Whenever an important part of the body is pushed into the place where it doesn’t belong, this is called hernia. When the upper portion of the stomach bulges up into the chest from a small diaphragm opening which is a muscle separating the chest from the abdomen. This results in a hiatal hernia. In Para an esophageal hernia the stomach pushes up nearby to the esophagus. If the case is severe the abdominal or stomach organs might twist or even rotate which will result in an acute pain and chances of blockage will increase. This is termed as a medical emergency which requires instant operation
The hiatal hernia surgery is almost 60 minutes long after which patient can go home from the hospital on the same day. Although these stitches are not dissolvable therefore over time of some years these stitches may come undone or loosen up. It will occur in patients who have constipation and strain to have bowels, increasing the intra-abdominal burden when they put pressure or vomiting as this may deteriorate the pharyngoesophageal membrane. This is not harmful at all but this may lessen the reliability of the procedure over the years. The pharyngoesophageal membrane can also weaken and lose its firmness as a part of aging.
The people who are aging, women and overweight are more at a risk of Hiatal hernias. Over the age of 60, around 50 percent of people suffer from this. It is also seen in people who smoke. In pregnancy, Hiatal hernias are the most prevalent type which can be seen in around 15 to 20 percent of expecting ladies. Mostly its symptoms are seen in the second trimester. Tho it’s very common, but almost less than 10 percent of the population with a hiatal hernia will see any sign and symptoms. Mostly they are very mild for example heartburn .people usually comes across it incidentally when they go for any chest X ray or abdominal x ray. Sometimes it is also found occasionally during the process of gastrointestinal endoscopy of the esophagus, stomach, and duodenum (EGD). Although symptoms don’t occur if they do its cause of gastro esophageal reflux disease (GERD) in which the digestive juice consisting of acid from the stomach runs up into the esophagus. In this case, symptoms are heart burn, chest pain, vomiting, burping, and nausea.It must be kept in mind that its symptoms worsen after taking meals or lying flat, which is also a classical sign of a hiatal hernia. It will go away by standing up or walking few steps. Mostly the symptoms of hiatal hernias are easy to control by minor life style changes and medicines. For example having your means three to four hours before you fall asleep. And by using over the counter antacids. In case stomach organs twist or rotate resulting in a lot of pain, blockage and possible strangulation resulting in loss of blood supply, these are always treated by emergency surgery The most frequent cause of a hiatal hernia is an advancement in pressure of the stomach cavity. (The abdomen includes lower half of the esophagus, small intestine, stomach, rectum, colon, gallbladder, liver, spleen, pancreas, kidneys, and bladder.) Pressure might arise from vomiting and coughing. Obesity, Pregnancy, or any extra fluid may also lead to a hiatal hernia.