Doctor insights on:
Is Anemia Common With Hiatal Hernia
It happens: Large hiatal hernias known as paraesophageal hernias can cause ulcers due to the stomach twisting back and forth. These are known as cameron's erosions, and are not uncommonly the cause of anemia that has no other known cause. I see 1-2 patients per year with multiple tests over 1-2 years, only to finally have their hiatal hernia repaired and their anemia resolved. ...Read more
Is it common with hiatal hernia to have bruised or sore ribs right in the center bottom of the rib cage.?
What could cause or explain hiatal hernia in thin 28yr old female (never pregnant)? Is this common in young non obese women?
Is it common practice to cut through an old hiatal hernia mesh from previous op to perform laproscopic gallbladder removal resulting a hernia-redo?
I'm into my 6 months after my hiatal hernia operation - is excess gas and always having diarrhea common? It is rather hard to involve myself with. ..
Not likely. You need: ...to see your surgeon again. If s/he doesn't think that this is related to the surgical Procedure, you should see a gastroenterologist. I'm going to complete your thought with an educated guess. If the problem is interfering with life activities, it's definitely time to seek treatment. Dr. Anne ...Read more
Are you more prone to having esophagus polyps after having one with severe GERD and common hiatal hernia?
Not true polyp:
Esophageal polyps are called pseudopolyp, mean not real polyp, caused by the inflammation driven by the reflux, there are not a true polyp that can turn to cancer and they diseapear with treatment
so try to take care of your reflux, follow the diet, no late meal, or snack, sleep with head elevated, take medication as Rx, avoid caffeine and spicy food, and eat multiple small meal, avoid tight cloth. ...Read more
Having surgery in 2 days, 5"9 205 pounds. Am I at risk for clots? Hiatal hernia surgery with linx device. How common are blood clots during surgery?
In view of your weight and size, you are at risk for blood clots. However, measures are generally done to try and decrease the chances for clots to happen during your operation.
Remember, after your operation, don't stay in bed a lot. Get up, walk, and use the sequential compression devices on your legs. By doing this, you can improve your chances of not developing clots. ...Read more
I have a hiatal hernia and in addition to upper abdominal pain, burning, burping, etc my lower abdomen is very bloated. Is that common with a hernia?
Not likely HHrelated: The GI tract has a very limited # of symptoms to signal its distress--nausea/vomiting, diarrhea/constipation, bloating, pain, fullness, bleeding, etc. As you know, many of these characterize ibs, but are also seen with inflammatory, infectious, ischemic, malabsorptive, and functional disorders. Directed lab work, imaging, biopsies, stool studies are appropriate in excluding non-ibs pathology. ...Read more
Chronic back and leg pain for 4 years. Done many MRI - no hernia, cause unknown. I was told maybe it could be caused by anemia. Is that possible?
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
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
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 more
Complex: Hiatal hernia is a spectrum of disease from mild with no symptoms, to a severe, life threatening condition. Large hernias are also called paraesophageal, and can be associated with progressive symptoms of difficulty swallowing, sensation of food sticking in the lower chest, vomiting, chest pain/pressure, anemia, and weight loss. Consider a consult w/ an experienced laparoscopic surgeon if present. ...Read more
Heartburn: Not all hiatal hernias are symptomatic, but can explain symptoms if present. Commonly have heartburn, sore throat in morning, maybe even chest pain (from esophagus). Gerd (reflux disease) may even make asthma worse. See your doctor. Treatment usually starts with acid-reducing meds, with further studies like endoscopy or radiograph ordered at your doctor's discretion. ...Read more
Essentially No: 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. ...Read more
Surgery isn't usually: Needed. Any time an internal body part pushes into an area where it doesn't belong, it's called a hernia. There are 2 types of hiatal hernias, sliding and paraesophageal. Many times there are no symptoms, other times symptoms can be heartburn secondary to gerd. In sliding hiatal hernias, no surgery would be indicated. In some cases in a paraesophageal hernia, surgery is needed, discuss with md. ...Read more
Hiatal surgery: If done laparoscopically usually not associated with major issues. Depends if it is a nissen fundoplication (full wrap) or a toilet (partial wrap) this is determined by manometry test and if the test is normal then can have full wrap. A condition called gastric bloat can occur if the wrap is to tight. Usually manifested as not being able to belch. This can be a problem needing surg. ...Read more
Not recommended: Arnica montana is sometimes grown in herb gardens and has long been used medicinally. It contains the toxin helenalin, which can be poisonous if large amounts of the plant are eaten. It produces severe gastroenteritis and internal bleeding of the digestive tract if enough material is ingested. No herbal remedy has conclusively shown benefits for hiatal hernia symptoms when studied scientifically. ...Read more
Life style changes: Most hiatal hernias need no treatment. It is best to remain upright for at least 4 hours following meals, avoid smoking and drinking alchol, try not to drink liquids prior to lying down. ...Read more
Depends: On the size ; type of hiatal hernia. Most commonly medications are used to decrease acid in the stomach, avoid eating late at night or several hours before lsyonyg down. Sometimes surgical repair is indicated for some types of hiatal hernia. Newer non-invasive procedures are being developed. ...Read more
Depends: There is no magic bullet, but the use of an implanted prosthetic to reinforce the area can help make it less likely that the hernia will recur. Other factors that contribute to hernia formation is chronic coughing in patients with COPD or who smoke, and being overweight. If those factors are present, then your pcp can help you remedy those. ...Read more
"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 more
Maybe: Depends on what you mean by "act up". Stress does tend to exacerbate many symptoms, and be a cause of ulcers in the stomach. If the symptoms are severe, see your primary care provider for more information, possible testing, or referral to a gastroenterologist and/or surgeon. And don't forget to not "sweat the small stuff. And it's all small stuff". Hope this helps! ...Read more