This is not a very rare condition and 10% of the normal population have this condition ...............................................But one 1% of hiatal hernia patients have problems ..........
Dr-Lokku » Your first category
Hiatus Hernia
(12 posts)-
Posted 1 year ago #
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What is it????
A hiatus hernia or hiatal hernia is the protrusion (or herniation) of the upper part of the stomach into the thorax through a tear or weakness in the diaphragm.When does it happen ????????
The following are risk factors for having a hiatus hernia.* Increased pressure within the abdomen caused by:
o Heavy lifting or bending over
o Frequent or hard coughing
o Hard sneezing
o Pregnancy and delivery
o Violent vomiting
o Straining with constipation
o Obesity (extra weight pushes down on the abdomen increasing the pressure)
o Use of the sitting position for defecation* Heredity
* Smoking
* Drug use, such as cocaine.* Stress
* Diaphragm weaknessPosted 1 year ago # -
How do we diagnose it ??????
Screening : USG
Confirmation : Upper GI EndoscopyPosted 1 year ago # -
What are the Types ?????????
There are two major kinds of hiatus hernia:* The most common (95%) is the sliding hiatus hernia, where the gastroesophageal junction moves above the diaphragm together with some of the stomach.
* The second kind is rolling (or paraesophageal) hiatus hernia, when a part of the stomach herniates through the esophageal hiatus and lies beside the esophagus, without movement of the gastroesophageal junction. It is about 20 times less common than the first kind.A third kind is also sometimes described, and is a combination of the first and second kinds.
Posted 1 year ago # -
How do you treat it ???????
In most cases, sufferers experience no discomfort and no treatment is required. However, when the hiatal hernia is large, or is of the paraesophageal type, it is likely to cause esophageal stricture and discomfort. Symptomatic patients should elevate the head of their beds and avoid lying down directly after meals until treatment is rendered. If the condition has been brought on by stress, stress reduction techniques may be prescribed, or if overweight, weight loss may be indicated. Medications that reduce the lower esophageal sphincter (or LES) pressure should be avoided. Antisecretory drugs like proton pump inhibitors and H2 receptor blockers can be used to reduce acid secretion.Posted 1 year ago # -
Severe cases lead to????
Where hernia symptoms are severe and chronic acid reflux is involved, surgery is sometimes recommended, as chronic reflux can severely injure the esophagus and even lead to esophageal cancer.Posted 1 year ago # -
Is there a surgery available ??????
The surgical procedure used is called Nissen fundoplication. In fundoplication, the gastric fundus (upper part) of the stomach is wrapped, or plicated, around the inferior part of the esophagus, preventing herniation of the stomach through the hiatus in the diaphragm and the reflux of gastric acid. The procedure is now commonly performed laparoscopically. With proper patient selection, laparoscopic fundoplication has low complication rates and a quick recovery.Posted 1 year ago # -
Does the surgery have any complications ???????
Complications include gas bloat syndrome, dysphagia (trouble swallowing), dumping syndrome, excessive scarring, and rarely, achalasia. The procedure sometimes fails over time, requiring a second surgery to make repairs.......Thats more of a strain....Posted 1 year ago # -
What did Dr.Denis Burkitt say ????
According to Dr. Denis Burkitt, "Hiatus hernia has its maximum prevalence in economically developed communities in North America and Western Europe....In contrast the disease is rare in situations typified by rural African communities." Burkitt attributes the disease to insufficient dietary fiber and the use of the unnatural sitting position for defecation. Both factors create the need for straining at stool, increasing intraabdominal pressure and pushing the stomach through the esophageal hiatus in the diaphragm.
Regards
Dr-LokkuPosted 1 year ago # -
pinastro
offlineKey Master
Posted 1 year ago # -
Thanks Mr.Pinastro it was a Nice Picture there .....
Posted 1 year ago # -
pinastro
offlineKey MasterDr.Rangan ..you gave the link..I just added it there :)
Posted 1 year ago #
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