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A hiatal hernia or hiatus hernia [2] is a type of hernia in which abdominal organs (typically the stomach) slip through the diaphragm into the middle compartment of the chest. [1] [3] This may result in gastroesophageal reflux disease (GERD) or laryngopharyngeal reflux (LPR) with symptoms such as a taste of acid in the back of the mouth or heartburn.
Visceral pain is pain that results from the activation of nociceptors of the thoracic, pelvic, or abdominal viscera (organs). Visceral structures are highly sensitive to distension (stretch), ischemia and inflammation , but relatively insensitive to other stimuli that normally evoke pain such as cutting or burning.
Post herniorrhaphy pain syndrome, or inguinodynia is pain or discomfort lasting greater than 3 months after surgery of inguinal hernia. Randomized trials of laparoscopic vs open inguinal hernia repair have demonstrated similar recurrence rates with the use of mesh and have identified that chronic groin pain (>10%) surpasses recurrence (<2%) and is an important measure of success.
After addressing pain, there may be a role for antimicrobial treatment in some cases of abdominal pain. [22] Butylscopolamine (Buscopan) is used to treat cramping abdominal pain with some success. [23] Surgical management for causes of abdominal pain includes but is not limited to cholecystectomy, appendectomy, and exploratory laparotomy.
Manual therapy, or manipulative therapy, is a treatment primarily used by physical therapists and occupational therapists to treat musculoskeletal pain and disability. It mostly includes kneading and manipulation of muscles, joint mobilization and joint manipulation .
Pain relief: Relief from pain due to musculoskeletal injuries and other causes is cited as a major benefit of massage. [26] A 2015 Cochrane Review concluded that there is very little evidence that massage is an effective treatment for lower back pain . [ 118 ]
Sports hernia: a hernia characterized by chronic groin pain in athletes and a dilated superficial inguinal ring. Tibialis anterior hernia: can present as a bulge in the shins. Pain on rest, walking, or during exercise may occur. The bulge can typically not be present unless pressure or flexing of the leg occurs. [31] [32] [33]
About one third of the cases are associated with a hiatal hernia. Treatment is surgical. The classic triad (Borchardt's Triad) of gastric volvulus, described by Borchardt in 1904, consists of severe epigastric pain, retching (due to sour taste in mouth) without vomiting, and inability to pass a nasogastric tube. It reportedly occurs in 70% of ...
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