What is hiatal herniaand why does it happen?
Hernia is a medical term for the protrusion of an organ throughthe cavity that it is located in, and as for hiatal hernia, it is theprotrusion of the stomach through the opening of the esophagus. In other words,in hiatal hernia, the stomach is pushed up thorough the diaphragm. All hital hernias can beclassified into the sliding hiatal hernia and the rolling hiatal hernia, butthere is a type that is actually a mixture of these two types. There are certain factors that, if present, make people moreprone to developing hiatal hernia, and among such factors are smoking, obesityand age, since, those older than 50 are a bit more likely to develop it, thoughit can occur at any age.
What are the mainsymptoms of hiatal hernia?
As for the symptoms, when hiatal hernia is small, it usuallydoes not cause any problems, so due to the lack of symptoms, the person ispractically not aware of its existence, and unless the doctor discovers itaccidentally, the person may even never find out of it. On the other side,there are hiatal hernias that are large, and they rarely go unnoticed, sincetheir main characteristics are heartburn and pain, because they allow the acidand the food to go back to esophagus. Besides these symptoms, belching, pain inthe chest area, fullness in the stomach after the meal, regurgitation of foodand juices, and even nausea are common, and the patient should see a doctor assoon as the first problems are experienced.
When it comes to the symptoms of this condition, aninteresting thing is that they may resemble the symptoms of some otherconditions, which is why hiatal hernia is correctly diagnosed only with the help of endoscopy,upper GI series, or high resolution manometry. In case the condition isdiscovered, and no symptoms are present, there is absolutely no need for the treatment,but it is recommended to monitor the condition because the hernia may begin togrow. On the other side, in cases where the symptoms are present, the treatmentwill depend on the type of it, and either medications that neutralize, reduceor block the production of stomach acid, or the surgery may be the solution. Surgeryis necessary very rarely, and such situations usually present emergency, orthey are related to patients in which medications did not prove to be helpful.