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Expert Hiatus Hernia Treatment in Indore by Dr. Nilesh Dehariya
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Hiatus Hernia Surgery in Indore
Hiatus hernias occur when the upper part of the stomach pushes through the diaphragm into the chest cavity. This page provides an in-depth look at hiatus hernias, including causes, symptoms, and treatment options, along with why Dr. Nilesh Dehariya is the right choice for your treatment in Indore.
What is a Hiatus Hernia?
A hiatus hernia occurs when part of the stomach bulges through the hiatus, an opening in the diaphragm where the esophagus passes before connecting to the stomach. This condition can cause significant discomfort and may require medical or surgical treatment.
Causes of Hiatus Hernia
- Age-related changes in the diaphragm
- Injury or trauma to the area
- Persistent pressure on the surrounding muscles, such as from coughing, vomiting, or straining during bowel movements
- Obesity
- Heavy lifting
Symptoms of Hiatus Hernia
- Heartburn or acid reflux
- Difficulty swallowing
- Chest or abdominal pain
- Belching or bloating
- Shortness of breath
- Feeling of fullness after eating
Types of Hiatus Hernia
- Sliding Hiatus Hernia: The most common type, where the stomach and a section of the esophagus that joins the stomach slide up into the chest through the hiatus.
- Paraesophageal Hiatus Hernia: Less common but more serious, where part of the stomach pushes through the hiatus next to the esophagus.
Treatment Options for Hiatus Hernias
- Lifestyle Changes: Modifying diet, losing weight, and avoiding activities that increase abdominal pressure.
- Medications: Antacids, H2 blockers, or proton pump inhibitors to reduce stomach acid.
- Surgery: Nissen fundoplication or laparoscopic surgery for severe cases, where the stomach is pulled back into the abdomen and the hiatus is tightened.
What Happens If You Delay Hiatus Hernia Treatment
If you delay treatment for a hiatus hernia, the upward movement of your stomach through the diaphragm may worsen over time. That can intensify acid reflux, causing frequent heartburn, regurgitation, chest discomfort, and trouble swallowing. What feels like occasional indigestion today can evolve into ongoing digestive distress that impacts daily comfort and sleep.
Over the long run, repeated exposure of your esophagus to stomach acid can damage its lining — leading to inflammation, ulcers, chronic irritation, or narrowing that makes swallowing harder. Delaying care also increases the risk of complications such as persistent reflux-related lung or throat problems. Early intervention helps restore proper anatomy, reduce acid reflux, and safeguard your digestion and overall health.
Frequently Asked Questions (FAQs)
What causes a hiatus hernia?
Hiatus hernias can result from age-related weakening of the diaphragm or increased abdominal pressure.
How is a hiatus hernia diagnosed?
Diagnosis is often made with a barium swallow X-ray or an endoscopy.
Can hiatus hernias be treated without surgery?
Yes, lifestyle changes and medications can effectively manage symptoms, but surgery may be needed in severe cases.
What are the risks of hiatus hernia surgery?
Risks include infection, bleeding, and difficulty swallowing, but these are generally low.
How long does recovery take after hiatus hernia surgery?
Recovery usually takes 2 to 6 weeks, depending on the surgical approach.
Can hiatus hernias recur after surgery?
Recurrence is rare, but possible, especially if underlying risk factors are not addressed.
What foods should I avoid with a hiatus hernia?
Avoid spicy foods, acidic foods, caffeine, and large meals that can trigger symptoms.
Can a hiatus hernia cause breathing problems?
Yes, large hiatus hernias can press on the diaphragm and lungs, causing shortness of breath.
Is hiatus hernia surgery covered by insurance?
Most insurance plans cover the surgery, but it's important to confirm with your provider.
What is the prognosis after hiatus hernia surgery?
The prognosis is generally good, with most patients experiencing significant symptom relief.
Can I exercise after hiatus hernia surgery?
Light activities can usually be resumed within a few weeks, but heavy lifting should be avoided for at least 6 weeks.
What is the difference between a sliding and paraesophageal hiatus hernia?
A sliding hernia moves in and out of the chest cavity, while a paraesophageal hernia stays in place and can cause more serious complications.
Will I need to follow a special diet after hiatus hernia surgery?
Initially, a soft or liquid diet may be recommended, gradually returning to normal foods as you heal.
What are the signs of complications after hiatus hernia surgery?
Severe pain, fever, or difficulty swallowing are signs that require immediate medical attention.
Can a hiatus hernia lead to GERD (gastroesophageal reflux disease)?
Yes, a hiatus hernia can contribute to or worsen GERD symptoms.
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