Doctor insights on:
Ileus And Hiatal Hernia
I have a hiatal hernia and had an ileus.I've eaten twice today and vomited after the first meal.After the last I have severe lower abdominal pain why?
Abdominal pain: This could be related to your gallbladder, gerd, irritable bowel or other GI issues. Less commonly you could have a twist in the stomach related to your hernia depending on the type or if its paraesophageal you should start with an appointment at your pcp and then have imaging performed and or see a GI physician or surgeon. ...Read moreGet help from a doctor now ›
A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone ...Read more
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 moreGet help from a doctor now ›
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 moreGet help from a doctor now ›
Not really: These types of hernias won't fix themselves, but really are not dangerous or need treatment. They are fixed during operations performed for reflux disease, But otherwise just left alone. They can get larger over the years, but there's no specific activities or diet to avoid to prevent this. Hope this helps! ...Read moreGet help from a doctor now ›
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 moreGet help from a doctor now ›
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 moreGet help from a doctor now ›
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 moreGet help from a doctor now ›
See your dr: There are a couple of different tests that can help with the diagnosis. An upper GI is an x-ray that can show a hiatal hernia. The other test that can help is an egd which is a procedure performed by a gastroenterologist. A ct scan can also be used for diagnosis. ...Read moreGet help from a doctor now ›
Ileus is a slowing, or non-functioning condition of the gastrointestinal tract. The movement of food, digestive juices is slowed, leading to distension, sometimes back-up and vomiting. It is usually caused by trauma or injury, often by surgery itself. Usually responds to ...Read more
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