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hital hernia is in chest cavity
Discussion in 'All Categories' started by HELEN M. MONARCH - Jan 8th, 2012 6:16 pm.
HELEN M. MONARCH
HELEN M. MONARCH
HELLO I HAVE A LARGE HITAL HERNIA WHICH IS IN MY CHEST CAVITY. HAVE PAIN AROUND R BACK BONE AN ABOVE R BREAST. DO I NEED SURGERY TO FIX THIS? RECENTLEY IN ER HAD CT OF CHEST NO CARDIAC PROBLEMS AN CAN I HAVE IT DONE LAPAROSCOPIC?
re: hital hernia is in chest cavity by Dr M K Gupta - Jan 9th, 2012 12:08 am
#1
Dr M K Gupta
Dr M K Gupta
Dear Helen M

Hiatal hernia is really a symptom in which part of the stomach sticks upward in to the chest, with an opening within the diaphragm. The diaphragm is the sheet of muscle that separates the chest area from the abdomen. It's utilized in breathing.
Causes, incidence, and risks

The cause is unknown, but hiatal hernias are closely related to some weakening from the supporting tissue. Increasing age, obesity, and smoking are known risk factors in grown-ups.

Kids with this condition are often born with it (congenital). It often occurs with gastroesophageal reflux in infants.

Hiatal hernias are extremely common, especially in people over Half a century old. This problem may cause reflux (backflow) of gastric acid from the stomach into the esophagus.
Symptoms

Heart problems

Heartburn, worse when bending over or prone

Swallowing difficulty

A hernia by itself rarely causes symptoms. Discomfort and pain are usually because of the reflux of gastric acid, air, or bile.
Signs and tests

Barium swallow x-ray

Esophagogastroduodenoscopy (EGD)

Treatment

The goals of treatment will be to relieve symptoms and stop complications.

Lowering the backflow of contents of the stomach into the esophagus (gastroesophageal reflux) will relieve pain. Medications that neutralize gastric acid, decrease acid production, or strengthen the lower esophageal sphincter (muscle that prevents acid from backing up into the esphagus) may be prescribed.

Other measures to lessen symptoms include:

Avoiding large or heavy meals

Not prone or bending over right after a meal

Reducing weight and not smoking

If these measures do not control the symptoms, or else you have complications, you may need surgery to repair the hernia.
Expectations (prognosis)

Treatment can relieve most symptoms of hernia.
Complications

Pulmonary (lung) aspiration

Slow bleeding and an iron deficiency anemia (as a result of large hernia)

Strangulation (closing off) from the hernia

Calling your health care provider

Call your health care provider if:

You have the signs of a hernia

You possess a hiatal hernia as well as your symptoms get worse or do not improve with treatment, or new symptoms develop

With regards
M.K. Gupta
re: hital hernia is in chest cavity by Melanie Harless - Feb 3rd, 2014 2:38 am
#2
Melanie Harless
Melanie Harless
My husband has sliding hiatal hernia, now getting asthma from it. Was treated for SIBO but did not help. Bad pain in upper back when standing , not as bad sitting or lying down on two pillows. Has been tested and had very high acid level even though on proton pump and ranitidine many years. Afraid of fundoplication because he has gotten choked on food many times. Can hernia be repaired without fundoplication? Thanks.

Dear Harless

We are sorry to tell you that laparoscopic fundoplication is only ideal treatment for your husband. If careful anaesthesia will be given there should not be any problem in surgery.

With regard

Sadhana
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