Hiatus Hernia

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What is a Hernia?
In simple language hernia is a defect in the
abdominal wall, through which the abdominal
contents like intestine, omentum (intra-
abdominal fat) or other organ protrude or bulge
out forming a swelling. Usually the swelling
increases on straining, coughing, walking and
causes discomfort.
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Types of Hernia

• There are many different types of hernia
  depending upon the site of hernia and cause of
  hernia. The common ones are the inguinal and
  femoral hernia presenting as swelling in the
  groins, umbilical hernia presenting as swelling
  at the navel (belly button) and incisional hernia
  occurring at the site of previous surgery. The
  umbilical and incisional hernias are clubbed
  together as ventral hernias and have similar
  surgical treatment.

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Hiatus Hernia

• The hiatus is an opening in the diaphragm -- the
  muscular wall separating the chest cavity from
  the abdomen. Normally, the esophagus (food pipe)
  goes through the hiatus and attaches to the
  stomach. In a hiatus hernia (also called hiatal
  hernia) the stomach bulges up into the chest
  through that opening.

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Symptoms of Hiatus Hernia

• Heartburn
• Sudden regurgitation
• Belching
• Throat irritation
• Abdominal discomfort

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Hiatus Hernia

• It is most common in overweight middle-aged women
  and elderly people.
• It can occur during pregnancy.
• The diagnosis is confirmed by barium meal X-rays
  or by passing a tube with a camera on the end
  into the stomach (gastroscopy).

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Precautions

• Avoid smoking.
• Take antacid.
• Avoid spicy food.
• Avoid hot drinks.
• Avoid gassy drinks.
• Losing weight nearly always cures it.
• Eating small meals each day instead of 2 or 3
  large ones helps.

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Causes

• Any condition that increases the pressure of the
  abdominal cavity may contribute to the formation
  or worsening of a hernia.
• Obesity
• Heavy lifting
• Coughing
• Chronic ling disease
• Fluid in the abdominal cavity
• Hereditary
• Straining during a bowel movement or urination

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Symptoms

• The most common symptom of hiatus hernia is
  heartburn, the burning discomfort produced in the
  lower central chest by refluxing stomach acid
  irritating the lower esophagus, which lacks the
  protective mucous lining of the stomach. Other
  symptoms, which vary from person to person, can
  include
• food regurgitating into the mouth
• a bitter taste
• bad breath
• coughing

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Diagnosis

• Testing will likely be required to confirm
  the diagnosis of hiatus hernia, and to rule
  out other possible reasons for the
  symptoms. These tests can include an upper
  GI series or a gastroscopy. The upper GI
  series consists of the patient drinking a liquid
  that coats the walls of the esophagus and
  stomach. This drink contains barium, which
  shows up as bright white on X-rays, providing a
  contrasting picture of the shape and function of
  the upper GI tract during the X-ray. During a
  gastroscopy, the physician inserts a hollow,
  flexible tube with a tiny light and video camera
  into the patients body via the mouth, to allow
  for a close-up view of the esophagus and stomach

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Treatment

• For treatment of hernia, surgery is the only
  remedy. Surgery is probably will always be the
  only treatment for hernia. Delay in operation can
  result in enlargement of hernia or may cause
  complication like obstruction or strangulation,
  resulting in gangrene of a part of the intestine,
  which requires emergency surgery. During such
  complication, apart from hernia repair this
  surgery may requires removal of gangrenous bowel
  increasing the risk of surgery and also risk of
  mesh infection. Dr. Chirag Thakkar is one of best
  laparoscopic Hernia Surgeons of Ahmedabad.

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Dr. Chirag Thakkar is a leading Hernia Surgeon of
Gujarat.

• Dr. Chirag Thakkar is a gastro-intestinal,
  advanced laparoscopic and obesity surgeon. He is
  the founder director of Adroit Centre for
  Digestive and Obesity Surgery.
• Dr. Chirag did his M.B.B.S. from B. J. Medical
  College, Ahmedabad, followed by his General
  Surgical training (M. S. in General Surgery) at
  Smt. N. H. L. Municipal Medical College,
  Ahmedabad. He then worked as a senior resident in
  the department of gastro-intestinal surgery at V.
  S. Hospital.

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Consult us for Hernia Treatment

• For Appointment Call
• 079-29703438
• Or Visit-
• www.drchiragthakkar.com