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A hernia is a bulge that occurs when a portion of the abdominal tissue protrudes through a weakness in the abdominal wall. There are many tupes of hernias and each type has it’s own set of symptoms. All types of hernia can be treated by undergoing surgery. In this article, we’ll be discussing the hiatus - a hernia of the stomach through the diaphragm muscles. It is often due to gastroesophageal reflux. It is often diagnosed when the patient undergoes barium x-ray or endoscopy.

Barium x-ray is done by letting the patient drink a glass of chalky liquid. This liquid contains barium, a substance that aids internal organs to reflect clearly on x-ray photographs. This substance outlines the stomach, gullet and upper portion of the small intestine. Another procedure used to diagnose hiatus hernia is the endoscopy. This is the examination wherein a light sedative is given to you and a thin flexible lighted tube, an endoscope, is inserted down to your gullet. The doctor can check your gullet for abnormalities. This process is typically painless. Whatever examination you undergo, the hiatus hernia will reflect as a bulge that is located in between the gullet and stomach.

Take note that there are two types of hiatus hernia, the sliding and the rolling. The sliding hiatus hernia is typically a condition that is asymptomatic and your physician will tell you the ways on how to avoid complications. This type does not necessarily require surgery. If your hernia causes symptoms of gastro-esophageal reflux, you will target on treating the symptoms of your reflux rather than treating the hernia itself. For the treatment of your reflux, you may take over-the-counter antacids. These can be purchased from drugstores and help relieve the pain you experience. Histamine blockers are of help as well since they minimize the amount of acid that is secreted from your stomach.

As for rolling hiatus, since it is not the same as sliding, it is more prone to obstructions and strangulations. It really needs corrective surgery. Surgery is only needed when you are dealing with large hernias or the ones that were not treated by medicines or the ones that make patients experience certain complications. The surgery may pull back the stomach into the abdomen and under the diaphragm. It may also tighten the opening where the esophagus passes through; the muscles in the lower portion of the esophagus are strengthened. The surgery may be an open surgery or a laparoscopic one. Most of the time, surgery for hiatus hernia is successful.

To know which type of hiatus hernia you are experiencing, ask your doctor about it so that you will not be suffering from pain and discomfort brought about by this kind of abnormality. Please also don’t rely on just internet advice, consult your doctor if you have any reason to believe you might be suffering from any medical condition.

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