{"id":853,"date":"2019-07-22T09:14:03","date_gmt":"2019-07-22T09:14:03","guid":{"rendered":"https:\/\/www.drrpadmakumar.com\/blog\/?p=853"},"modified":"2024-07-18T13:24:30","modified_gmt":"2024-07-18T13:24:30","slug":"hiatal-hernia","status":"publish","type":"post","link":"https:\/\/www.drrpadmakumar.com\/blog\/hiatal-hernia\/","title":{"rendered":"Hiatus Hernia &#8211; Symptoms, Causes, Diagnosing, Treatment"},"content":{"rendered":"\n<p class=\"text-justify\">A hiatus hernia is a condition developed when the upper part of the stomach bulges through an opening in the diaphragm. The diaphragm is a muscle that separates the abdomen and chest. It has a small opening through which the food tube passes and connecting to the stomach. In a hiatus <a href=\"https:\/\/www.drrpadmakumar.com\/blog\/laparoscopic-hernia-surgery\/\">hernia<\/a>, the stomach pushes up through the opening in the diaphragm and bulges into the chest. The bulging of stomach to the chest can cause food and acid going up into the esophagus causing heartburn.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1200\" height=\"900\" data-src=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-1.jpg\" alt=\"Hiatus Hernia is a condition developed when the upper part of the stomach bulges through an opening in the diaphragm.  Hiatus hernia can be repaired Laparoscopically.\" class=\"wp-image-3723 lazyload\" data-srcset=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-1.jpg 1200w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-1-300x225.jpg 300w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-1-1024x768.jpg 1024w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-1-768x576.jpg 768w\" data-sizes=\"(max-width: 1200px) 100vw, 1200px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1200px; --smush-placeholder-aspect-ratio: 1200\/900;\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center\"><em>Hiatus Hernia occurs when the upper part of the stomach bulges through an opening in the diaphragm<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading page-header\">Symptoms of hiatus hernia<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/en.wikipedia.org\/wiki\/Heartburn\" target=\"_blank\" rel=\"noreferrer noopener\">Heartburn<\/a><\/li>\n\n\n\n<li>Backflow of food and liquids into the mouth<\/li>\n\n\n\n<li>Backflow of stomach acid into the esophagus<\/li>\n\n\n\n<li>Difficulty in swallowing<\/li>\n\n\n\n<li>Chest or abdominal pain<\/li>\n\n\n\n<li>Shortness of breath<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading page-header\">Causes<\/h2>\n\n\n\n<p>A hiatus hernia may be caused by:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Age-related changes in the muscles of the diaphragm<\/li>\n\n\n\n<li>Injury to the area after trauma or surgery<\/li>\n\n\n\n<li>Birth defects with an unusually large hiatus<\/li>\n\n\n\n<li>Persistent and intense pressure on the surrounding muscles of the diaphragm<\/li>\n\n\n\n<li><a href=\"https:\/\/www.drrpadmakumar.com\/blog\/weight-loss-surgeries\/\">Obesity<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading page-header\">Diagnosing Hiatus Hernia<\/h2>\n\n\n\n<p class=\"text-justify\">Endoscopic examination of the esophagus and the stomach will diagnose the condition. Other test includes x-ray with dye of the upper digestive system and esophageal manometry to measure the rhythmic muscle contractions and coordination and force exerted by the muscles of the esophagus when food is swallowed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading page-header\">Treatments<\/h2>\n\n\n\n<p class=\"text-justify\">Medications are prescribed to ease the symptoms including recurrent heartburn, acid refluxes and to reduce acid production. Medication along with lifestyle modification is necessary:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Consume several smaller meals rather than a few large meals<\/li>\n\n\n\n<li>Avoid fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine that trigger heartburn<\/li>\n\n\n\n<li>Avoid lying down right after a meal<\/li>\n\n\n\n<li>Have the dinner at least two to three hours before bedtime.<\/li>\n\n\n\n<li>Maintain a healthy weight or reduce the excess weight<\/li>\n\n\n\n<li>Stop smoking and alcohol consumption<\/li>\n\n\n\n<li>Elevate the head end of bed while lying<\/li>\n\n\n\n<li>Perform any kind of physical activity or exercises at least 5 days a week<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading page-header\">Surgical treatment <\/h2>\n\n\n\n<p class=\"text-justify\">Options include pulling back the bulged stomach into the abdomen and reconstructing an esophageal sphincter. <\/p>\n\n\n\n<p><strong>Open Method:  <\/strong>Less preferred due to difficulty to perform and severe pain the patient will experience later.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Laparoscopic Repair of Hiatus Hernia<\/strong><\/h4>\n\n\n\n<p>It is the gold standard treatment for hiatus hernia with excellent result as the cuts are very small and handling of intestines is very minimal.  If required 3 days of hospitalization and the procedure is done under general anesthesia.  Short period of reduced activity is recommended &#8211; maybe for 10 days.