Talk:Hiatal hernia

Discussion

I don't think doctor's recommend surgery nowadays, I have one, and I've been told that they don't usually do Surgery nowadays.

This is correct. Surgery is normally not recommended, at least in the US. --Dante Alighieri | Talk 17:55, Jun 2, 2005 (UTC)

My doctor told me to avoid intake of particular foods known to irritate the stomach lining, thus inflaming it and causing a swelling of the stomach which leads to extra pressure at the top against the weak diaphragm muscles. Those foods were, coffee, pepper (all those containing capiscum), and excessive alcohol --all three of these are poisonous to other animals. Avoiding these foods has led me personally to have no complications with the condition, whereas slipping and indulging can cause a flare up. I would request that these diet restrictions and the reason behind them be added to the treatment section. I realize it is based upon a single person's experience, but it was the recommended (and successful) treatment. Iris Anthe 03:19, 16 December 2006 (UTC)

What about exercise restrictions and the relation to esophageal dysmotility? Copperheart0718 (talk) 19:01, 9 August 2010 (UTC)

LES

"LES" is undefined in the article and LES is of no help. Anyone have a clue? --Dante Alighieri | Talk 17:55, Jun 2, 2005 (UTC)

I am planning an extensive edit of the entry - my main concern is how surgical treatment of this anatomical abnormality is treated. Surgery is the definitive treatment for people who have symptoms related to hiatal hernia, and far from an increase of complications related to surgery, surgery has gotten safer and more reliable in treating gastroesophageal reflux disease. Surgery is by no means the only option for a patient with symptomatic hiatal hernia/reflux but it is the only way reflux can be completely abolished. BTW LES = Lower Esophageal Sphincter--SkinnyB 19:55, 29 March 2006 (UTC)

For the german article w:ge:hiatushernie, I´ve uploaded a schematic diagramm called Hiatus hernia.PNG to the WikiCommons. I would be happy, if this is of any help for your article. (The Part B of this Graphic is something literally translated as open esophageal-gastric junction, which is caused by a weak part in the diaphragm.)

Causes

I just had a visit with my doctor after a stomach flu and violent vomiting that triggered sharp pain in my esophagus at the sternum while swallowing. Having done some reading last night, a hiatal hernia seemed a likely candidate. However, according to the doctor (not my normal one), a hiatal hernia is a congenital defect that is shared by roughly 50% (not 1-20% as the article states) of the population. Thus, the list of things that can "cause" the condition on this page is in fact a list of things that exacerbate the condition. This is all assuming what the doctor told me is correct. I have no medical training and didn't read any of the specifically medically-oriented sites' articles on this, so I'll leave it up to the nominal experts here to decipher and untangle the above info, but if it is indeed congenital, that should be clarified.216.99.212.251 22:50, 11 January 2007 (UTC)

I am a nursing student, and I have just been diagnosed with a Hiatal Hernia, and I was unsure as to how it had developed. In the pages I have researched, it seems to affect women more than men, and persons over 45 years of age more than others.

Pregnancy is listed in other pages as a possible cause.

I could certainly relate to the pressure of a growing baby, and the effort of childbirth, having delivered three healthy sons by natural childbirth. But three pregnancies and deliveries did not give me my hiatal hernia.

Another cause occured to me, one that may be both too personal and too mundane to have been considered or measured, and has therefore possibly been overlooked.

We in North America tend to have a large evening meal. Later in the evening we may also make love. Could it be that making love on an over-full stomach may put the kind of pressure on the abdominal diaphram that might cause a hiatal hernia? Could it be that in persons over 45, with decreasing muscle tone, this pressure could make a hiatal hernia even more likely?

This might explain why women appear to be affected more often than men. Women have the pregnancies. Men are larger, heavier, and are often on top.

Just a thought, but if proven valid, consideration of this could save a lot of people from an uncomfortable and perhaps preventable condition.

Call it "make love on empty"! 206.45.168.100 02:51, 24 June 2007 (UTC)

I have been diagonised of Hiatus hernia. The most likely cause of this for me is my work stress. I often stayed late nights to complete critical projects and more often ate late dinners. This were causing mild gastritis to me. Even though this was treated immediately, my work culture often made be to stride back to the late night ventures. Eventually causing Hiatus Hernia. Now treating it with medicines seems to be not working for me. - Sputnik1645 (talk) 05:50, 7 March 2008 (UTC)

I'd like to comment that frequently/habitually eating overly large portions of food (which seem to be normal in US restaurants) seems to have caused my hernia. I don't think this should be grouped in with obesity (I'm not fat) though. There was one particular 'event' where something changed. I felt it, and have had frequent heartburn ever since. 76.126.212.124 (talk) 04:10, 22 March 2008 (UTC)

Frequency of different types

Anyone who reads this article can see that it is inconsistent in the description of the frequency of different types of hiatus hernia. Please can someone who has some knowledge of this area correct it with consistent statistics. Elroch (talk) 19:05, 28 September 2008 (UTC)

Top notch math

1. The most common (95%) is the sliding hiatus hernia, where the gastroesophageal junction moves above the diaphragm together with some of the stomach.
2. The second kind is rolling (or paraesophageal) hiatus hernia, when a part of the stomach herniates through the esophageal hiatus beside, and without movement of, the gastroesophageal junction. It is about 100 times less common than the first kind.

Either someone needs to account for a missing 4%, or the percentage in parentheses should be 99%, or the second entry should read "It is about 20 times less common". Choose one. —Preceding unsigned comment added by 76.202.247.183 (talk) 15:37, 15 October 2008 (UTC)

Diagnosis

Is it possible to have a comparison image showing a healthy sample? It makes it much easier to understand with a before/after or healthy/unhealthy set of images to compare against. J218cnw8 (talk) 16:45, 3 June 2009 (UTC)

Good day to all,

I am not sure if I should post a question here, but I would like to know what is the rate of successful cure for this kind of hernia. My mother has been diagnosed with that and I would like to know if with the proper diet she is going to have this gone,

Thanks

"Hiatal' vs 'hiatus'

I'm interest to hear which is preferred - both by clinicians and the public. I've seen both.

'Hiatal' is in use in my neck of the woods by everyone - doctors, nurses and patients. Both terms are used in the article. Are we behind the times, and should we change our nomenclature?

My best, Hajnalka (talk) 01:32, 3 April 2010 (UTC)

Symptoms

I tried to bulk up the 'symptoms' section; but the 'great mimic' statement could probably use more explanation, references. —Preceding unsigned comment added by Arpowers (talk • contribs) 07:10, 25 May 2010 (UTC)