HomeHiatus Hernia & Diaphragmatic Hernia Hiatus Diaphragmatic Hernia Surgery Delhi Noida

 
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Hiatus Hernia & Diaphragmatic Hernia

In a hiatal hernia (also called hiatus or diaphragmatic hernia), a portion of the stomach penetrates (herniates) through a weakness or tear in the hiatus of the diaphragm, the small opening that allows the esophagus to pass from the neck and chest to its connection with the stomach.

Causes of Hiatus Hernia:

The exact cause of many hiatal hernias isn’t known. In some people, injury or other damage may weaken muscle tissue. This makes it possible for your stomach to push through your diaphragm.

Another cause is putting too much pressure (repeatedly) on the muscles around your stomach. This can happen when:

  • Coughing
  • Vomiting
  • Straining during bowel movements
  • Lifting heavy objects
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Some people are also born with an abnormally large hiatus. This makes it easier for the stomach to move through it. Factors that can increase your risk of a hiatal hernia include:

  • Obesity
  • Aging
  • Smoking

Symptoms of a hiatal hernia

It’s rare for even fixed hiatal hernias to cause symptoms. If you do experience any symptoms, they’re usually caused by stomach acid, bile, or air entering your esophagus. Common symptoms include:

  • Heartburn that gets worse when you lean over or lie down
  • Chest pain or epigastric pain
  • Trouble swallowing
  • Belching
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Gastroesophageal reflux disease (GERD) occurs when the food, liquids, and acid in your stomach end up in your esophagus. This can lead to heartburn or nausea after meals. It’s common for people with a hiatal hernia to have GERD. However, that doesn’t mean either condition always causes the other. You can have a hiatal hernia without GERD or GERD without a hernia.

Types of hiatal hernia

There are generally two types of hiatal hernia: sliding hiatal hernias and fixed, or paraesophageal, hernias.

Sliding hiatal hernia

This is the more common type of hiatal hernia. It occurs when your stomach and esophagus slide into and out of your chest through the hiatus. Sliding hernias tend to be small. They usually don’t cause any symptoms. They may not require treatment.


Fixed hiatal hernia

This type of hernia isn’t as common. It’s also known as a paraesophageal hernia.

In a fixed hernia, part of your stomach pushes through your diaphragm and stays there. Most cases are not serious. However, there is a risk that blood flow to your stomach could become blocked. If that happens, it could cause serious damage and is considered a medical emergency.

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Delhi Laparoscopic Surgery Clinic
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Ahuja Clinic
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About Anmol Ahuja

DNB (Gen Surgery), FNB (Minimal Invasive Surgery), FMAS, Fellowship in ColoRectal Surgery (Taiwan)

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Copyright by Dr. Anmol Ahuja. All rights reserved.