Top
20
Doctor insights on: Very Large Hiatal Hernia

Share
1

1
Could large hiatal hernia be missed on x-ray?

Could large hiatal hernia be missed on x-ray?

Yes: A regular chest x-ray should reveal a large hiatal hernia, but if done for another purpose it could be missed. Ct scan can also miss this if they are looking for something else. Very unlikely to be missed on an upper GI contrast study or esophagram. Hope this helps!

See 3 more doctor answers

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


4

4
Can I eat something that might bother my GERD symptoms in moderation? Will it make my hiatal hernia larger?

Can I eat something that might bother my GERD symptoms in moderation? Will it make my hiatal hernia larger?

It's up to you: There are no hard and fast rules. Eating something that gives you symptoms of gerd is your choice. If you want to avoid the symotoms then don't eat it. It certainly will not affect your hiatal hernia size.

5

5
Can a large hiatal hernia develop a smal hard knot eel in the distended adbominal area that burns and is painful to gentle touch? Is this ok?

Can a large hiatal hernia develop a smal hard knot eel in the distended adbominal area that burns and is painful to gentle touch? Is this ok?

(K)NotUrHiatalHernia: A hiatal hernia is an enlargement of the normal opening in your diaphragm thru which the esophagus passes; it is internal and nonpalpable. The knot you are describing may be an abdominal wall (ventral) hernia (especially if it's in the midline, at belly button or upper abdomen). I recommend you see your primary care doctor for an examination of this "knot".

See 1 more doctor answer
7

7
I have a large hiatal hernia. Whenever I get severe stomach pains, the pain also travels to my left shoulder. Why is this?  

I have a large hiatal hernia. Whenever I get severe stomach pains, the pain also travels to my left shoulder. Why is this?  

Nerve root: Hello, as babies when we are developing stomach gets its nerve supply through the same nerve root that supplies the shoulder. After we grow the stomach gets pulled down but because the nerve supply is the same, any pain in the stomach or spleen area can radiate to your left shoulder blade.

8

8
What type of pain can I expect with the large hematoma pressing against my surgical incision from the hiatal. Hernia repair?

What type of pain can I expect with the large hematoma pressing against my surgical incision from the hiatal. Hernia repair?

Hard 2 Answer: It is often very difficult to sort out incisional pain from pain secondary to the operation performed. Was your operation laparoscopic or open? ...How long ago? ...How big of a hematoma? ...Was mesh used? The best person to answer this question is your surgeon. I assume that he/she is keeping a close eye on your situation. In general, severe pain mandates close follow-up. Good luck!

See 1 more doctor answer
9

9
I have a large hiatal hernia and have really bad chest and shoulder pain. How does the hernia make u get this pain? Your arm and tummy ain't conected

I have a large hiatal hernia and have really bad chest and shoulder pain. How does the hernia make u get this pain? Your arm and tummy ain't conected

Referred pain: The nerves that control your diaphragm muscle come from up in your neck. So when those nerves get irritated you feel the pain where they come from, ie your shoulder. Your whole is body is connected in ways that we don't often think about..

See 2 more doctor answers
10

10
I had small sliding hiatal hernia 4/12. 3/27/13 I was hit from behind in car accident with seatbelt on 4/2/13 had gastric bypass surgery; found large paraesophageal hernia. Can the accident cause this?

I had small sliding hiatal hernia 4/12. 3/27/13 I was hit from behind in car accident with seatbelt on 4/2/13 had gastric bypass surgery; found large paraesophageal hernia. Can the accident cause this?

It is possible: It is possible, but difficult to know 100%. It would be helpful to know how large the hernia was at the time if you gastric bypass, something your surgeon would know. You should see your surgeon anyway to help guide you on what to do about the paraesophageal hernia. Hope this helps!

See 4 more doctor answers
11

11
I have been noticing lately that become short of breath after a large meal. It feels like my stomach is pushing on my lungs. Hiatal hernia?

I have been noticing lately that become short of breath after a large meal. It feels like my stomach is pushing on my lungs. Hiatal hernia?

Possibly: Could be a hiatal hernia, but could also be normal. As your stomach fills up, there is less room for your lungs to push down to inflate, so your feeling like stomach pushing on lungs is correct. Easiest way to fix is not eat large meals. Maybe more frequent, smaller meals.

See 1 more doctor answer
12

12
Large hiatal hernia with moderate to severe gastroesophageal reflex disease with erythema and ulceration in the lower and mid third of the esophagus?

Large hiatal hernia with moderate to severe gastroesophageal reflex disease with erythema and ulceration in the lower and mid third of the esophagus?

Take Precautions: With that kind of esophageal damage, your dr should have you on reflux medications. You should also have planned follow ups to be sure the treatment is working and the ulcerations are resolving. You should also discuss long term treatment options (medication, surgery).

See 1 more doctor answer
13

13
My wife has had a hiatal hernia. It now looks larger than a golf ball sticking out of her stomach. She's been short of breath, nauseated and bloated. What should I do?

My wife has had a hiatal hernia. It now looks larger than a golf ball sticking out of her stomach. She's been short of breath, nauseated and bloated. What should I do?

Cannot see: A hiatal hernia on the outside of a person. A hiatal hernia is deep inside where the stomach goes into the chest. If you see a hernia bulge on the outside it could be an umbilical or ingunai (groin) hernia, or hernia in a scar from past surgery. If you see a hernia bulge & it is hard & tender, then see a doctor asap.

See 2 more doctor answers
15

15
What is hiatal hernia?

What is 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.

See 3 more doctor answers
16

16
What is a hiatal hernia?

Hole in diaphragm: 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.

See 2 more doctor answers
17

17
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.

18

18
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.

See 2 more doctor answers
Dr. James Lin Dr. Lin
1 doctor agreed:
19

19
Hiatal hernia produces disnea?

Dr. James Lin Dr. Lin
1 doctor agreed:
Hiatal hernia produces disnea?

Maybe, depend....: Pulmonary function may be affected leading to dyspnea if hiatal hernia is large enough to impair lung expansion at inspiration, especially in someone with already marginal pulmonary functional reserve. So, ask your doctor so to discuss individual variation and significance. Best wish to health...

20

20
Could hiatal hernia get smaller?

Could hiatal hernia get smaller?

No: Hiatal hernias don't resolve. Fortunately, most do not cause symptoms or problems. They often enlarge with time, but not always.

See 1 more doctor answer
Dr. David Earle
1,437 Doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more