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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.
The diaphragm separates the chest from the abdomen. The esophagus (swallowing tube) passes through the hiatal opening in the diaphragm to reach the stomach. With a hiatal hernia, part of the stomach is displaced upwards into the chest (Figure 1). Large hiatal hernias may cause chronic gastrointestinal blood loss leading to iron deficiency anemia.
Endoscopic findings may include a hiatal hernia, esophagitis, strictures, tumors, or masses. [2] Increased pressure at the LES over time may result in an epiphrenic diverticulum. [2] Further evaluation for mechanical causes of obstruction may include CT scans, MRI, or endoscopic ultrasound. [2]
Menstrual bleeding that lasts more than seven days, known as menorrhagia, can be a signal of a larger health issue. If your clots are accompanied with any of the following symptoms, you should ...
Bowel obstruction may also occur. This type of hernia is only a rare cause of sciatic neuralgia. 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.
It can be caused by or associated with gastroesophageal reflux disease, [1] esophagitis, a dysfunctional lower esophageal sphincter, disordered motility, lye ingestion, or a hiatal hernia. Strictures can form after esophageal surgery and other treatments such as laser therapy or photodynamic therapy. While the area heals, a scar forms, causing ...
The twisting can occur around the long axis of the stomach, called organoaxial, or around the axis perpendicular to this, called mesenteroaxial. Obstruction is more likely with organoaxial twisting than with mesenteroaxial, while the latter is more associated with ischemia. About one third of the cases are associated with a hiatal hernia ...
Women have a higher risk of osteoporosis than men, which can put them at a higher risk of fracturing a hip as they age. Women also have a greater risk of rheumatoid arthritis than men. (Learn more ...
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