Doctor insights on:
What Does A Hiatal Hernia Feel Like
Hiatal hernia: Most commonly patients with hiatal hernias will experience symptoms of reflux such as heartburn and regurgitation if they have any symptoms at all. The vast majority of hiatal hernias encountered are small asymptomatic hernias that require no intervention. Only those hernias that are symptomatic should be treated. If surgery is required, it usually can be done laparoscopically. ...Read more
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
Yes: Yes, swallowing a lot of air or consuming air containing beverages, for example carbonated sodas or water can fill up the stomach including the portion of stomach above the diaphragm when there is a hiatal hernia. This can result in pressure or fullness senastion in the chest and even shortness of breath. Excess swallowing of air aka as aerophagia can result from chewing gum, drinking a straw. ...Read moreSee 1 more doctor answer
Most asymptomatc: Most hiatal hernias are asymptomatic. When symptoms occur, they are usually reflux, burning and regurgitation. Large hhs can cause pain after eating, fullness, vomiting. Rarely hiatal hernias require emergent repair if they volvulize (twist). A volvulus could cause the the stomach to lose its blood supply and necrose (die). A surgeon can help evaluate a hh and determine if it needs repair. ...Read moreSee 1 more doctor answer
Common problem: Hiatal hernias in the u..S. May be as common as 1 in 3 people. A hiatal hernia is when the junction between esophagus and stomach slips up into tbe chest from its usual place in the belly. This causes the g-e junction to stop acting as a one way valve and stomach contents (food and acid) can back up into the esophagus and even the lungs. Acid reflux, aspiration pneumonia and food sticking occur. ...Read more
Hiatal hernia: Hiatal hernias do not go away with time. They either stay the same in size or get larger. You only need surgery if you have gerd/ heartburn that isn't controlled with medication. Also, if you have barrett's esophagus, that is an indication for surgery as well since that is a precancerous condition. ...Read moreSee 1 more doctor answer
"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 moreSee 1 more doctor answer
Unclear : Many people with large hiatal hernias have no reflux, and many with reflux have no hiatal hernia. Reflux is probably mostly a functional problem related to excessive random openings of the valve between the stomach and esophagus called transient lower esophageal sphincter relaxations. Hope this helps! ...Read moreSee 1 more doctor answer
At what point does a hiatal hernia need repair? Is it worth getting done because I've met my insur deductible? Also have GERD controlled by meds.
Repair likely needed: Presence of hiatal hernia along with GERD symptoms is a good enough reason to get it repaired however decision to perform a surgical intervention depends on many factors including overall health, endoscopy findings and results of other investigations. A timely evaluation by a surgeon with experience in laparoscopic repair is a good idea. ...Read moreSee 2 more doctor answers
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