|Discussion in 'All Categories' started by Jenny - May 23rd, 2012 3:03 am.|
|I have done Endoscopy and said it is hernia Dr.recommended Omeprozole 20mg. I am still not compotable. always feel fullness & pain difficult to breath . when I asked for surgery said not possible to do surgery. I don't know why? I am 52yrs. old.|
re: Hiatal hernia by Dr J S Chowhan - May 24th, 2012 1:45 pm
Dr J S Chowhan
Without seeing the report we can not say why your doctor refused for surgery. Although if medicine is keeping you symptom free it is not necessary to go for surgery.
Most hiatal hernias are from the sliding type, and most seem to be not associated with symptoms. The greater the hernia, the much more likely it is to result in symptoms. When sliding hiatal hernias produce symptoms, they more often than not are those of gastroesophageal reflux disease (GERD) or its complications. This occurs since the formation of the hernia often interferes with the barrier, lower esophageal sphincter which prevents acid from refluxing from the stomach in to the esophagus. Additionally, it is known that patients with GERD tend to be more likely to have a hernia than individuals not suffering from GERD. Thus, it is clear that hiatal hernias contribute to GERD.
However, it is not clear if hiatal hernias alone can lead to GERD. Since GERD may exist in the absence of a hernia, factors apart from the existence of a hernia can cause GERD.
A hiatal hernia is definitely an anatomical abnormality by which area of the stomach protrudes through the diaphragm and up into the chest. Although hiatal hernias can be found in approximately 15% from the population, they are related to symptoms in only a minority of those afflicted.
Normally, the esophagus or food tube passes down with the chest, crosses the diaphragm, and enters the abdomen via a hole in the diaphragm known as the esophageal hiatus. Just below the diaphragm, the esophagus joins the stomach. In people with hiatal hernias, the outlet of the esophageal hiatus (hiatal opening) is greater than usual, along with a area of the upper stomach slips up or passes with the hiatus and into the chest. Although hiatal hernias are now and again seen in infants where they probably have been present from birth, most hiatal hernias in adults are viewed to possess developed over a long time.
If possible please send us the scanned copy of your endoscopy report so that we can advice you more.
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