Most people don’t notice symptoms of a hiatal hernia and don’t need treatment. If anemia is a concern, your doctor may take a blood sample to check your red blood cell count. This measures the acid levels in your esophagus. A different kind of tube goes down your throat to check the pressure in your esophagus when you swallow. Esophageal manometry (pressure study).A camera on the end shows inside your esophagus and stomach. Your doctor puts a long, thin tube called an endoscope down your throat. You drink a liquid that shows up on an X-ray so your doctor can get a better look at your esophagus and stomach. To diagnose a hiatal hernia, your doctor may do tests including: Hiatal hernias happen more often in women, people who are overweight, and people older than 50. A rise in pressure in your belly, as from pregnancy, obesity, coughing, lifting something heavy, or straining on the toilet.Being born with a larger hiatal opening than usual.Hiatal Hernia Causesĭoctors don’t know why most hiatal hernias happen. These could be signs of a strangulated hernia or an obstruction, which are medical emergencies. Get medical care right away if you have a hiatal hernia and: Backflow of food or liquid from your stomach into your mouth.Heartburn from gastroesophageal reflux disease ( GERD).Many people with hiatal hernia don’t notice any symptoms. Your doctor might call this a strangulated hernia. ![]() Your stomach can become squeezed and lose its blood supply. Your esophagus and stomach stay where they should be, but part of your stomach squeezes through the hiatus to sit next to your esophagus. Most people with hiatal hernias have this type.Ī paraesophageal hernia is more dangerous. In a sliding hiatal hernia, your stomach and the lower part of your esophagus slide up into your chest through the diaphragm. Ordinarily, your esophagus (food pipe) goes through the hiatus and attaches to your stomach. There are two main types of hiatal hernias: sliding and paraesophageal. The opening is called the hiatus, so this condition is also called a hiatus hernia. A hiatal hernia is when your stomach bulges up into your chest through an opening in your diaphragm, the muscle that separates the two areas.
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