Doctor insights on:
Hiatal Hernia Without Heartburn
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
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
Excess burping, occasional chest pain, no heartburn. Gastroscopy show 1cm sliding hiatial hernia. Is Laryngopharyngeal reflux likely ? Or GERD ?
Hiatal hernia repair without fundoplication? No reflux issues, just constant shoulder/chest tight ness and SOB- Due to hernia interrupting diagram???
Did bari swallow,sm hiat hernia. Have GERD &gastritis. Can hernia give persistent chest pain, daily, cleared cardio,gallb, made dietary changes, meds?
Possible: not itself. But it can cause GERD which can cause SOB and coughing. ...Read more
Possibilities: With the symptoms you've described, appendicitis is unlikely. More likely are a hiatal hernia or an ulcer. Avoid alcohol, spicy foods, and stay upgright (don't lay flat) 2 hours after eating. You can also try some over the counter antacids. If your symptoms persist you should see your doctor as an upper endoscopy might be informative. ...Read more
Nausea: Nausea is a non specific symptom with multiple causes, dehydration, bad gallbladder, hernia, and yes hiatal hernia. Nausea after eating is one of the bad gallbladder symptoms. Okay to get evaluated by your regular doc, ask for imaging, gallbladder ultrasound. In the meantime stay on a low fat diet and increase your oral hydration. Be well. ...Read more
Nope.: The hiatus is the hole in the diaphragm thru which the esophagus passes to enter into the abdominal cavity; a hiatal hernia is an enlargement of this hole. It cannot be seen nor touched on physical examination. In contrast, a ventral hernia may cause the abdomen to protrude, as can a separation of the rectus muscles very common in men who are "round"in the midsection: this is called diastasis. ...Read moreSee 1 more doctor answer
Hiatal hernia: You have a hiatal hernia. This is a very treatable abnormality. Your doctor will treat your symptoms and follow with you. If you are feeling well with medications then he/she will follow. As you age you may require more intervention. You may need a diagnostic study. You will need to manage your weight and to exercise. Watch what you eat. Be well. ...Read moreSee 2 more doctor answers
"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 moreSee 1 more doctor answer
Egd 2 yrs ago: small hiatal hernia. Nexium (esomeprazole) & Prilosec no help. More and worse symptoms now. Possible strangulation of hernia?
No: A small hernia does not have the room to twist and cut off its blood supply which is the definition of strangulation. Antireflux meds frequently lose efficacy and either the dose has to be increased or switched to another one. A change in symptoms like this usually warrants a follow up egd. Consult with your doctor. ...Read moreSee 2 more doctor answers
Asthma-like symptoms: Some people with hiatal hernias may develop gastroesophageal reflux disease (gerd), which usually causes heartburn. With severe gerd, stomach acid can reflux all the way up the esophagus and then down the trachea, causing asthma-like symptoms. ...Read moreSee 3 more doctor answers
Hernia: Not sure what the question is, but the only way to fix a hernia is with an operation. You would like to avoid this if possible, but may need to operate for unrelenting, severe pain or problems with the intestines related to the hernia. See a gernal surgeon, your ob, and sages.Org guidelines for laparoscopic surgery during pregnancy for more info. ...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
Unclear : Many people with large hiatal hernias have no reflux, and many with reflux have no hiatal hernia. Reflux is probably mostly a functional problem related to excessive random openings of the valve between the stomach and esophagus called transient lower esophageal sphincter relaxations. Hope this helps! ...Read moreSee 1 more doctor answer
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