Doctor insights on: Hiatal hernia

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How does a hiatal hernia cause gerd?

How does a hiatal hernia cause gerd?

"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

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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


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Is extreme bloating a possible symptom of a hiatal hernia?

Is extreme bloating a possible symptom of a hiatal hernia?

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

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Hiatal hernia (Tip)

Do not lift heavy weights if you have a hernia. ...See more

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What are the usual symptoms of a hiatal hernia?

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

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What are the signs and symptoms of a hiatal hernia migraine?

What are the signs and symptoms of a hiatal hernia migraine?

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

Dr. M. Hytham Beck Dr. Beck
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Hiatal hernia (Tip)

If painful or hard to reduce, see a surgeon right away. ...See more

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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

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Most definitive way to diagnose hiatal hernia, barium swallow or endoscopy?

Most definitive way to diagnose hiatal hernia, barium swallow or endoscopy?

Good question: The tests are useful in different ways. A hiatal hernia can diagnosed with either test and very reliably. The egd allows for a biopsy. The UGI allows for an evaluation of the function of the esophagus as well as visualizing actual episodes of reflux. ...Read more

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Are all diagnostic tests for hiatal hernia done locally? What are they?

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

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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

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

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Dr. Paul Harper Dr. Harper
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Hiatal hernia (Tip)

Don't ignore it and do get it fixed. ...See more

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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

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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

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Hiatal hernia (Tip)

Don't live with it, get it fixed. It will get bad ; you may need some intestine cut out ; an ostomy. ...See more

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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

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I have an enlarged uterus and ovary and a hiatal hernia, also top of my stomach has thickened. What does this all mean?

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

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Hiatal hernia (Tip)

Avoid actions that would increase intraabdomimal pressure such: lifting, straining, coughing, or any type of strenuous physical activity. ...See more

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How should I treat hiatal hernia?

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

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Dr. David Earle
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Hernia (Definition)

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