|Discussion in 'All Categories' started by jerome - Feb 3rd, 2012 1:23 pm.|
|doctor i am having severe pain inthe diaphragm region while eating food. its very difficult for me to swallow food items.also im having severe gas trouble.earlier i was having ulcer symptoms and had taken medication also.so could ou please help me..|
re: gastrtis by Dr M.K. Gupta - Feb 4th, 2012 10:37 pm
Dr M.K. Gupta
You need to have upper GI endoscopy done to find out your problem. A hiatus hernia is where part of the stomach pushes up into the lower chest through a defect in the diaphragm. The diaphragm is the large flat muscle that separates the lungs from the abdomen, which helps us to breathe.
Most people with a hiatus hernia do not have any symptoms or problems. However, the hernia makes you more prone to reflux acid into your oesophagus (gullet) which can cause heartburn and other symptoms. If symptoms do occur, treatment with acid-suppressing medication usually works well.
The precise number of people having a hiatus hernia is not known, as numerous people with a hiatus hernia do not have symptoms. However, they're regarded as common. Some studies claim that up to and including quarter of people being investigated for dyspepsia (indigestion) are discovered to have a hiatus hernia.
The cause of hiatus hernia is not clear. It is thought that most develop in people over the age of 50 years. It may be the diaphragm weakens with age and allows part of the stomach to protrude with the hole in the diaphragm. Factors which increase the pressure in the abdomen, such as regular coughing, lifting weights, or obesity, could raise the chance of developing a hiatus hernia.
(There's a rare type of hiatus hernia which occurs in newborn babies, as a result of congenital defect from the stomach or diaphragm. This is not handled further within this leaflet.)
What are the the signs of hiatus hernia?
Often there are none
The hernia itself does not cause symptoms. However, for those who have a hiatus hernia, the factors that normally prevent stomach acid from refluxing in to the oesophagus might not work so well. The sphincter may not work correctly, and the normal pressure from the diaphragm around the oesophagus sheds. Therefore, you are more prone for acid within the stomach to reflux (regurgitate) to your oesophagus. The refluxed acid can cause inflammation from the lower part of the oesophagus which can cause one or more from the following symptoms:
Heartburn: this is the main symptom. This is a burning feeling which rises in the upper abdomen or lower chest up towards the neck. (It is confusing as it is not related to the heart!)
Other common symptoms include: pain within the upper abdomen and chest, queasy, an acid taste in the mouth, bloating, belching, and a burning pain whenever you swallow hot drinks. Like heartburn, these symptoms often come and go, and are usually worse following a meal.
Some uncommon symptoms may occur. If any of these symptoms occur, it can make the diagnosis difficult, because these symptoms can mimic other conditions. For instance:
A persistent cough, particularly during the night, sometimes occurs. This really is because of the refluxed acid irritating the trachea (windpipe). Asthma the signs of cough and wheeze can sometimes be because of acid reflux disease.
Other mouth and throat symptoms sometimes occur such as gum problems, foul breath, sore throat, hoarseness, along with a feeling of a lump within the throat.
Severe heart problems develops in some instances (and could be mistaken for any cardiac arrest).
Note: most people with acid reflux disease don't have a hiatus hernia. Also, many people with a hiatus hernia don't have the signs of acid reflux. (If you have a hiatus hernia it doesn't suggest that the sphincter between your oesophagus and stomach doesn't work very well. It is only that using a hiatus hernia makes you prone to having a poorly functioning sphincter and more vulnerable to developing acid reflux symptoms.)
However, people with a hiatus hernia who do get reflux, on average, tend to have more severe symptoms and problems associated with acid reflux. This can be because, having a hiatus hernia, any acid that enters the oesophagus is more likely to remain in connection with the liner from the oesophagus for longer in contrast to men and women without a hiatus hernia.
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