Hiatus Hernia

Okay, I will write an article on the topic “Hiatus Hernia (Hiatus Hernia)”.

A hiatus hernia, also known as Hiatus Hernia, is a disorder in which the upper part of the stomach moves through the hiatus and enters the chest cavity. This can lead to a variety of symptoms, including heartburn, bitter taste in the mouth, chest pain and difficulty swallowing.

There are two types of hiatal hernia: transverse and mobile. A transverse hernia occurs when the top of the stomach moves through the opening and remains in place, while a moving hernia occurs when the stomach moves up and down through the opening with each breath.

Causes of a hernia include weakened diaphragm muscles, damage to the diaphragm, injury, excess weight, pregnancy, smoking and poor diet. Diagnosis of a hiatal hernia can be done using X-rays, esophagogastroduodenoscopy (EGD), or computed tomography (CT).

Treatment for a hiatal hernia depends on the type of hiatal hernia and the symptoms it causes. Surgery may be necessary in cases where the hernia causes severe symptoms or leads to complications such as bleeding or gastric perforation. Medications such as proton pump inhibitors (PCIs), antacids, and prokinetics are commonly used to reduce symptoms.

If you have symptoms of a hiatal hernia, you should see your doctor for diagnosis and treatment. In most cases, proper treatment can reduce symptoms and improve quality of life.

Hiatus Hernia (Hiatus Hernia)

*According to global statistical studies, based on an analysis of the results of at least 4,800 operations on the esophagus in 5 leading US clinics, hernial protrusion in this pathology was detected in an average of 7.2% of cases - that is, in any other part of the abdominal cavity this symptom is “ lifebuoy”, indicating the presence of a hiatal hernia. A. A. Shalimov (2011) describes a hiatal hernia as a “twin diagnosis” of a hernial protrusion of the diaphragm.*

What is a diaphragmatic hernia? In essence, this is the exit of internal organs through a defect in the muscle and tendon diaphragm, which can accommodate these organs. The hernia phenomenon once again confirms the openness of the internal cavities of the chest and abdominal cavity to any external influences. Usually, in the case of a diaphragmatic hernia, three disorders are noted at once: the lowering or fixation of these organs below, due to which normal digestive and respiratory functioning ceases over time. Respiratory impairment is caused by the hernial esophageal opening located in front or almost at its level, as well as the ring (mushroom-shaped thickening) and the intra-abdominal part of the esophagus located slightly below it. The diaphragmatic and cardiac sections of the latter will descend; and the esophagus, piercing the muscular tissues of the diaphragm closer to its middle, will reach between them the place of greatest protrusion, like the passages of the neck of a skein of thread. Due to the same tissues, the abdominal cavity will stretch. The patient's nutrition will be disrupted; he will feel pain in the epigastrium, discomfort behind the sternum and pharynx, get chronic heartburn, severe digestive disorders and lack of appetite, sleep will be disturbed and the quality of life will deteriorate. It is not necessary to wait for these symptoms to develop if everything is diagnosed in time. Observation of the patient by the attending physician, data from visual and instrumental examinations and consultation with a specialist will help to do this. With an integrated approach to diagnostic measures, it will be possible to understand in advance the clinical picture of a developing hernia, accurately identify the reasons for the deterioration of the patient’s condition and draw up a competent plan for its treatment.

Hernias occur sooner or later in all people - when pinching or sudden pinching is a consequence of age-related disruption of the anatomical stability of this vital organ. It is very important for everyone to recognize this condition and follow the appropriate recommendations. If you do not notice the first steps of development and do not take preventive measures yet, you will have to quickly eliminate the problem through surgery, which is extremely undesirable to do in a young age. The sooner a diaphragmatic hernia is recognized and symptoms are prevented, the sooner treatment is started, which can be much more successful and easier. Recognizing an emerging condition is more difficult than preventing its development, so it is very important to be aware of the causes, signs and treatment of such diseases.

Separately, it is worth mentioning the symptoms that are characteristic of a diaphragmatic hernia: they appear only after a long