hiatus-hernia
The stomach is a bulky divider that divides the belly from the midsection. In hiatal hernia a piece of the stomach distends upward into the midsection through an esophageal opening in the stomach. Any inside organ that inspires itself into an alternate territory of the body is known as a hernia. the throat experiences the rest and afterward meets with the stomach. The stomach lumps up through that opening and this condition is called break hernia
There are two types of hiatus hernia: para-esophageal hernia and sliding hiatal hernia.
Para-esophageal hernia:
In this condition, the stomach and esophagus locations are undisturbed. Part of the stomach actually pushes itself upward through the hiatus and lodges itself next to the esophagus. Blood supply to the stomach is strangled.
Sliding hiatal hernia
This hernia is very common. The stomach and the part of the esophagus both together slide up into the chest
area.
Hiatal or hiatus hernia can be caused by:
- Congenitally large hiatu
- Injury to the area
- Immense and continuous pressure while vomiting, straining during bowel movement, lifting heavy objects and chronic coughing
- Advanced age – because at such an age the diaphragm muscle weakens
- Indigestion or dyspepsia
- Acid reflux symptoms : the sphincter muscle does not work normally and the pressure of the diaphragm muscle on the esophagus is lost
- Heart burn: a burning feeling emerges from the abdomen or upper stomach to the lower chest area and into the neck
- Pain in upper abdomen and chest
- Acidic taste in the mouth
- Feeling bloated in the stomach
- Excessive belching
- Unable to swallow hot drinks due to burning pain in the stomach
- Persistent coughing at night due to reflux acid irritating the trachea
- Asthma symptoms
- Gum problems and bad breath
- Hoarseness
- Feeling of lump in the throat
- Severe chest pain
X-ray study A barium swallow followed by an x-ray allows examination of the esophagus and stomach.
Endoscopy or gastroscopy An endoscope is inserted into the gullet to examine the esophagus for any
abnormalities.
Esophageal Manometry Test This is a pressure study which checks the strength and muscle coordination of the
esophagus whilst swallowing.