Hiatal Hernia Case Study Answers

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Hiatal Hernia

Hiatal Hernia: Q&A

Hiatal Hernia
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What is a hiatal hernia?

A hiatal hernia occurs when the upper part of the stomach pushes through
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(The abdomen consists of the lower part of the esophagus, stomach, small intestine, colon, rectum, liver, gallbladder, pancreas, spleen, kidneys, and bladder.) Pressure can come from coughing, vomiting, straining during a bowel movement, heavy lifting, or physical strain. Pregnancy, obesity, or extra fluid in the abdomen can also lead to a hiatal hernia.
Who is at risk for developing a hiatal hernia?

A hiatal hernia can develop in people of all ages and both sexes, although it frequently occurs in people age 50 and older. Hiatal hernia occurs more often in overweight people, and smokers.
What are the symptoms of hiatal hernia?

Many people with a hiatal hernia never have symptoms. Some people with hiatal hernia have some of the same symptoms as gastroesophageal reflex disease (GERD). GERD occurs when digestive juices move from the stomach back into the esophagus. Symptoms of GERD include:

heartburn bitter or sour taste in the back of the throat bloating and belching discomfort or pain in the stomach or
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A laparoscopic repair of hiatal hernia and reflux, called Nissen Fundoplication, is about 90 percent effective in most patients. This surgery requires general anesthesia and a one day stay in the hospital. After surgery, most patients no longer require long-term treatment with prescription or over-the-counter antacid medications.
References:

Roman S, Kahrilas PJ. The diagnosis and management of hiatus hernia. BMJ 2014; 349:g6154 American Gastroenterological Association. Understanding heartburn and reflux disease Accessed 2/28/2015. National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms and causes of gastroesophageal reflux (GER) and gastroesophageal reflux disease Accessed 2/28/2015.

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This information is provided by the Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition. This document was last reviewed on:

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