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Doctor insights on: What Causes A Hiatal Hernia

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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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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


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What causes a diaphragmatic hernia?

What causes a diaphragmatic hernia?

Birth defect: It is a failure of the tissue that will form the diaphragm musle to fuse in the midline and separate the abdominal compartment from the chest compartment. ...Read more

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What is a hiatal hernia?

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. ...Read more

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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

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What causes a hernia?

What causes a hernia?

Nature/Nurture: Most hernias develop due to a "birth defect" of sorts, where natural holes in the abdominal wall present in fetal life fail to close. This may manifest itself at birth or require years of "exertion" before the hole reaches a size large enough to be evident. Other hernias are strictly "wear-and-tear" phenomena, although it is believed that they occur in-part due to inherently weak tissue. ...Read more

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What is a hiatus hernia symptoms?

Variable: Typically, small hiatal hernias do not cause symptoms, or may be a contributing factor to heartburn or regurgitation. Large hiatal hernias (paraesophageal) can cause chest pain and pressure, difficulty swallowing, anemia due to bleeding ulcers, and weight loss due to avoidance of food. See your doctor to find out more. ...Read more

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What is a hiatus hernia?

Stomach: A hiatal hernia is the protrusion (or herniation) of the upper part of the stomach into the chest through a weakness in the diaphragm (muscle that helps you breathe), where the esophagus (tube from the mouth to the stomach) has to pass through. Risk factors include: older age, obesity, straining, and hereditary factors. Treatment depends on the size and type of hiatal hernia, as well as symptoms. ...Read more

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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. ...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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What is hernia hiatal?

What is hernia hiatal?

Hiatal hernia: Is a defect in the diagphragm, which separates the chest from the abdominal cavities. Most are the sliding type, which does not require surgery most of the time. But some are paraesophageal type, which require surgery in order to prevent strangulation, a devastating complication. Consult a surgeon for specific advice about your case. ...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 constipation?

Not likely: Hiatal hernias cause heartburn and regurgitation and other swallowing issues but not constipation. ...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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What can cause a inguinal hernia?

What can cause a inguinal hernia?

Increased Pressure: In belly. Holding your breath and lifting something heavy, increasing the pressure in your abdomen. Or a chronic cough. ...Read more

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How is a hiatal hernia diagnosed?

How is a hiatal hernia diagnosed?

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

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What is hiatal hernia? What is hiatal hernia and how do people contract it?

What is hiatal hernia? What is hiatal hernia and how do people contract it?

Enlarged hiatus: A hiatal hernia is a hernia through the diaphragm. The natural opening where the esophagus comes through the diaphragm enlarges. Sometimes it gets big enough that a significant amount of stomach can get through the hole into the chest. This may or may not be related to reflux disease, which is the most common symptom associated with hiatal hernias. ...Read more

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Please tell me, could a hiatal hernia cause shortness of breath after eating?

Please tell me, could a hiatal hernia cause shortness of breath after eating?

Yes: A hiatal hernia is when the intra-abdominal contents of the upper abdomen protrude into the mediastinum or chest. If the contents are large enough, it can press on adjacent organs, ie heart and lungs, and create difficulties breathing or increasing activities. ...Read more

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How is a hiatal hernia repaired?

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

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Is extreme bloating a possible symptom of a hiatal hernia?

Is extreme bloating a possible symptom of a hiatal hernia?

Yes: Typically this would be due to large hiatal hernias also known as paraesophageal hernias. An upper GI contrast study can help with the diagnosis. ...Read more

Dr. David Earle
1,451 doctors shared insights

Hernia (Definition)

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