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Hiatal Hernia Symptoms, Complications and Treatment

Hiatal Hernia Symptoms, Complications and Treatment (Surgery)

Hiatal Hernia Treatment in Hyderabad | Hiatal Hernia Specialist in Hyderabad |Hiatal Hernia Surgery Cost in Hyderabad

Hiatal Hernia

Diaphragm separates your chest and abdomen. Your esophagus passes through a small opening through your diaphragm before it connects with the stomach. The small opening is known as hiatus. Sometimes, your stomach pushes up into your chest through hiatus. This condition is known as hiatal hernia. The stomach thus bulges and remain partly above the diaphragm.

“Protrusion of the stomach into the chest through the diaphragm (a large flat muscle that separates the abdomen and the chest. It is the main muscle for breathing).”

You may not know that you have this condition unless your doctor discovers it while examining you for another health issue. In general, small hiatal hernia doesn’t cause any symptoms or issues. However, you may develop heartburn and acid reflux due to a large hiatal hernia. It causes the acid and food from your stomach to flow back to esophagus. Some medications and home remedies or self-care measures can help relieve the symptoms. But, if you have a large hiatal hernia, you may require surgery to treat it.

Hiatal Hernia Symptoms

Small to moderate size hernias don’t cause any symptoms. But large hiatal hernia can cause the following symptoms:

  • Chest pain or abdominal pain
  • Feeling full immediately after eating
  • Pressure in the upper part of the abdomen
  • Heartburn
  • Regurgitation of liquid or food into the mouth
  • Acid Reflux (GERD)

Hiatal Hernia Causes

Though it is not known why hiatal hernia occurs, the following reasons can be attributed to the cause:

You may get hiatal hernia, if You:

  • Have unusually large hiatus (may be by birth)
  • Put excessive and persistent force or pressure on diaphragm and its surrounding muscles while vomiting or coughing.
  • You have undergone injury to the hiatus or subjected to trauma
  • Strain yourself during a bowel movement, exercising or lifting heavy objects
  • You have undergone a certain type of surgery

Hiatal Hernia Complications


In this condition, acidic stomach contents flow back into the esophagus. If you have GERD, you will experience severe burning chest pain and difficulty in swallowing.

GERD can cause severe esophageal ulcers and bleeding, narrowing of the esophagus and a pre-cancerous change in the esophagus called “BARRETTS ESOPHAGUS” which can later lead to esophageal cancer.

GERD affects the quality of life as the burning pain prevents you from eating the food of your choice. In most instances, you may be scared of eating the food you like the most due to precipitation of pain.

Volume Reflux

Some patients suffer regurgitation of food into the mouth.

Many aspirate it into the lungs especially at night and have cough and repeated respiratory infections.

Diagnosis of Hiatal Hernia

A typical history is often diagnostic and does not require any special tests
Upper GI endoscopy
24 hr ph Monitoring of the oesophagus
Esophageal manometry to assess esophageal motility

Hiatal Hernia Treatment in Hyderabad (Surgery) For further evaluation and treatment of hiatal hernia, do consult

Dr Datta Ram U
Senior Consultant Surgical Gastroenterologist
Sunshine Hospital, Gachibowli Hyderabad

Call: 9895437059
Email: [email protected]

Stomach Flu or Gastroenteritis

A viral or bacterial infection causes gastroenteritis. It is the inflammation of the stomach and the intestines. When you have this condition, you will have vomiting and diarrhoea. Commonly, many people call it as a stomach flu. These symptoms are often due to gastroenteritis.

What are the symptoms of Gastroenteritis?

The signs and symptoms of gastroenteritis include the following:

  • Stomach pain
  • Watery diarrhea
  • Vomiting
  • Abdominal cramps
  • Fever, nausea and headache
  • Diarrhea may lead to dehydration

The signs of dehydration include the following:

  • Dry mouth
  • Excessive thirst
  • Dry skin
  • Light-headedness

Seek medical help immediately if you have the above symptoms with watery diarrhea and vomiting.

Note: Dehydration should be treated in emergency room. The following symptoms warrant seeking emergency medical care immediately to prevent potential complications due to severe dehydration:

  • Dry mouth
  • Lack of tears
  • Extreme thirst
  • Little or no urination
  • Muscle weakness
  • Trouble breathing or swallowing
  • Lack of alertness
  • Rapid heartbeat and breathing
  • Dizziness or lightheadedness
  • Sunkun eyes

Stomach Flu in children

Dehydration occurs quickly in children. Therefore, when your child has stomach flu with watery diarrhea and vomiting and abdominal cramps, look for the signs. The child’s skin becomes dry, urine output becomes less and mouth becomes dry and also feel thirsty. Don’t send your child to school until all symptoms disappear. Don’t give any medicines to your child – such drugs are not usually given to children younger than 5 years.

What causes gastroenteritis?

