ileus and hiatal hernia

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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

Lower_belly_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
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hiatal hernia?

Sliding stomach

Hiatal_hernia
A hiatal hernia is not uncommon. The simplest type occurs when the stomach slides up and down across the diaphragm into the chest cavity (thoracic space). This is not like other hernias that you hear about and typically does not need surgical therapy although it may exacerbate reflux and may require medications to control acid production in the stomach. There are other less common types as well.
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What is hiatal hernia?

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.
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Dr. Barry Rosen answered:

What is a hiatal hernia?

Hole in diaphragm

Hiatal_hernia
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.
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Dr. David Earle answered:

What causes hiatal hernia?

Stretched diaphragm

Hiatal_hernia
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.
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Dr. Barry Rosen answered:

What causes a hiatal hernia?

Unknown

Hiatal_hernia
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.
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Can a hiatal hernia be fatal?

Essentially No

Indigestion
Unless the hernia is so large that nearly all the stomach is in the chest and a gastric volvulous occurs (rare) needing emergency surgery. Heartburn & reflux symptoms are usually treated medically. Elective surgery for some situations. Be sure you see a doctor for the proper testing.
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Dr. J. Roth answered:

Could hiatal hernia get smaller?

No

Hernias
Hiatal hernias don't resolve. Fortunately, most do not cause symptoms or problems. They often enlarge with time, but not always.
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How is a hiatal hernia repaired?

Laparoscopic Surgery

Hernias
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.
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Dr. Barry Rosen answered:

How should I treat hiatal hernia?

C Gastroenterologist

Hiatal_hernia
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).
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