Doctor insights on:
Can You See A Hiatal Hernia
A hiatal hernia is an entirely intraabdominal (inside your abdominal cavity) phenomenon. It occurs when a part of your stomach slides up into the chest cavity next to your esophagus. This is unlike hernias one might get in the groin where you can see the bulge through the skin.
If you have a bulge in the middle of your abdomen that you can see outside it might be a ventral hernia which is a weakness of your abdominal muscles. ...Read more
Hiatal hernia discovered a few years ago. If I were to see a gastro doc, will they need to get a recent scan before surgery? What kind of scan?
I have a hiatal hernia. If I don't stick to a diet since I have bad acid reflux what will happen? Will I have to see my GI every year for a check up?
Check up: You should check up yearly. Your doctor will monitor your progress. If you have good control then perhaps no changes will be needed. As you age having a doctor who knows you well and can offer good advice is priceless. They can save you an operation or recommend an operation and save your life. That is what they try to do every day. ...Read more
Best treatment plan for gastroparisis, barretts, nighttime gasbloat and hiatal hernia, IBS? I see a GI, just for looking options as im newly diagnosed.
See below: Complex but not rare constellation of problems. Barrett esophagus most important - severe esophageal damage due to reflux. If no dysplasia on biopsies can be treated by hernia repair and fundoplication. Repeat surveillance endoscopy may be advised first. Gastroparesis concerning but fundo. Can sometimes improve gastric emptying. By lbs do you mean morbid obesity? Running out of space. ...Read more
I cough & clear my throat all the time., been scoped&doc can't find anything but a small hiatal hernia, should I see another doc?
2nd opinion: Your coughing and clearing your throat must bother you enough to write about it here so a second opinion would be warranted for piece of mind. Bring your records so as to get best advice. Hope it gets better. ...Read more
Mom's caregivers saw a bulge on right upper abdomen. Urgent Care doctor didn't see but found hiatal hernia on CT scan. Could hernia cause the bulge?
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
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
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
Maybe, depend....: Pulmonary function may be affected leading to dyspnea if hiatal hernia is large enough to impair lung expansion at inspiration, especially in someone with already marginal pulmonary functional reserve. So, ask your doctor so to discuss individual variation and significance. Best wish to health... ...Read more
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
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
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
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
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
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
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
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
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
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