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Doctor insights on: Underlying Causes Of Hiatal Hernia

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What causes hiatal hernia?

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

Dr. David Earle
1,329 doctors shared insights

Hernia (Definition)

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


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What causes a hiatal hernia?

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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What causes a tortuous esophagus if its not a hiatal hernia?

What causes a tortuous esophagus if its not a hiatal hernia?

Motility disorder: It could be a motility disorder such as distal (formerly diffuse) esophageal spasm or a nutcracker esophagus. High resolution Manometry is the test to find out. A small tube is placed into the esophagus and you swallow water 10 times. It measures the valve pressures and the coordination and strength of the muscle contractions. Hope this helps! ...Read more

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Can a hiatal hernia cause nausea?

Unlikely: Hiatal hernias do not usually cause symptoms. In some cases, though, hiatal hernias cause stomach acid to leak into the esophagus. This is called acid reflux or gastroesophageal reflux, and it can cause symptoms, including: ?burning in the chest, known as heartburn ?burning in the throat or an acid taste in the throat ?stomach or chest pain ?trouble swallowing ?a raspy voice or a sore throat. ...Read more

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How does a hiatal hernia cause gerd?

How does a hiatal hernia cause gerd?

"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

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Does hiatal hernia cause chest pain?

Does hiatal hernia cause chest pain?

It can: Large hiatal hernias, known as paraesophageal hernias, can cause chest pain, and the feeling there is a balloon inside that needs to burst. They can also cause difficulty eating, weight loss, and anemia, and sometimes heartburn and vomiting. Small hiatal hernias do not cause pain. An upper GI contrast study can tell the difference. Hope this helps! ...Read more

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Can a hiatal hernia cause constipation?

Not likely: Hiatal hernias cause heartburn and regurgitation and other swallowing issues but not constipation. ...Read more