, and perhaps egd.

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Is a hiatus hernia associated with severe pain?

Is a hiatus hernia associated with severe pain?

GERD: A hiatal hernia is often associated with gastro-esophageal reflux disease (gerd). This can be associated with severe "heartburn", especially after bending over, lying down or after eating some foods.

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What is a hiatal hernia, and where is the hiatus in your body?

What is a hiatal hernia, and where is the hiatus in your body?

Diaphragm: A hiatal hernia occurs at the spot where the esophagus goes through the diaphragm, a thin muscle that separates the abdomen and chest cavities. When this aperture loosens it allows the top part of the stomach to slide up a little into the chest. It can then result in reflux and heartburn.

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Might doing crunches with additional weight cause a hiatus hernia?

Don't think so: It may exacerbate an existing weakness at the hiatus but I don't think it would "cause" it. A severe and sudden force, however, can cause traumatic hernias (car accident).

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Hi. What are the symptoms of small sliding hiatus hernia?? Thanks

None: A small sliding hiatal hernia cannot be attributed to any symptoms. Not even reflux, as many people without a hernia have reflux, and many people with hernias do not have reflux. If the hernia enlarges, it could cause difficulty eating, intermittent chest pain and pressure, and ulcers with/without anemia. Hope this helps!