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Doctor insights on: Hitial Hernia 2cm

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I've had a 2cm hitial hernia for 2 years, I'm 96 pounds and everytime I eat it feels like food gets stuck. Medicine doesn't help. Is surgery an option?

I've had a 2cm hitial hernia for 2 years, I'm 96 pounds and everytime I eat it feels like food gets stuck. Medicine doesn't help. Is surgery an option?

One option: Alexis, surgery is an option, however you must weigh the risks and potential complications of undergoing surgery before proceeding. A 2cm hiatal hernia can certainly cause problems with eating, you certainly need to rule out other GI issues before having an operation that is irreversible. Continue working with your GI doctor, or ask for a referral to an esophageal specialist first to be sure. ...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


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I have a 2cm hitial hernia and was told that at that size it shouldn't hurt, However I'm 96 ibs and eating kills me, is it fixable via surgery at 2cm?

I have a 2cm hitial hernia and was told that at that size it shouldn't hurt, However I'm 96 ibs and eating kills me, is it fixable via surgery at 2cm?

Hiatal hernia.: While we should never rush into such surgery, it would be indicated for refractory symptoms more than for the actual size of the hiatal hernia. So it's an option you may want to discuss with your GI or with a surgeon experienced in the Nissen fundoplication. ...Read more

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Is a hitial hernia dangerous to one's health? Many times I have difficulty taking a deep breath and it can cause anexity sometimes for me. I was told over 30 years ago that I had this type of hernia but it seems to have flared up symtoms. I do not have ac

I: I do not know that your breathing symptoms are from a hiatal hernia. Acid reflux is a common symptom of a hiatal hernia. Aspiration of stomach contents into the lungs, more often when lying down sleeping, can cause breathing or asthma-like feelings. Many people have small hiatal hernias that do jot cause problems. Rarely very large hiatal hernias can cause sudden illness from twisting internally, or can rarely bleed or cause anemia. It sounds like you need to seee your doctor for an examination. ...Read more

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What is better for a hitial hernia protonix or nexium (esomeprazole)?

What is better for a hitial hernia protonix or nexium (esomeprazole)?

Roughly equal: Bose act to limit the amount of acid your stomach will produce and both act via the same mechanisms. ...Read more

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What can done once you have had surgery for a hitial hernia but have now developed a hematoma?

What can done once you have had surgery for a hitial hernia but have now developed a hematoma?

Tell your surgeon: It depends on the size and location of the hematoma - you definitely should let your surgeon know. If small, you would just watch - it big may need to be drained. Again it depends of size and location. ...Read more

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With upper endoscopy it possible to know how the nissen wrap condition and how I heal after hitial hernia and nissen? Thank you

With upper endoscopy it possible to know how the nissen wrap condition and how I heal after hitial hernia and nissen? Thank you

Nissen: Yes endoscopy can tell the status of the wrap and if your esophagus has healed
routine surveillance should still be performed by your surgeon or GI md. ...Read more

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I have a small hitial hernia, I'm 95 pounds and the symptoms are so strong, medicine doesn't help. Would a doc consider surgery? Appt next week.

I have a small hitial hernia, I'm 95 pounds and the symptoms are so strong, medicine doesn't help. Would a doc consider surgery? Appt next week.

Hiatal hernia: 20 F from KY I have a small hitial hernia, I'm 95 pounds and the symptoms are so strong, medicine doesn't help. Would a doc consider surgery? Appt next week. ANS: would not think a small HH would cause severe problems esp if not obese. Ask your Dr. What is the cause. ...Read more

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Spoke with a surgeon about my hitial hernia an he said it's probably my galbladder but I had an ultrasound year ago and it was fine, should I retest?

Spoke with a surgeon about my hitial hernia an he said it's probably my galbladder but I had an ultrasound year ago and it was fine, should I retest?

Surgeon advice: 20 F: Spoke with a surgeon about my hitial hernia an he said it's probably my galbladder but I had an ultrasound year ago and it was fine, should I retest? ANS: your hiatal hernia is not your gall bladder so not certain what you are asking. Ultrasound is not 100 % diagnostic nor is a surgeon's history and physical exam. But my guess he probably is more likely correct than the ultrasound. ...Read more

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I have this pain on the left side near the rib cage. I do have have hitial hernia and cervical spondisylis and last night it felt like my heart was pounding really hard so I don't know what this is because my dr. Said withthe hitial hernia you dohave chest

I have this pain on the left side near the rib cage. I do have have hitial hernia and cervical spondisylis and last night it felt like my heart was pounding really hard so I don't know what this is because my dr. Said withthe hitial hernia you dohave chest

Go to ER: Chest pain, especially when associated with heart palpitations should not be ignored. Please go to the er to make sure it is not a heart attack! Sure hiatal hernias can cause chest pain but that won't kill you. A heart attack can and you can't tall which one without seeing a doctor stat! ...Read more

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I have this pain that starts under the armpit the upper part near the breast on the left side only my tells me I have a hitial hernia and neck pain.?

I have this pain that starts under the armpit the upper part near the breast on the left side only my tells me I have a hitial hernia and neck pain.?

Possibly hernia: If you have a large hiatal hernia, also known as a paraesophageal hernia, it could be the cause of your symptoms. An upper GI contrast study would be able to tell how big the hernia is. ...Read more

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I had small sliding hiatal hernia 4/12. 3/27/13 I was hit from behind in car accident with seatbelt on 4/2/13 had gastric bypass surgery; found large paraesophageal hernia. Can the accident cause this?

I had small sliding hiatal hernia 4/12. 3/27/13 I was hit from behind in car accident with seatbelt on 4/2/13 had gastric bypass surgery; found large paraesophageal hernia. Can the accident cause this?

It is possible: It is possible, but difficult to know 100%. It would be helpful to know how large the hernia was at the time if you gastric bypass, something your surgeon would know. You should see your surgeon anyway to help guide you on what to do about the paraesophageal hernia. Hope this helps! ...Read more

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I had GERD and hitial hernia surgery 3 month again. After how long I can do sport include running, joga, and other. And did wrap change stomach size?

I had GERD and hitial hernia surgery 3 month again. After how long I can do sport include running, joga, and other. And did wrap change stomach size?

Now/Sort Of: At 3 months postop, you should have no activity restrictions (of course, your surgeon would be the best one to answer this). The upper 10% of the stomach is used to create the wrap, so the size of your stomach is (slightly) decreased. However, it is the function of the stomach that is most greatly affected, preventing the reflux of acid up the esophagus. ...Read more

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I was diagnosed with a 2cm hiatal hernia. Can my hiatal hernia get bigger?

Hiatal hernia: The amount of symptoms present from a hiatal hernia is much more important than its size. Although it is possible to get bigger, it is not important unless the symptoms are getting worse. The primary treatment for a hiatal hernia is medication for acid reflux. Surgery is not recommended unless symptoms are not controllable. There is no need to recheck a hiatal hernia's size. ...Read more

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I have a 2cm hiatal hernia no symptoms. Chances of it growing in the future?

I have a 2cm hiatal hernia no symptoms. Chances of it growing in the future?

Heartburn symptoms?: The size of the hernia is not as important as the presence of symptoms. It is very common to have a hiatal hernia without symptoms. In that setting there is not much cause for concern. Symptoms of reflux, heartburn, trouble swallowing, regurgitation, as well as other atypical symptoms. Weight gain, excessive straining, tight fitting clothes, are some of the reasons symptoms appear or worsen. ...Read more

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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

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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

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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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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

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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

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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

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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

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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

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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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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

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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

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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

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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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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