Article Contents ::
- 1 Details Descriptions About :: Hiatal Hernia
- 2 Hiatal hernia is a defect in the diaphragm that permits a portion of the stomach to pass through the diaphragmatic opening into the chest. Hiatal hernia is the most common problem of the diaphragm affecting the alimentary canal. Treatment can prevent complications such as strangulation of the herniated intrathoracic portion of the stomach. Age Alert Hiatal hernias are common, especially in people over age 50.
- 3 Causes for Hiatal Hernia
- 4 Pathophysiology Hiatal Hernia
- 5 Signs and symptoms Hiatal Hernia
- 6 Diagnostic Lab Test results
- 7 Treatment for Hiatal Hernia
- 8 Disclaimer ::
- 9 The Information available on this site is for only Informational Purpose , before any use of this information please consult your Doctor .Price of the drugs indicated above may not match to real price due to many possible reasons may , including local taxes etc.. These are only approximate indicative prices of the drug.
Details Descriptions About :: Hiatal Hernia
Hiatal hernia is a defect in the diaphragm that permits a portion of the stomach to pass through the diaphragmatic opening into the chest. Hiatal hernia is the most common problem of the diaphragm affecting the alimentary canal. Treatment can prevent complications such as strangulation of the herniated intrathoracic portion of the stomach. Age Alert Hiatal hernias are common, especially in people over age 50.
Causes for Hiatal Hernia
Causes Esophageal carcinoma Kyphoscoliosis Trauma Congenital diaphragm malformations Contributing factors Aging, obesity, trauma
Pathophysiology Hiatal Hernia
Pathophysiology Hernias typically result when an organ protrudes through an abnormal opening in the muscle wall of the cavity that surrounds it. In hiatal hernias, a portion of the stomach protrudes through the diaphragm. Three types of hiatal hernia can occur: sliding, paraesophageal (rolling), or mixed, which include features of both. In a sliding hernia, both the stomach and the gastroesophageal junction slip up into the chest, so the gastroesophageal junction is above the diaphragmatic hiatus. In paraesophageal hernia, a part of the greater curvature of the stomach rolls through the diaphragmatic defect. Hiatal hernia contributes to gastroesophageal reflux disease, which leads to erosion and fistulas between the esophagus and trachea.
Signs and symptoms Hiatal Hernia
Signs and symptoms Heartburn 1 to 4 hours after eating; aggravated by reclining, belching, or conditions that increase intra-abdominal pressure Regurgitation or vomiting Retrosternal or substernal chest pain (typically after meals or at bedtime) Feeling of fullness after eating Feeling of breathlessness or suffocation Chest pain resembling angina pectoris Dysphagia
Diagnostic Lab Test results
Diagnostic test results Chest X-ray reveals an air shadow behind the heart in a large hernia; lower lobe infiltrates with aspiration. Barium swallow with fluoroscopy detects a hiatal hernia and diaphragmatic abnormalities. Endoscopy and biopsy results identify the mucosal junction and the edge of the diaphragm indenting the esophagus; differentiate hiatal hernia, varices, and other small gastroesophageal lesions; and rule out malignant tumors. Esophageal motility studies reveal esophageal motor or lower esophageal pressure abnormalities before surgical repair of the hernia. pH studies identify reflux of gastric contents. Acid perfusion (Bernstein) test identifies esophageal reflux. Blood chemistry reveals decreased serum hemoglobin level and hematocrit in patients with paraesophageal hernia, if bleeding from esophageal ulceration is present. Fecal occult blood test reveals presence of blood. Analysis of gastric contents possibly shows the presence of blood.
Treatment for Hiatal Hernia
Treatment Restrict activities that raise intra-abdominal pressure (coughing, straining, bending) Pharmacologic agents: antiemetics, stool softeners, cough suppressants, antacids, and cholinergics Proton pump inhibitors Diet modifications: small, frequent, bland meals; not eating 2 hours prior to lying down; weight-loss programs Avoidance of foods that relax the lower esophageal sphincter, such as caffeine, mint, and chocolate Smoking cessation Surgical repair