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Know about Hiatus hernia

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Know about Hiatus hernia

hiatus hernia is a type of hernia in which abdominal organs slip through the diaphragm into the middle compartment of the chest.A hiatal hernia occurs when the upper part of your stomach pushes up through your diaphragm and into your chest region. This may result in gastroesophageal reflux disease (GERD) with symptoms such as a taste of acid in the back of the mouth or heartburn.This condition mostly occurs in people who are over 50 years old.

There are Four types of hiatal hernia

  • Type I – Sliding hiatal hernia
  • Type II – Fixed hiatal hernia
  • Type III
  • Type IV

Causes of hiatal hernia

The exact cause of many hiatal hernias isn’t known but some causes behind hiatal hernia are

  • coughing
  • vomiting
  • straining during bowel movements
  • lifting heavy objects

Risk factors

  • Factors that can increase your risk of a hiatal hernia include:
    • obesity
    • aging
    • smoking
    • Heavy lifting or bending over
    • Frequent or hard coughing
    • Hard sneezing
    • Violent vomiting
    • Straining
    • Stress

Signs and symptoms

Symptoms of hiatal hernia can resemble many disorders

  • Taste of acid in the back of the mouth,
  • heartburn,
  • trouble swallowing
  • shortness of breath
  • heart palpitations


  • The diagnosis of a hiatus hernia is typically made through an upper GI series, endoscopy or high resolution manometry. Along with this CT imaging, Ultrasound are also done


In the great majority of cases, sufferers experience no life-altering discomfort, and no treatment is required. If pain or discomfort is more 4 to 5 sips of water gives you relief from pain. Patients suffering with this symptoms should avoid lying down  on bed directly after meals.

Antisecretory drugs like proton pump inhibitors and H2 receptor blockers can be used to reduce acid secretion


If medications don’t work, you might need surgery on your hiatal hernia. However, surgery is not commonly recommended.

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