Doctor insights on:
Hiatal Hernia Surgeons
If hiatal hernia is causing gerd, why can't surgeon just repair hernia hole instead of doing that and a fundoplication?
Been there done that: Doesn't work sewing muscle to muscle under tension you get early recurrence / failure ...Read more
About 7 years ago my surgeon found on hiatal hernia the size of a quarter. Now takin 2 prevavid daily.Why i experience clay colored stools w ab pain?
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 moreSee 2 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
Yes, but it's rare: Hiatal hernia is more likely the older you get ; can exist without symptoms.Hiatal hernia can have symptoms associated with reflux--hearburn, chest pain, difficulty swallowing.Long history of reflux can result in changes in the esophagus leading to bleeding, scarring, or cancer.Rarely, hiatal hernia becomes paraesophageal hernia (part of stomach alongside esophagus in chest) ; is life threatening. ...Read more
Yes: There are a variety of types and sizes of hiatal hernia. Just because a person has one does not necessarily indicate a need for surgery. Medications and avoidance of eating late at night are some options, a gastroenterologist or your family doctor can help you determine if surgery is your best option, and refer you to a properly trained surgeon if indicated. ...Read moreSee 2 more doctor answers
Unlikely: Hiatal hernias do not usually cause symptoms. In some cases, though, hiatal hernias cause stomach acid to leak into the esophagus. This is called acid reflux or gastroesophageal reflux, and it can cause symptoms, including: ?burning in the chest, known as heartburn ?burning in the throat or an acid taste in the throat ?stomach or chest pain ?trouble swallowing ?a raspy voice or a sore throat. ...Read moreSee 1 more doctor answer
Not recommended: Arnica montana is sometimes grown in herb gardens and has long been used medicinally. It contains the toxin helenalin, which can be poisonous if large amounts of the plant are eaten. It produces severe gastroenteritis and internal bleeding of the digestive tract if enough material is ingested. No herbal remedy has conclusively shown benefits for hiatal hernia symptoms when studied scientifically. ...Read more
It can: Large hiatal hernias, known as paraesophageal hernias, can cause chest pain, and the feeling there is a balloon inside that needs to burst. They can also cause difficulty eating, weight loss, and anemia, and sometimes heartburn and vomiting. Small hiatal hernias do not cause pain. An upper GI contrast study can tell the difference. Hope this helps! ...Read more
Long time : It should last for a lifetime. Having said that, it is common to have asymptomatic herniation of a small portion of the stomach back in to the chest. Thi is almost always without consequence, and only detectable with an upper GI contrast x-ray and/or endoscopy. Recurrences requiring another operation occur about 5% of the time. ...Read moreSee 1 more doctor answer
Yes: A regular chest x-ray should reveal a large hiatal hernia, but if done for another purpose it could be missed. Ct scan can also miss this if they are looking for something else. Very unlikely to be missed on an upper GI contrast study or esophagram. Hope this helps! ...Read moreSee 3 more doctor answers