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Sliding Hiatus Hernia
Separating the lungs from the stomach is a sheet of muscle called the diaphragm. The diaphragm expands and contracts to suck in air into the lungs. A small hole in the diaphragm allows the food passage or esophagus to carry food and liquid into the stomach. This small hole or hiatus usually fits tightly around the esophagus ensuring that food or liquid does not trickle into the air passage. However, due to a number of reasons, the hiatus may weaken or even enlarge allowing the stomach to move up and down through the hiatus.
In sliding hiatus hernia, a portion of the stomach slides back and forth through the hole into the chest region. Most cases of mild sliding hiatal hernia may cause no pain and show very few major symptoms. However, complicated cases or serious hiatus hernia may require surgery to correct the problem.
Sliding Hiatus Hernia Symptoms, Treatment, Diagnosis & Causes
Some sliding hiatus hernia symptoms may go unnoticed due to the small size of the hiatus. Individuals may not encounter any major problems or complications from small sliding hiatus hernia conditions. However, in the case of enlarged hiatus, individuals may suffer from symptoms such as:
While most cases of sliding hiatus hernia may not cause many problems, sometimes complications may occur. These may lead to inflammation, chronic bleeding causing anemia, scarring of tissue, narrowing of the esophagus and stomach acids flowing into the lungs causing breathlessness.
In case of sliding hiatal hernia, treatment may be required only in certain rare cases where severe complications arise or there is concern over dislocation. Otherwise, sliding hiatal hernia cure may comprise of medications and a change in diet and lifestyle. In certain cases, sliding hiatal hernia repair may be suggested by your doctor to either lessen the size of enlargement or strengthen the diaphragm. In some individuals, the acid reflux due to a sliding hiatal hernia may cause unbearable pain, inflammation, and even bleeding. Your doctor may suggest surgery for sliding hiatal hernia in such cases. This may involve reconstructing the weakened esophageal hole or hiatus. Other sliding hiatal hernia treatments may include
Tests to determine a sliding hiatal hernia may include an X-ray or an endoscopy exam. In the case of an X-ray exam, individuals drink a medicated liquid that covers the upper digestive tract, including the throat, esophagus, stomach, and small intestine. This allows your doctor with a clear silhouette of your upper digestive tract. It also enables them to determine if you suffer from an enlarged hiatus or if there has been a shift or movement of the stomach through the hiatus. Endoscopy shows a clear sliding hiatal hernia prognosis and allows your doctor to determine further course of action to treat it.
During an endoscopy exam, a supple elastic tube attached with a video camera may be inserted through the throat into the individual's esophagus and stomach to determine any inflammation, scarring or bleeding. Other tests or procedures used to determine sliding hiatal hernia includes an ultrasound of the abdomen to check for abnormalities, esophageal Ph monitoring to check for abnormal levels of acid in the esophagus over 24 hours, and a cardiac evaluation consisting of electrocardiogram to rule out any heart conditions.
It is difficult to determine the exact cause of sliding hiatal hernia in individuals. However, possible causes may include
Repetitive activities that may cause pressure on the diaphragm such as continuous coughing, wheezing, vomiting, or strain during bowel movement may provide other causes for sliding hiatal hernia. In some cases, a congenital reason, such as being born with an enlarged hiatus or weak diaphragms may also register as sliding hiatal hernia causes.
|Submitted on January 16, 2014|