Rotavirus causes diarrhea in infants and children. Norovirus also causes serious foodborne disease and gastroenteritis.

Bacteria such as Salmonella, Campylobacter, and E. coli can also trigger stomach flu – but less commonly. These bacteria spread through live poultry, undercooked eggs and meat.

Contaminated food and drinking water spread another bacteria called shigella that causes gastroenteritis.

The less common cause of gastroenteritis is parasites such as giardia and cryptosporidium. You may get infected with them through contaminated drinking water.

When to call a doctor?

If you can’t walk, faint, confused or having trouble breathing due to severe dehydration, immediately call emergency department.

You should also see your doctor if you develop sudden and severe abdominal pain with vomiting and diarrhea.

Esophageal Cancer

ESOPHAGEAL CACNER – The sixth most common cause of deaths worldwide.

Esophagus is a long hollow tube that helps in moving the food. It runs from the throat to the stomach. A cancer that develops in the cells of the oesophagus is known as esophageal cancer.

The cancer develops usually in the cells that line the inside of the esophagus.

Risk factors for esophageal cancer

Tobacco use, excessive alcohol consumption; smoking, GERD, Barrett’s esophagus, bad dietary habits and obesity.

Learn more about GERD…

What are the symptoms of Esophageal Cancer?

The following are some of the signs and symptoms of esophageal cancer:

  • Swallowing difficulty (Dysphagia)
  • Sore throat
  • Hoarseness or coughing
  • Worsening heartburn or indigestion
  • Pressure or burning sensation in the chest
  • Chest pain
  • Unexplained weight loss

What are the causes of Esophageal cancer?

There is no exact cause of esophageal cancer. A group of factors may play a role in the development of cancer. The cells in the lining of the oesophagus undergo mutations (changes in the gene sequence) in their DNA. When this happens, the cells grow and divide out of control and develop into esophageal cancer. Adenocarcinoma (cancer develops in the mucus-secreting cells of the esophagus) and squamous cell carcinoma are the common types of esophageal cancer. Choricarcinoma, melanoma, lymphoma, sarcoma and small cell carcinoma are some of the rare forms of esophageal cancer.

What are the complications?

In the advanced stages, esophageal cancer can cause pain (severe pain in the esophagus with swallowing difficulty). It can also lead to bleeding in the esophagus – which is mild to moderate in the beginning. The bleeding can become sudden and severe as well. Many people experience difficulty in swallowing food and liquid through the esophagus.

How is esophageal cancer diagnosed?

Diagnosis of esophageal cancer: It is based on the medical examination, reviewing symptoms, and medical history of the patient. In addition, a surgical gastroenterologist may also order certain blood and imaging tests including endoscopy, barium swallow X-ray; CT and PET scans, thoracoscopy and biopsy. These tests help in determining the extent of spread (metastasis) of esophageal cancer outside the esophagus.

Bottom line

Esophageal cancer is the sixth leading cancer in the world. In the early stages, it doesn’t cause any signs and symptoms. Advanced stages esophageal cancer can spread to other parts of the body (metastasis). Early detection of esophageal cancer helps in effective treatment.

Abdominal Pain Causes

Abdominal pain is a very common condition that everybody encounters at one time or another. It is usually an uncomfortable or disturbing sensations that one experiences in the abdominal region.

Abdominal pain can be sometimes not be the reason to worry because it occurs mostly as a common problem. If you see a specialist doctor, he or she can easily diagnose the cause and give treatment. Persistent, intermittent or episodic abdominal pain and sometimes chronic pain can be a sign of serious underlying health issue that needs prompt and immediate medical help.

Types of abdominal pain

Abdominal pain can be of different types depending on the intensity, severity and timing of pain and the manner in which it starts, progresses and how long it lasts.

Acute abdominal pain: It starts within a few hours and may persists for a few days and may be associated with other symptoms.

Chronic abdominal pain can be troublesome as it may last for a few weeks to months and may be intermittent.

Progressive abdominal pain can be severe, and may get worse over a period of time and is often associated with other symptoms.

Causes of Abdominal pain

Abdominal pain can be due to several reason whether it is mild, moderate or severe and the causes may differ in men and women. In general, irrespective of gender, abdominal pain can be mostly due to mild to severe infection, food poisoning, stomach virus, abdominal migraine or indigestion or constipation. For instance, a woman can have abdominal pain due to gynaecological issues such as uterine problems, uterine fibroids, polyps, ovarian cysts, endometriosis, menstrual issues, Pelvic inflammatory disease (PID), premenstrual syndrome, menstrual cramps or may be due to serious health issues such as ovarian or cervical cancer.

The other possible causes of abdominal pain may include gas, food allergies, ulcerative colitis or Crohn’s disease, urinary tract infection, abdominal muscle pull or strain, irritable bowel syndrome (IBS). You may get abdominal pain if you have ulcers or if you are lactose intolerant.

Are there any other causes of abdominal pain?

