A hiatal hernia is the emerging of a section of the stomach by pushing through the hiatus (opening of the diaphragm) onto the inside of the chest. The small ones usually have no symptoms but the big ones may result in reflux, heartburn and chest pain.
Several patients with a hiatal hernia complain of:
There are a number of reasons why a hiatal hernia develops:
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Non-traumatic hiatal hernia is a code of ICD-10 K44.9.
Large hernias, severe reflux, bleeding, or complications with no response to medical treatment are general indications of surgery.
In majority cases the patient can go back to light activities 1-2 weeks later with a full-recovery to follow in 4-6 weeks.
Part of the stomach that is sticking above the diaphragm through the hiatus will be seen by imaging tests, like endoscopy or a barium swallow.
Yes. Others not only have mild pains on their backs or shoulders as a result of the pressure and irritation of the herniated stomach.
Yes. Herrias, which are larger might push against the lungs or the diaphragm causing the shortness of breath, particularly when bending forward or lying down.
Among the crucial self-care practices are eating small meals and frequent meals that do not contain spicy or acidic food that one should not sleep after meals by raising the head of the bed and maintaining a good body weight and keeping away tobacco.
Eat balanced and nutritious food, engage in low impact physical activities such as walking or swimming, and should avoid foods that cause reflux in you and seek the advice of the healthcare team members or a nutritionist.
Surgery on hiatal hernia allows one to move the stomach back into the abdominal cavity and close the opening of the diaphragm. Laparoscopically (minimally invasive) and open surgery can be used should the necessity occur.
See a gastroenterologist in case of frequent heartburn, chest pains, trouble in swallowing, symptoms that do not respond to medication and if you notice any red flags such as bleeding.
