what symptoms you might get from a hiatus hernia

The diagram on the right shows the inside of a human. The chest and abdomen are separated from each other by a sheet of muscle called the diaphragm.

The tube that takes food from your mouth to your stomach has to go through the chest and into the abdomen. This is called the oesophagus (or the “gullet”).

It gets into the abdomen through a hole in the diaphragm called the “hiatus”. This hole lets the oesophagus (gullet) through and keeps the stomach in the abdomen below it.

Hiatus Hernia

In some people, the hiatus can enlarge and the stomach can slip up into the chest through it.Diagram of what a Hiatus Hernia is – The herniation of the Stomach slipping up through the hiatus in the diaphragm and into the chest

In medicine, when something pushes out of an area it should stay in, it is called a hernia.

Therefore, the stomach “herniates” through the hiatus in the diaphragm and moves into the chest.

As such, anything that is in the stomach – including food, drink and stomach acid, can now move easily back up into the oesophagus (gullet).

This is the cause of the usual symptoms of hiatus hernia:

– heart burn or food regurgitating into the back of the throat on lying down, straining or bending forwards.

Treatment

Diagram of surgical repair of a Hiatus Hernia – called a Nissin FundoplicationIf a doctor suspects a hiatus hernia, they usually ask for an endoscopy (a thin flexible tube put down the throat and into the oesophagus to see what is going on) or an X-ray with the patient drinking some contrast (which shows up on X-ray).

Treatments can be:

Conservative:

Lose weight, wear loose belts and clothes
Drugs, to prevent the contact of stomach acid on the oesophagus, or to reduce the stomach acid

Surgery (see diagram):

Can be done open or by “keyhole” (laparoscopic) surgery methods
The stomach is pulled down into the abdomen, the top is wrapped around the lower oesophagus and the hiatus is stitched smaller

Read More

Study in Excellence

November 18, 2016 survivingwinter 0

Population movements over successive decades meant that many GP premises were in the wrong places, or in unsuitable buildings, resulting in poor access for many HCSU residents. Access to dentists, opticians, chiropodists and other primary care professionals were equally poor. The first Health Care Standards Unit established a very clear link bettheyen NHS Plan targets and development proposals (such as increasing the number of GPs). The new premises reflected this planned expansion. The same was {more heath news}

The Government’s Drive

November 18, 2016 survivingwinter 0

NHS care has to be shaped around the convenience and concerns of patients. To bring this about, patients must have more say in their own treatment and more influence over the way the NHS works.’ The NHS PlanĀ  Mindful of the Government’s drive for a responsive and reactive health service, and following requests from clients, HCSU has designed a workshop programme to help professional staff groups develop a strategy and plan for effective patient and {more heath news}

Consultancy for Nationwide Health Standards

November 18, 2016 survivingwinter 0

Working with and learning from healthcare organisations for over 15 years, meant HCSU had the unique knowledge and skills to help organisations implement their quality improvement programmes and meet statutory requirements Many of the UK government healthcare quality initiatives such as controls assurance and Healthcare Commission reviews were based on the standards and methodology pioneered by HCSU. They offered a range of custom-built services to healthcare organisations, other public sector bodies and voluntary organisations, including: {more heath news}

Be the first to comment

Leave a Reply

Your email address will not be published.


*


fifteen − 7 =