Doctor insights on:
Axial 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.See 2 more doctor answers
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.See 1 more doctor answer
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.See 2 more doctor answers
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 eatingSee 3 more doctor answers
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.
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.See 2 more doctor answers
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.See 1 more doctor answer
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.See 1 more doctor answer
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.
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.
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.See 2 more doctor answers
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.
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.See 1 more doctor answer
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).
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!