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Doctor insights on: Where Is Hiatal Hernia Located

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Where are hiatal hernias located?

Where are hiatal hernias located?

Diaphragm: The diaphragm is the dome-shaped muscle that separates the abdominal from the chest cavity. All people have a hole in the diaphragm thru which the esophagus passes; this is called the hiatus of the diaphragm. This hole can become enlarged, allowing the esophagus and stomach to yo-yo up into the chest, causing reflux (gerd).

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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 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.

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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.

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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.

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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.

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Dr. James Lin Dr. Lin
1 doctor agreed:
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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...

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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.

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How is a hiatal hernia repaired?

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.

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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.

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How should I treat hiatal hernia?

C Gastroenterologist: If you are like most people, you are using "hiatal hernia" to mean gastroesophageal reflux disease (gerd). Proven rx include dietary changes, avoidance of caffeine, tobacco, and alcohol, wt loss, and acid-lowering meds. If your symptoms are bad at night, putting the head of the bed up on blocks helps, as does eating dinner early. If symptoms persist, it's best to see a GI dr (gastroenterologist).

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Hiatal hernia how can I cure it?

Hiatal hernia how can I cure it?

Operation: The only "cure" or a hiatal hernia I to have it surgically repaired. I would look for a general or thoracic surgeon with extensive experience performing thi procedure laparoscopically. You may need some testing before operation as well.

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Can hiatal hernia affect my child?

Can hiatal hernia affect my child?

Uncommon: While reflux can occur in children, having a hiatal hernia is less common. Most hiatal hernias develop over the course of a person's life.

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What does 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.

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What are the tests for hiatal hernia?

Doctor evaluation: The best "tests" are an evaluation and answering questions of possible symptoms by your doctor, such as food reflux into the throat, heartburn, feeling of food sticking when swallowed. Simple chest x-ray can be done, sometimes a ct scan, and likely best is a referral to a gastroenterologist for possible endoscopy procedure.

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What can be done about a hiatal hernia?

What can be done about a hiatal hernia?

Surgical repair: Not all hiatal hernias need to be repaired. The common type I hernia causes gerd, and is usually treated medically, but sometimes requires surgery because medecial therapy doesn't work. Type ii hernias usually require surgery if symptoms are present, because there is no effective medical therapy. Hiatal hernias are repaired laparoscopically, so most people tolerate surgery very well.

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Does exercise help with a hiatal hernia?

Does exercise help with a hiatal hernia?

Indirectly, at best.: A hiatal hernia, by definition, is an enlarged opening in the diaphragm muscle that separates the chest from abdominal cavity. It is often used interchangeably with gerd; while often both present, they are distinctly separate diseases. Exercise may indirectly help gerd by leading to weight loss but it will not improve the anatomical abnormality of a hiatal hernia.

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How do you know you have a hiatal hernia?

Scope vs X-ray: There are multiple ways to make this diagnosis, but the most common ways are upper endoscopy (a camera inserted into your mouth and stomach) or some type of x-ray. Often you will drink a dye and have an "esophagram" test. Ct scans can often show large hiatal hernias as well, but may not show a small one. Talk to your doctor to see what's best for you.

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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