<\/p>\n\n\n\n<p>The patient can have soft diet initially and then normal diet in 2 weeks&#8217; time.  The patient may have to continue antacid drugs for a month or so.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1156\" height=\"521\" data-src=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatal-hernia-stomach-view-1.jpg\" alt=\"Hiatal Hernia Stomach View using Laparoscope.  Laparoscopic Repair of Hiatus Hernia is the gold standard treatment for hiatus hernia\" class=\"wp-image-3707 lazyload\" data-srcset=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatal-hernia-stomach-view-1.jpg 1156w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatal-hernia-stomach-view-1-300x135.jpg 300w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatal-hernia-stomach-view-1-1024x462.jpg 1024w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatal-hernia-stomach-view-1-768x346.jpg 768w\" data-sizes=\"(max-width: 1156px) 100vw, 1156px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1156px; --smush-placeholder-aspect-ratio: 1156\/521;\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center\">Hiatus Hernia &#8211; <em>Stomach View<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1156\" height=\"521\" data-src=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-wide-hiatus.jpg\" alt=\"Hiatus Hernia - Wide Hiatus\" class=\"wp-image-3711 lazyload\" data-srcset=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-wide-hiatus.jpg 1156w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-wide-hiatus-300x135.jpg 300w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-wide-hiatus-1024x462.jpg 1024w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-hernia-wide-hiatus-768x346.jpg 768w\" data-sizes=\"(max-width: 1156px) 100vw, 1156px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1156px; --smush-placeholder-aspect-ratio: 1156\/521;\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center\"><em>Hiatus Hernia &#8211; Wide Hiatus<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1156\" height=\"600\" data-src=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/esophagus-with-vagus-nerve.jpg\" alt=\"Wide Hiatus - Esophagus with Vagus Nerve \u2013 seen on monitor through laparoscope on repair of Hiatal Hernia\" class=\"wp-image-3714 lazyload\" data-srcset=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/esophagus-with-vagus-nerve.jpg 1156w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/esophagus-with-vagus-nerve-300x156.jpg 300w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/esophagus-with-vagus-nerve-1024x531.jpg 1024w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/esophagus-with-vagus-nerve-768x399.jpg 768w\" data-sizes=\"(max-width: 1156px) 100vw, 1156px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1156px; --smush-placeholder-aspect-ratio: 1156\/600;\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center\"><em>Esophagus with Vagus Nerve &#8211; seen on monitor through laparoscope on repair of Hiatal Hernia <\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1156\" height=\"600\" data-src=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-opening-closed.jpg\" alt=\"Hiatus Hernia Repair \u2013 Hiatus Opening Closed\" class=\"wp-image-3716 lazyload\" data-srcset=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-opening-closed.jpg 1156w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-opening-closed-300x156.jpg 300w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-opening-closed-1024x531.jpg 1024w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/hiatus-opening-closed-768x399.jpg 768w\" data-sizes=\"(max-width: 1156px) 100vw, 1156px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1156px; --smush-placeholder-aspect-ratio: 1156\/600;\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center\"><em>Hiatus Hernia Repair &#8211; Hiatus Opening Closed<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" width=\"1156\" height=\"600\" data-src=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/fundoplication-stomach-wrap-esophagus.jpg\" alt=\"Fundoplication - Stomach wrap around Esophagus\" class=\"wp-image-3719 lazyload\" data-srcset=\"https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/fundoplication-stomach-wrap-esophagus.jpg 1156w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/fundoplication-stomach-wrap-esophagus-300x156.jpg 300w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/fundoplication-stomach-wrap-esophagus-1024x531.jpg 1024w, https:\/\/www.drrpadmakumar.com\/blog\/wp-content\/uploads\/2024\/07\/fundoplication-stomach-wrap-esophagus-768x399.jpg 768w\" data-sizes=\"(max-width: 1156px) 100vw, 1156px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 1156px; --smush-placeholder-aspect-ratio: 1156\/600;\" \/><\/figure>\n\n\n\n<p class=\"has-text-align-center\"><em>Fundoplication &#8211; Stomach wrap around Esophagus<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading page-header\">Hiatus Hernia Treatment in India<\/h2>\n\n\n\n<p>Dr. R. Padmakumar performs Hiatus Hernia repair both laparoscopically as well as open procedure.  Laparoscopic Treatment has advantages as it is done through keyhole incisions.  