Doctor insights on:
What Does A Hiatal Hernia Look Like
A buldge: Usually the 'belly button' (umbilical hernia) protrudes out, not in the usual inward appearance. To check if this is present, you should lie on your back, relax your abdomen, and press in on the buldge and see if it goes in or flat. You may actually feel and soft opening. ...Read moreSee 1 more doctor answer
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
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 moreSee 2 more doctor answers
Depends: External hemorrhoids are swollen tissue around the anus pink or red and soft but twender to touch. If it thomboses or clots, pain is increased and it will have apurple color and be firm/hard to the touch. If not sure what the swelling is, get an expert to evaluate and offer treatment options. ...Read moreSee 1 more doctor answer
Depends: External hemorrhoids are swollen tissue around the anus pink or red and soft but tender to touch. If it thomboses or clots, pain is increased and it will have a purple color and be firm/hard to the touch. If not sure what the swelling is, get an expert to evaluate and offer treatment options. ...Read moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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 moreSee 2 more doctor answers
"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
It looks like gastroenterologists specialize. How do I find one that might do hiatal hernia + acid reflux surgery?
They don't operate: Under medical specialties, there is training program in GI diseases. These clinicians are the gastro enterologists who treat and handle the diagnosis of GI disorders such as Crohns disease, Ulcerative colitis, bleeding ulcer disease and are the one who do upper and lower GI endoscopy. Surgery of the upper GI tract is performed by general surgeons who can handle reflux and hiatal disease. ...Read more
Is a hiatal hernia the same as a diaphragmic hernia? My endoscopy results use both terms so i'm confused. Online it seems a diaphragm hernia is worse.
Same thing: There's a natural hole in the diaphragm through which the esophagus passes to deliver food and drink to the stomach. When this hole stretches out, the stomach can go up in to the chest (herniate). Small amounts of stomach (small hernia) should be ignored. Large hernias are also called paraesophageal hernias, and should be considered for surgical repair. Hope this helps! ...Read more
Inguinal Hernia: Inguinal, or groin hernias are very, very common (in men). If the hernia is small and not interfering with your daily activities, it is acceptable to take a "wait-and-see" approach. If not, hernia surgery is advised; this is an outpatient operation that can be performed "open" or via laparoscopy, typically with mesh. I recommend that you see a general surgeon for a formal evaluation. Good luck! ...Read more
Lousy.: A small bowel obstruction usually occurs due to scar tissue from prior abdominal surgery, causing the bowel to kink like a garden hose. This causes the intestinal contents to back up, leading to cramping abdominal pain, nausea, vomiting, bloating, and, most tellingly, the absence of passage of stool or gas--we call this obstipation. Management requires hospitalization and sometimes even surgery. ...Read more
Yes, but it's rare: Hiatal hernia is more likely the older you get ; can exist without symptoms.Hiatal hernia can have symptoms associated with reflux--hearburn, chest pain, difficulty swallowing.Long history of reflux can result in changes in the esophagus leading to bleeding, scarring, or cancer.Rarely, hiatal hernia becomes paraesophageal hernia (part of stomach alongside esophagus in chest) ; is life threatening. ...Read more
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