What is a Hiatal Hernia?
Friends, let us tell you that a hiatal hernia occurs when the upper part of your stomach pushes upwards into your diaphragm as well as your chest area.
And tell that the diaphragm is a large muscle and the one that is located between your abdomen and chest You use this muscle to help you breathe Usually, that’s where your stomach is under the diaphragm, but in people with a hiatal hernia, it pushes a part of your stomach up through the muscles And that opening through which it passes is called the gap.
Types of Hiatal Hernia
So let us tell you that there are usually two types of hiatal hernia: sliding hiatal hernias and fixed, and that either it is paraesophageal, hernia.
Sliding hiatal hernia
Tell friends that this is the more common type of hiatal hernia This happens when your stomach and esophagus slide in and out of your chest through the gap In addition, sliding hernias are smaller They usually do not cause any symptoms, and may not require treatment as well.
Fixed hiatal hernia
Tell friends that this type of hernia is not that common It is also known as paraesophageal hernia.
In a definitive hernia, it only pushes part of your stomach through your diaphragm and remains there And with this, most cases are not serious. But there is a risk that blood flow to your abdomen could be blocked And friends tell that if this happens, then it can cause serious harm and at the same time it is considered a medical emergency.
Symptoms of a Hiatal Hernia
Friends, it is rare for even definite hiatal hernias to cause symptoms If you do experience any symptoms, they are usually due to your stomach acid, bile or air entering your esophagus And friends, common symptoms include:
- Tell friends that it is heartburn that increases when you bend down or lie down.
- and also acid reflux or GERD
- chest pain and that or this stomach ache
- and you have trouble swallowing
Surgery for a hiatal hernia
And at the same time, surgical treatment is sometimes needed to correct the large hiatal hernia and treat the symptoms of heartburn And it is used with surgery for hiatal hernias as well if reflux symptoms cannot be successfully controlled with medication or if you have a type of hernia called a giant esophageal hernia and the one that is also called the intrathoracic abdomen.
Type of surgery
Friends, let us know that while hiatal hernias can often be treated with lifestyle changes and either medication, some people may require surgery to repair their hiatal hernias.
Be aware that surgery to repair a hiatal hernia may involve tightening your diaphragm as well as pulling your stomach out of the chest cavity back into the abdomen.
And that a surgeon will recommend surgery based on the stage of your hiatal hernia.
So common surgical options include:
- Interval repair surgery: This surgery uses sutures and prostheses to tighten and reduce the size of the enlarged hiatus, and that is, the opening in the diaphragm that leads to the esophagus on its way to the stomach. And at the same time it prevents your stomach from moving upward through the gap and this is what is used for early stage hiatal hernia.
- Nissan FundoApplication: This procedure involves using stitches to wrap the upper part of the stomach, called the fundus, around the lower part of the esophagus so that the stomach can be placed under the diaphragmatic gap Also, those stitches put pressure on the end of your esophagus which prevents stomach acid as well as food from flowing through the stomach.
- Collis-Nissen Gastroplasty: Friends, this surgery is used to lengthen the esophagus in patients with more complex forms of hiatal hernia due to esophageal shortening. And also in this procedure, a surgeon will use that tissue to expand your esophagus from the upper part of your stomach.
What to expect
Friends, let us tell you that the surgery to repair a hiatal hernia usually takes 2 to 3 hours and with this, it is done while you are under general anesthesia, and friends it is so that you can sleep And with this I will not feel pain during the procedure.
So this surgery to repair a hiatal hernia can be done using different techniques that are:
- open repair: Let me tell you that this is in open repair surgery, only that your surgeon will make a big surgical cut in your stomach to do the surgery.
- Laparoscopic repair: And note that in laparoscopic surgery, your surgeon will make several small cuts in your abdomen and also insert a thin tube with a tiny camera through one of the cuts. Explain that surgical instruments will be inserted through other cuts. Your surgeon will use a monitor attached to the camera to view the inside of your abdomen and perform the surgery as well.
Friends, let us tell you that you can expect to stay in the hospital for 1 to 2 days after your surgery And with this, some surgeries may require you to follow a soft or liquid diet and avoid carbonated drinks for a few weeks after surgery.
Be aware that you may find that your appetite has decreased after surgery, and that some patients may experience diarrhea during the first few days after hernia repair.
Note that there are usually no significant restrictions after hiatal hernia repair surgery, which means that walking, climbing stairs, having sex, and doing either or that exercise is fine as long as it doesn’t hurt Deliver.
Friends, let us tell you that your surgeon or doctor will provide more specific guidelines and instructions for your recovery, and that depends on what type of surgery you have done along with it.
