Doctor insights on:
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 moreSee 2 more doctor answers
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 moreSee 3 more doctor answers
Hiatal hernia: Is herniation, or protrusion, of a portion of stomach (which is normally in the abdomen) into the chest through the esophageal hiatus, thus "hiatal" hernia. There are different types though and some require urgent surgery, although most are of the "sliding" type that is usually harmless. It also depends on the extent of the stomach herniation and other organ involvement. ...Read more
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
Diaphragm: A hiatal hernia occurs at the spot where the esophagus goes through the diaphragm, a thin muscle that separates the abdomen and chest cavities. When this aperture loosens it allows the top part of the stomach to slide up a little into the chest. It can then result in reflux and heartburn. ...Read moreSee 1 more doctor answer
Is the surgery open?: I f the surgery open it is painful the first 3-4 days, with laparoscpic repain in experienced surgeon , it should be much easier. ...Read more
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
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: On the size ; type of hiatal hernia. Most commonly medications are used to decrease acid in the stomach, avoid eating late at night or several hours before lsyonyg down. Sometimes surgical repair is indicated for some types of hiatal hernia. Newer non-invasive procedures are being developed. ...Read more
Hiatal hernia: Hiatal hernia can be quite painful and you must see your doctor about this. Hiatal hernia should not cause chest pain and you must also bring this to your doctor. Don't wait too long to see your doctor. If he/she cannot fit you in soon please go to the Emergency Department. ...Read more
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
2 main parts: Though individual variations occur, the usual objectives include appropriate reapproximation of the diaphragm defect and some form of gastropexy - usually complete fundoplasty or partial. If the defect is large or recurrent in nature, a mesh may be needed for repair. ...Read moreSee 1 more doctor answer
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