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)

The picture entitled "Upper GI endoscopy depicting hiatus hernia" is a normal-looking lower (o)esophagus. The Z-line (junction of where the stratified squamous epithelium becomes columnar lined epithelium) is in the correct location. I don't know why 3 of the puckers/gastric folds are circled in pen; this is the normal appearance of the contracted lower (o)esophageal sphincter. — Preceding unsigned comment added by 138.38.26.23 (talk) 11:54, 26 January 2015 (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 de::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.) — Preceding unsigned comment added by Borneh (talk • contribs) 11:10, 7 July 2006 (UTC)

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 —Preceding unsigned comment added by 41.110.178.2 (talk) 08:00, 17 November 2010 (UTC)

"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)

Does anyone know why the variance in terms? Is it a Brit/US thing? Or older nomenclature versus newer? I'd never heard "hiatus" until seeing this article (I entered the search term "hiatal hernia" and got redirected). The graphic on the top right uses "hiatal". As Hajnalka says above, both terms are used in the article without comment. Curious to know why the variance in terms and whether this should be briefly explained in the article.70.12.171.31 (talk) 05:01, 29 August 2012 (UTC)

I'm not sure where the difference is coming from, but we should probably choose. My recommendation would be "hiatal", because it's grammatically better. "Hiatal" is an adjective while "hiatus" is a noun. It's generally incorrect to use a noun as an adjective if an adjectival form exists (Smallvillefanatic (talk) 20:51, 2 October 2013 (UTC)).
 * As both terms are used, they should both be mentioned at the article start. Now done. Pol098 (talk) 14:29, 10 May 2022 (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)

Epidemiology
cidence of hiatal hernias increases with age; approximately 60% of individuals aged 50 or older have a hiatal hernia.[5]

This cannot be true. Reading Burkitts article, "the defect can be demonstrated in over 20% of North American adults" I cannot find reference to the 60% claim. The cited study cannot be accessed online and cannot be verified. Thanks.67.180.209.37 (talk) 16:42, 29 January 2011 (UTC)A.Woods67.180.209.37 (talk) 16:42, 29 January 2011 (UTC)

Eating and lying down isn't a risk factor?
I've heard that eating while lying down, or lying down immediately after eating, can factor in one's developing a hiatal hernia. In the Treatment section, this behavior is listed as something to avoid once someone actually has a hernia, but nowhere is it mentioned as a risk factor.

Is lying down while eating, or immediately afterwards, a risk factor for developing a hiatal hernia? If so, it should be mentioned in the Risk factors section.

Thanks! M-1 (talk) 02:04, 28 June 2012 (UTC)

Also wondering if hiccups should be listed as a symptom. M-1 (talk) 02:15, 28 June 2012 (UTC)

Small Hiatus Hernia
Would someone know why post my Gastroscopy procedure I got the all clear except a 'Small Hiatus Hernia'. Gastric biopsies taken for histology and Helicobacter status. What does the small part mean? Can I ride my bike and go to the gym? I'm confused. Has anyone else suffered this pain in the gut lately? Await return answers.

Cheers Steve — Preceding unsigned comment added by 110.174.175.47 (talk) 08:23, 22 January 2016 (UTC)

Picture is wrong
I don't think the picture: https://en.wikipedia.org/wiki/Hiatus_hernia#/media/File:Hiatus-hernia.jpg shows a hiatal hernia. I am not a doctor, but have studied the topic for years and am currently writing a book on the topic. It looks like a picture demonstrating legions or esophagitis. — Preceding unsigned comment added by 2602:306:BDB7:E890:0:0:0:3EA (talk) 02:46, 3 November 2017 (UTC)