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Hiatus Hernia

Hiatus Hernia Surgery Cost in NashikHiatus Hernia Surgery Cost in Nashik

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Hiatus Hernia

Hiatus Hernia

Hiatus Hernia Surgery Cost in Nashik

A hiatal hernia, also known as a hiatus hernia, occurs when a portion of the stomach protrudes through the diaphragm into the chest cavity. The diaphragm is a muscular barrier that separates the chest from the abdomen and assists in breathing. The esophagus passes through an opening in the diaphragm called the hiatus to connect with the stomach. In cases of hiatal hernia, the stomach pushes up through this opening into the chest.

Causes of Hiatal Hernia

Several factors can contribute to the development of a hiatal hernia:

  • Congenitally large hiatus: Some individuals are born with an unusually large hiatus, making them more susceptible to hernias.
  • Injury to the area: Trauma or surgical procedures can weaken the diaphragm, facilitating herniation.
  • Increased abdominal pressure: Activities such as heavy lifting, persistent coughing, vomiting, or straining during bowel movements can elevate abdominal pressure, promoting hernia formation.
  • Advanced age: As people age, the diaphragm muscles may weaken, increasing the risk of hernias.
  • Indigestion or dyspepsia: Chronic digestive issues can contribute to the development of a hiatal hernia.
Symptoms of Hiatal Hernia

While small hiatal hernias may be asymptomatic, larger hernias can cause various symptoms:

  • Acid reflux: A backflow of stomach acid into the esophagus, leading to discomfort.
  • Heartburn: A burning sensation that starts in the upper abdomen and can extend into the chest and neck.
  • Chest or upper abdominal pain: Discomfort or pain in these areas.
  • Acidic taste in the mouth: Especially noticeable after meals or when lying down.
  • Bloating: A feeling of fullness or swelling in the abdomen.
  • Excessive belching: Frequent burping.
  • Difficulty swallowing hot drinks: Due to burning pain in the stomach.
  • Persistent nighttime coughing: Chronic cough that worsens at night.
Diagnosis

Diagnosing a hiatal hernia typically involves:

  • Barium swallow radiograph: An X-ray procedure where the patient swallows a barium solution to highlight the esophagus and stomach.
  • Endoscopy: A flexible tube with a camera is inserted down the throat to visualize the esophagus and stomach.
  • Esophageal manometry: Measures the rhythmic muscle contractions of the esophagus when swallowing.
Treatment Options

Lifestyle Modifications:

  • Dietary changes: Avoiding foods and beverages that trigger reflux, such as spicy foods, chocolate, caffeine, and alcohol.
  • Eating habits: Consuming smaller meals and not lying down immediately after eating.
  • Weight management: Maintaining a healthy weight to reduce abdominal pressure.
  • Elevating the head during sleep: Raising the head of the bed can prevent nighttime symptoms.

Medications:

  • Antacids: Provide quick relief by neutralizing stomach acid.
  • H2 receptor blockers: Reduce acid production.
  • Proton pump inhibitors (PPIs): More potent acid blockers that promote healing of the esophageal lining.

Surgical Intervention:

For severe cases unresponsive to lifestyle changes and medications, surgical options like fundoplication may be considered. This procedure involves wrapping the upper part of the stomach around the lower esophageal sphincter to strengthen it and prevent acid reflux.

When to Seek Medical Attention

If you experience persistent symptoms such as severe chest pain, difficulty swallowing, or gastrointestinal bleeding, it’s crucial to consult a healthcare provider promptly. Early diagnosis and treatment can prevent complications and improve quality of life.

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