Treatment Options for Hiatal Hernias
It should be noted that most cases of hiatal hernia do not require treatment. And the presence of those symptoms usually determines the treatment And also that if you have acid reflux and heartburn, you can be treated with drugs and that, if they don’t work, and that’s surgery.
So these are the medicines that your doctor may prescribe and they include:
- For example, these over-the-counter (OTC) antacids are meant to neutralize stomach acid.
- OTC and either prescription H2-receptor blockers that reduce acid production
- Plus, they use OTC or prescription proton pump inhibitors to stop acid production, as well as give your esophagus time to heal.
Tell friends that hiatal hernia causes symptoms of acid reflux. In addition, changing your diet may reduce your symptoms. And with that said, eating small meals several times a day instead of three large meals can help And along with this, within a few hours of going to bed, you should avoid eating food and either breakfast.
So these are some of the foods that can increase your risk of heartburn. And consider avoiding that reliable source:
- and that spicy food
- and that chocolate
- as well as those foods made from tomatoes
- and that caffeine
- and also that citrus fruit
- and that wine
So other ways to ease your symptoms include:
- and stop smoking
- And at the same time, you should raise the head of your bed at least 6 inches
- and at the same time refrain from bending over after eating and either lying down
- Causes and risk factors of hiatal hernia
- Tell friends that the exact cause of many hiatal hernias is not known. In addition, in some people, injury or other damage can weaken muscle tissue. And at the same time, it makes it possible for your stomach to push through your diaphragm.
Along with this, another reason is putting too much pressure (repeatedly) on the muscles around your abdomen. And it can also happen when:
- your cough
- you vomit
- and that strain during bowel movements
- lifting heavy objects
- And at the same time, some people are also born with unusually large gaps. And at the same time, it makes it easier for the stomach to move through it.
So the factors that increase your risk of a hiatal hernia include:
- you that fat
- and he smokes
Friends, you cannot completely avoid a hiatal hernia, but you can avoid making hernia worse in the following ways:
Lose extra weight
- Tell friends that there should be no tension during bowel movement.
- as well as getting help when you lift heavy objects
- And also I avoid tight belts and some abdominal exercises.
- And with this I test and diagnose hiatal hernia
- And also these many tests can only diagnose a hiatal hernia.
Tell friends that your doctor may ask you to drink liquid containing barium before taking X-rays In addition, this X-ray provides a clear silhouette of your upper digestive tract And also that image allows your doctor to see the location of your abdomen And also that if it’s coming out of your diaphragm, and that’s then you have a hiatal hernia.
Tell friends that your doctor can do endoscopy. And with that they’ll slide a thin tube down your throat and pass it to your esophagus as well as your stomach so That’s Yours Doctor then will be able to seeing And if your stomach is a pushing through yours diaphragms And with that she’ll see no throttle and she’ll either block.
Hiatal hernia prevention
Friends, let us tell you that doctors do not know exactly what is the cause of hiatal hernia and either it or how to prevent them from happening.
However, some factors such as obesity and living with smoking can increase your risk of hiatal hernia, and this is because maintaining a moderate weight as well as quitting smoking increases your risk of developing it. Only in reducing that can help.
Explain that this blockage and that or a strangulated hernia can block blood flow to your abdomen And at the same time it is considered a medical emergency. And also call the doctor right away if:
- And that you feel nauseous
- you are vomiting
- and also that you can’t pass gas or empty your bowels
- And don’t assume that a hiatal hernia is causing pain or discomfort in your chest. It can also be a sign of heart problems and that or even a peptic ulcer. And with that said it is important that you see your doctor. Only testing can find out what is causing your symptoms.
What is the Connection Between GERD and Hiatal Hernia?
And that gastroesophageal reflux disease (GERD) happens when food in your stomach, along with fluid and acid, end up in your esophagus This can lead to heartburn or nausea only after a meal. GERD is common in people with a hiatal hernia And with that said, however, it does not mean that one condition always causes another And with that you can have hiatal hernia without GERD and that or hernia without GERD.
Friends, many people with this hiatal hernia do not have any symptoms and at the same time they do not require medical care. But for people with more severe hernias, it may only be necessary to treat them with medication, lifestyle changes, and, in some cases, to heal the hernia and provide relief from uncomfortable symptoms such as heartburn and chest pain. Surgery may be required.
Be aware that it is possible for a hiatal hernia to recur after surgery In a 2020 study, patients who had minimally invasive fundoplication surgery had that recurrence rate of 18 percent.
As well as making lifestyle changes such as losing weight and maintaining a healthy weight, as well Quitting smoking, eating smaller portions of meals, limiting certain fatty and acidic foods, and eating at least 3 to 4 hours before lying down will help you manage the symptoms of a hiatal hernia He can help you.