Yes, there are many other causes of abdominal pain. Inflammation of the gallbladder (Cholecystitis); inflammation of the pancreas (Pancreatitis); bowel obstruction or blockage; abdominal aortic aneurysm (swelling in the abdominal main artery); diverticulitis; appendicitis; gastroesophageal reflux disease (GERD); endometriosis; kidney stones; Gallstones; hernia; blocked blood vessel that causes low blood flow to the intestines; ovarian cysts or ovarian cancer in women and also ectopic pregnancy in women.

When should you consult your gastroenterologist for stomach pain?

You should consult your gastroenterologist as early as possible if you have fever and vomiting; if you feel very thirsty; have dark-coloured urine and you can’t have bowel movement.

You must seek immediate medical help or treatment as soon as possible or take medical care right away if you have severe abdominal pain associated with the following symptoms: swelling in the belly; constant vomiting; trouble breathing; black, bloody and tarry bowel movements; have yellow skin and have unexplained weight loss.

Colorectal Cancer

Can Colorectal Cancer be Prevented?

Colorectal cancer develops in the colon or rectum. It is also known as colon cancer or rectum cancer, but mostly grouped together and known as colorectal cancer owing to several common features both the colon and rectum cancers share. It usually develops as a polyp – an abnormal growth in the lining of the rectum or colon, which may or may not grow as cancer. All polyps may not grow as cancer. Only some types of polyps can grow into cancer after several years.

Types of Polyps

Inflammatory or hyperplastic polyps are common, but they are non-cancerous, but adenomas or adenomatous polyps can grow into cancer. Hence, they can be cancerous. Adenomas is a pre-cancerous condition. Majority of the colorectal cancers are adenocarcinomas. And the less common types of colorectal cancers include carcinoid tumours, gastrointestinal stromal tumours (GISTs), lymphomas, and sarcomas.

What conditions can make a polyp more likely to develop into a colorectal cancer?

The following factors can make a polyp more likely to develop into a colorectal cancer:

  • If the size of the polyp is larger than 1 cm
  • If two or more than two polyps are present
  • If abnormal cells are present within the polyp (dysplasia)

Are there any preventable causes of colorectal cancer?

There are several lifestyle-related risk factors linked to colorectal cancer, which are some of the strongest known risk factors for colorectal cancer.

  • Being overweight or obese increases the risk in both men and women
  • Being physically inactive can increase the risk
  • Excessive consumption of red meat and processed meat increase the risk
  • Heating meat at high temperature can increase the risk
  • Smoking is linked to increase in the risk of colorectal cancer
  • Heavy alcohol consumption

What are the risk factors of colorectal cancer that you cannot change?

Age: The risk of colorectal cancer increases as you age. It is common both in men and women after age 50.

Personal history of adenomatous polyps: If you have had adenomatous polyps, which were large with dysplasia, then your risk increases.

History of colorectal cancer: The chances of getting colorectal cancer after treatment are more likely as the cancer may develop in other parts of colon and rectum.

IBD (Inflammatory Bowel disease): If you have IBD (Crohn’s disease or ulcerative colitis), your risk may increase.

Family history of colorectal cancer or adenomatous polyps: 1 in 3 individuals witha strong family history of colorectal cancer may be at a risk of developing colorectal cancer.

Type 2 diabetes: Individuals with type 2 diabetes are at increased risk of colorectal cancer.

Genetic disorders: less than 5% of the people with colorectal cancer have genetic cause. The common inherited disorders linked with colorectal cancer include familial adenomatous polyposis (FAP); hereditary non-polyposis colorectal cancer (HNPCC) or lynch syndrome and other rare syndromes, such as – Peutz-Jeghers syndrome (PJS) and MYH-associated polyposis (MAP).

Treatment for Colorectal Cancer

Surgical resection is the common treatment for colorectal cancer. The other surgical options include laparoscopic surgery and radiofrequency ablation (radio-frequency waves are used to heat the tumour). Stereotactic Radiation therapy, brachytherapy and intraoperative radiation therapy – in which a single dose of radiation is given during surgery, are the radiation therapies for treating colorectal cancer. Sometimes, chemotherapy may be given along with radiation therapy prior to surgery and after surgery as well.  Chemotherapy along with targeted therapy is the first line treatment for advanced colorectal cancer.

Early detection is the key to prevention of colorectal cancer

In the polyp stage or during the early stage of cancer, the patient may not experience any symptoms. Even if the symptoms appear, they will most likely to vary depending on the size and location. Therefore, screening or colonoscopy is necessary to detect polyps early. Screening is recommended for individuals over age 50; and, for individuals with a family history, early and frequent screening is recommended. With early detection, surgery, radiation therapy and chemotherapy can be effective treatment to cure colorectal cancer. Even the rarest of rare type of colorectal cancer can be detected by genetic testing.

If you are worried about colorectal cancer, talk to your oncologist at the earliest.