Doctor insights on:
How To Diagnose Hiatal Hernia
None: The only way to fix a hernia is with an operation. Support garments of various types may give some symptom relief, but do nothing for the underlying cause of the symptoms, and do nothing to prevent it from getting worse. See a general surgeon for a consultation. ...Read moreSee 1 more doctor answer
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
Exam: Hernias usually cause a visible bulge in children. This bulge goes away when they lie down and may be more pronounced standing, straing, or laughing, coughing, etc. Physical exam is very sensitive. Imaging studies are usully reserved for those patients with less than classic symptoms. ...Read moreSee 2 more doctor answers
Surgical repair.: In utero, the optimal treatment of severe non-syndromic cdh cases is the placement of an endotracheal balloon to occlude the fetal trachea and help the lungs develop. Postnatally, the neonatologists and pediatric surgeons collaborate to support sick newborns around the surgical repair of the diaphragmatic defects with a mesh. Brain injury can occur at that time. Mild cases are asymptomatic. ...Read moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
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
May need surgery: Diaphragmatic hernia in utero has a range of severity from minor to life threatening at birth. A neonatologist or pediatric surgeon can help sort that out. There are only one or two centers in the us performing corrective fetal surgery. One is in the san francisco area. ...Read moreSee 1 more doctor answer
"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
Surgery?: The only way to "fix" an umbilical hernia, like all hernias, is through surgery. However, the question is whether it needs to be fixed or is just cosmetic. Hernias can cause problems when a part of the bowel gets caught in it and can get "strangled" or have the blood supply compromised, whether this is likely to happen depends on lots of factors. See your doctor to discuss your hernia to decide. ...Read moreSee 9 more doctor answers
Unrelated !: A hiatal hernia is a very specific but very common bulge of the stomach through the hiatus of the diaphragm (the opening in the diaghragm through which the esophagus in the chest cavity connects to the stomach in the abdominal cavity). Most of the time hiatal hernias are small, recurrent, but are not fixed in place. Mucosal biopsy of stomach is of no use in identifying why a hiatal hernia exists. ...Read moreSee 1 more doctor answer
Reflux: Reflux of stomach contents (acid) is usually due to incompetent valve or hiatal hernia. It is aggravated by position (lying down), spicy foods and obesity. Treatment includes mediating above factors. Then is meds like ppi which shut off acid. If meds fail, then surgery including fundoplication can help - usually has very good outcomes. Speak to your physician. ...Read more
Abdominal Hernia: Abdominal hernias are repaired surgically, either with a laparoscope or via an open incision. Usually these hernias are repaired with some type of prosthetic mesh, with or without sutures or a tacking device. The hernia recurrence rate in the hands of an experienced hernia surgeon is quite low. ...Read moreSee 1 more doctor answer
No, however...: ...Not all umbilical hernias require repair. When diagnosed in infancy, these rarely cause symptoms and can often close on their own. If they persist beyond 3-4, elective repair is recommended before school. In adults, repair is recommended if the hernia causes symptoms or is of a sufficient size to allow intestine into the hernia. ...Read moreSee 11 more doctor answers
- Talk to a doctor live online for free
- How is a hernia diagnosed in women?
- How to diagnose a hernia in women?
- How to ease hiatal hernia pain?
- Ask a doctor a question free online
- Hiatal hernia
- How big can a hiatal hernia get?
- How can you tell if you have a hiatal hernia?
- How do you know you have a hiatal hernia?
- Talk to a gastroenterologist online