Top
30
Doctor insights on: Can You Die From Hiatal Hernia

Share

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


2

2
What is hiatal hernia?

What is hiatal hernia?

Hiatal hernia: A hiatal hernia is a laxity or defect of the diaphragm where the esophagus travels through the back of the chest into the abdominal cavity and your stomach. Some patients have heartburn associated with hiatal hernias while some do not. ...Read more

3

3
What is a hiatal hernia?

What is a hiatal hernia?

Hole in diaphragm: The diaphragm is the muscle that separates the chest- from the abdominal cavity. Many structures have to go thru the diaphragm in order to enter into the abdominal cavity, including the esophagus, the aorta, and the vena cava. The hiatus is the hole in the diaphragm thru which the esophagus passes. This can enlarge, allowing the stomach to "yo-yo" up into the chest: this is called a hiatal hernia. ...Read more

4

4
What causes hiatal hernia?

What causes hiatal hernia?

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

5

5
What causes a hiatal hernia?

Unknown: The hiatus is the normal hole in the diaphragm muscle thru which the esophagus passes to go from the chest to the abdominal cavity. A hiatal hernia is an enlargement of this opening thru which the stomach can slip up into the chest. This is found in 15% of people & rarely causes symptoms. It is unclear if this develops before birth and/or develops in response to elevated abdominal pressure. ...Read more

6

6
Hiatal hernia produces disnea?

Depends: If one has a very large hiatal/ Para esophageal hernia, big enough to compress on airways, then it can cause dyspnea, in some cases if it is causing significant reflux specially silent one, it can damage the lungs with silent aspirations and can cause atypical symptoms. ...Read more

7

7
How is a hiatal hernia repaired?

How is a hiatal hernia repaired?

Laparoscopic Surgery: A hiatal hernia is an enlargement of the normal hole in the diaphragm muscle thru which the esophagus passes to enter into the abdomen. A hiatal hernia may lead to gerd by virtue of the stomach yo-yo-ing up thru the hiatus into the chest. Surgical repair involves three key steps: return the stomach to the abdominal cavity, tighten the hole in the diaphragm, and create a new valve to rx reflux. ...Read more

8

8
Could hiatal hernia get smaller?

Could hiatal hernia get smaller?

No: Hiatal hernias don't resolve. Fortunately, most do not cause symptoms or problems. They often enlarge with time, but not always. ...Read more

9

9
How is a hiatal hernia diagnosed?

How is a hiatal hernia diagnosed?

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. ...Read more

10

10
How should I treat hiatal hernia?

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

11

11
Hiatal hernia how can I cure it?

Hiatal hernia how can I cure it?

Operation: The only "cure" or a hiatal hernia I to have it surgically repaired. I would look for a general or thoracic surgeon with extensive experience performing thi procedure laparoscopically. You may need some testing before operation as well. ...Read more

12

12
Can hiatal hernia affect my child?

Can hiatal hernia affect my child?

Uncommon: While reflux can occur in children, having a hiatal hernia is less common. Most hiatal hernias develop over the course of a person's life. ...Read more

13

13
What does hiatal hernia feel like?

Hiatal hernia: Most commonly patients with hiatal hernias will experience symptoms of reflux such as heartburn and regurgitation if they have any symptoms at all. The vast majority of hiatal hernias encountered are small asymptomatic hernias that require no intervention. Only those hernias that are symptomatic should be treated. If surgery is required, it usually can be done laparoscopically. ...Read more

14

14
What are the tests for hiatal hernia?

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

15

15
What can be done about a hiatal hernia?

What can be done about a hiatal hernia?

Surgical repair: Not all hiatal hernias need to be repaired. The common type I hernia causes gerd, and is usually treated medically, but sometimes requires surgery because medecial therapy doesn't work. Type ii hernias usually require surgery if symptoms are present, because there is no effective medical therapy. Hiatal hernias are repaired laparoscopically, so most people tolerate surgery very well. ...Read more

17

17
Does exercise help with a hiatal hernia?

Does exercise help with a hiatal hernia?

Indirectly, at best.: A hiatal hernia, by definition, is an enlarged opening in the diaphragm muscle that separates the chest from abdominal cavity. It is often used interchangeably with gerd; while often both present, they are distinctly separate diseases. Exercise may indirectly help gerd by leading to weight loss but it will not improve the anatomical abnormality of a hiatal hernia. ...Read more

19

19
How do you know you have a hiatal hernia?

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

20

20
What happens during hiatal hernia attack?

Hiatal Hernia: A hiatal hernia is a condition in which part of the stomach or other abdominal contents sticks upward into the chest, through an opening in the diaphragm. When these organs become trapped they can lose their blood supply and an emergent operation is required. ...Read more

21

21
Hiatal hernia tips and tricks, what to do?

Complex: Hiatal hernia is a spectrum of disease from mild with no symptoms, to a severe, life threatening condition. Large hernias are also called paraesophageal, and can be associated with progressive symptoms of difficulty swallowing, sensation of food sticking in the lower chest, vomiting, chest pain/pressure, anemia, and weight loss. Consider a consult w/ an experienced laparoscopic surgeon if present. ...Read more

22

22
Hi. What should I do to cure hiatal hernia?

Hi. What should I do to cure hiatal hernia?

Hiatal hernia: Most hiatal hernias are managed with diet and medications. Some are surgically repaired. The nuances of your case, your symptoms will be addressed by your doc. Okay to go in for evaluation. Unfortunately there is no easy cure. ...Read more

23

23
Can my weight be a factor in hiatal hernia?

Ansolutely: Some symptoms resolve with significant weight loss. ...Read more

25

25
How do I know exactly what is a hiatal hernia?

Hiatal hernia: Is herniation, or protrusion, of a portion of stomach (which is normally in the abdomen) into the chest through the esophageal hiatus, thus "hiatal" hernia. There are different types though and some require urgent surgery, although most are of the "sliding" type that is usually harmless. It also depends on the extent of the stomach herniation and other organ involvement. ...Read more

26

26
What are some ways to relieve a hiatal hernia?

See your doctor: Symptoms like these are best deterimed by a thorough evaluation by your physician. Based on his/her findings, a treatment plan can be developed to help you. ...Read more

27

27
What are the usual symptoms of a hiatal hernia?

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

28

28
How do I know if I have a hiatal hernia to you?

Requires testing: A hiatal hernia can be suggested by symptoms. The only way to know if you have a hiatal hernia is through testing - a barium swallow or upper endoscopy/egd are two ways to test for it. ...Read more

29

29
Can a sliding hiatal hernia ever get well by itself?

Not really: These types of hernias won't fix themselves, but really are not dangerous or need treatment. They are fixed during operations performed for reflux disease, But otherwise just left alone. They can get larger over the years, but there's no specific activities or diet to avoid to prevent this. Hope this helps! ...Read more

30

30
I been havin a lot of problems with my hiatal hernia?

I been havin a lot of problems with my hiatal hernia?

Symptoms?: Work closely with your treating doctor to see if your symptoms warrant aggressive intervention. Must be sure there isn't anything else going on. ...Read more

Dr. David Earle
1,453 Doctors shared insights

Hernia (Definition)

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