The cost of hiatus hernia treatment in India is same as that as other parts of the world. <\/p>\n\n\n\n<h2 class=\"wp-block-heading page-header\">Other Types of Hernias<\/h2>\n\n\n\n<p>Other types of Hernias include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Inguinal hernia<\/li>\n\n\n\n<li>Ventral Hernia<\/li>\n\n\n\n<li>Obturator Hernia<\/li>\n\n\n\n<li>Femoral Hernia<\/li>\n\n\n\n<li>Umbilical hernia<\/li>\n\n\n\n<li>Incisional hernia<\/li>\n<\/ul>\n\n\n\n<div class=\"row row-cols-1 row-cols-md-2 g-4 bg-lightblue mt-2 mb-3\">\n    <div class=\"col\">\n        <div class=\"card h-100 shadow cardhover\">\n            <div class=\"card-body\">\n                <h3 class=\"card-title text-start\">Inguinal Hernia<\/h3>\n                <p class=\"card-text\"><a href=\"https:\/\/www.drrpadmakumar.com\/blog\/inguinal-hernia\/\">Inguinal hernia<\/a> is a condition that occurs when abdominal tissues, such as part of the intestine, protrudes through a weak spot of the inguinal canal.<\/p>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"col\">\n        <div class=\"card h-100 shadow cardhover\">\n            <div class=\"card-body\">\n                <h3 class=\"card-title text-start\">Ventral Hernia<\/h3>\n                <p class=\"card-text\"><a href=\"https:\/\/www.drrpadmakumar.com\/blog\/ventral-hernia\/\">Ventral Hernia<\/a> can\n                    occur in any location of the abdominal wall as a bulge of\n                    abdominal tissues through a weak opening in the abdominal wall muscles. When the intestinal tissue\n                    gets caught up in the bulge and cannot be pushed back it is called Stangulaged Ventral Hernia.<\/p>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"col\">\n        <div class=\"card h-100 shadow cardhover\">\n            <div class=\"card-body\">\n                <h3 class=\"card-title text-start\">Obturator Hernia<\/h3>\n                <p class=\"card-text\"><a href=\"https:\/\/www.drrpadmakumar.com\/blog\/obturator-hernia\/\">Obturator Hernia<\/a>\n                    is a very rare type of hernia that occurs through an opening in\n                    the pelvis. The intestine bulges through the obturator foramen.<\/p>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"col\">\n        <div class=\"card h-100 shadow cardhover\">\n            <div class=\"card-body\">\n                <h3 class=\"card-title text-start\">Femoral Hernia<\/h3>\n                <p class=\"card-text\"><a href=\"https:\/\/www.drrpadmakumar.com\/blog\/femoral-hernia\/\">Femoral hernia<\/a>\n                    occurs in the groin junction when the tissues in the lower abdomen\n                    push through the upper thigh region.<\/p>\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"col\">\n        <div class=\"card h-100 shadow cardhover\">\n            <div class=\"card-body\">\n                <h3 class=\"card-title text-start\">Umbilical Hernia<\/h3>\n                <p class=\"card-text\">Umbilical hernia occurs at the belly button (umbilicus). A loop of intestine pushes\n                    through the umbilical ring. in the groin junction when the tissues in the lower abdomen\n                    push through the upper thigh region.<\/p>\n\n            <\/div>\n        <\/div>\n    <\/div>\n\n    <div class=\"col\">\n        <div class=\"card h-100 shadow cardhover\">\n            <div class=\"card-body\">\n                <h3 class=\"card-title text-start\">Incisional Hernia<\/h3>\n                <p class=\"card-text\">Incisional hernia occurs at the location of a previous surgical incision.<\/p>\n\n            <\/div>\n        <\/div>\n    <\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading page-header\">Video Talk in Malayalam<\/h2>\n\n\n\n<p>View animation &#8211; Hiatal Hernia meaning in Malayalam<\/p>\n\n\n\n<a href=\"https:\/\/youtu.be\/-TQvhzw1z58?feature=shared\" class=\"btn btn-lg btn-primary\" target=\"new\" rel=\"noopener\">View Video<\/a>\n","protected":false},"excerpt":{"rendered":"<p>A hiatus hernia is a condition developed when the upper part of the stomach bulges through an opening in the diaphragm. The diaphragm is a muscle that separates the abdomen and chest. It has a small opening through which the food tube passes and connecting to the stomach. In a hiatus hernia, the stomach pushes [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3728,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[15],"class_list":["post-853","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-literature","tag-hernia-surgery"],"_links":{"self":[{"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/posts\/853","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/comments?post=853"}],"version-history":[{"count":42,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/posts\/853\/revisions"}],"predecessor-version":[{"id":3733,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/posts\/853\/revisions\/3733"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/media\/3728"}],"wp:attachment":[{"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/media?parent=853"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/categories?post=853"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drrpadmakumar.com\/blog\/wp-json\/wp\/v2\/tags?post=853"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}