Hiatus hernia (patient information)

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Jinhui Wu, MD

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How do I know if I have hiatus hernia and what are the symptoms of hiatus hernia?

In most patients, hiatus hernias cause no symptoms. When symptoms occur, they usually experience the symptoms like those of gastroesophageal reflux disease (GERD) or its complications.

• Heartburn and regurgitation, when stomach acid refluxes back into the esophagus. Chronic reflux of acid into the esophagus may cause injury and bleeding.
• Anemia
• Difficulty swallowing
• Symptoms in respiratory system: While sleeping, stomach secretions can seep up the esophagus and into the lungs causing chronic cough, wheezing, and even pneumonia.

Other health problems may also cause these symptoms. Only a doctor can tell for sure. A person with any of these symptoms should tell the doctor so that the problems can be diagnosed and treated as early as possible.

Who is at risk for hiatus hernia?

• Old people: Muscle weakening and loss of elasticity as people age.
• Pregnacy: Intra-abdominal forces exerted in pregnancy.
• Persistent and intense pressure on the surrounding muscles, such as when coughing, vomiting, or straining during a bowel movement or while lifting heavy objects
• Chronic constipation
• Western, fiber-depleted diet
• Obesity
• Chronic esophagitis
• Abdominal ascites

How to know you have hiatus hernia?

• upper gastrointestinal x-ray or endoscopy is done during testing to determine the cause of upper gastrointestinal symptoms such as upper abdominal pain.
• On both the x-ray and endoscopy, the hiatal hernia appears as a separate "sac" lying between what is clearly the esophagus and what is clearly the stomach. This sac is delineated by the lower esophageal sphincter above and the diaphragm below. The hernia may only be visible during swallows, however.

Where to find medical care for hiatus hernia?

Directions to Hospitals Treating hiatus hernia

Copyleft Sources

http://www.gicare.com/Diseases/hiatus-hernia.aspx

http://www.medicinenet.com/hiatal_hernia/article.htm

http://emedicine.medscape.com/article/178393-overview

http://www.mayoclinic.com/health/hiatal-hernia/DS00099/DSECTION=symptoms

http://www.healthscout.com/ency/68/57/main.html