Grades of GERD | Stages of Hiatus Hernia | Hindi
Channel: Dr. Jasmeet Singh Ahluwalia
Date: 18/10/2022

#hiatushernia  #hiatusherniatreatment #refluxsurgery
Grades of GERD ? What are different stages of Hiatus Hernia | Las LES ? 
Hiatus Hernia in Hindi, yeh, kya hota hai,  Kyu Hoti Hai, Treatment, Symptoms, Harniya kya hai

What Is a Hiatal 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. The opening is called the hiatus, so this condition is also called a hiatus hernia.

There are two main types of hiatal hernias: sliding and paraesophageal.

Ordinarily, your esophagus (food pipe) goes through the hiatus and attaches to your stomach. In a sliding hiatal hernia, your stomach and the lower part of your esophagus slide up into your chest through the diaphragm. Most people with hiatal hernias have this type.

A paraesophageal hernia is more dangerous. Your esophagus and stomach stay where they should be, but part of your stomach squeezes through the hiatus to sit next to your esophagus. Your stomach can become squeezed and lose its blood supply. Your doctor might call this a strangulated hernia


Hiatal Hernia Symptoms
Many people with hiatal hernia don’t notice any symptoms. Others may have:

Heartburn from gastroesophageal reflux disease (GERD)
Chest pain
Bloating
Burping
Trouble swallowing
Bad taste in your mouth
An upset stomach and vomiting
Backflow of food or liquid from your stomach into your mouth
Shortness of breath
Get medical care right away if you have a hiatal hernia and:

Severe pain in your chest or belly
A persistent upset stomach
Vomiting
Can’t poop or pass gas
These could be signs of a strangulated hernia or an obstruction, which are medical emergencies.

Hiatal Hernia Causes
Doctors don’t know why most hiatal hernias happen. Causes might include:

Being born with a larger hiatal opening than usual
Injury to the area
Changes in your diaphragm as you age
A rise in pressure in your belly, as from pregnancy, obesity, coughing, lifting something heavy, or straining on the toilet

Hiatal Hernia Treatment
Most people don’t notice symptoms of a hiatal hernia and don’t need treatment.

If you have acid reflux, your doctor may suggest medications to treat those symptoms, including:

Antacids to weaken your stomach acid
Proton pump inhibitors or H-2 receptor blockers to keep your stomach from making as much acid
Prokinetics to make your esophageal sphincter -- the muscle that keeps stomach acid from backing up into your esophagus -- stronger. They also help muscles in your esophagus work and help your stomach empty.
Your doctor might do surgery if you have a paraesophageal hernia (when part of your stomach squeezes through the hiatus) so your stomach doesn’t become strangled. You may also need surgery if sliding hernias bleed or become large, strangulated, or inflamed.

In surgery, your doctor reinforces your hiatus and moves your stomach. Many hiatal hernia surgeries use a method called laparoscopy. Your doctor will make a few small (5 to 10 millimeter) cuts in your belly. They insert a tool called a laparoscope through these incisions, and it sends pictures to a monitor so your doctor can see inside your body. These “minimally invasive” procedures have smaller cuts, less risk of infection, less pain and scarring, and faster recovery than traditional surgeries. You can probably go back to regular activity in 2 weeks.

Hiatal Hernia Risk Factors
Hiatal hernias happen more often in women, people who are overweight, and people older than 50.

Hiatal Hernia Diagnosis
To diagnose a hiatal hernia, your doctor may do tests including:

Barium swallow. You drink a liquid that shows up on an X-ray so your doctor can get a better look at your esophagus and stomach.
Endoscopy. Your doctor puts a long, thin tube called an endoscope down your throat. A camera on the end shows inside your esophagus and stomach.
Esophageal manometry (pressure study). A different kind of tube goes down your throat to check the pressure in your esophagus when you swallow.
pH test. This measures the acid levels in your esophagus.
If anemia is a concern, your doctor may take a blood sample to check your red blood cell count.

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