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What is Hiatal Hernia?


A hernia is a gap in the muscular wall that allows the contents inside the abdomen to protrude outward. A hiatal hernia is when the stomach bulges up into the chest through an opening in your diaphragm, the muscle that separates the two areas. The opening in the diaphragm is called hiatus, so this condition is called a hiatus hernia. There are two main types of hiatal hernias: sliding and paraesophageal.

Normally, the esophagus goes through the hiatus and attaches to your stomach. In a sliding hiatal hernia, the stomach and the lower part of the esophagus slide up into the chest through the diaphragm. Sliding hiatal hernia is most common hiatal hernia among patients. However, in paraesophageal hernia the esophagus and stomach stay where they should be, but part of the stomach squeezes through the hiatus to sit next to your esophagus. Paraesophageal hernia is dangerous, since in some cases the stomach can become squeezed and lose its blood supply.


Hiatal Hiatus Hernia


There is other classification for hiatal hernia: Type I is a hiatal hernia or sliding hernia, in which the Gastroesophageal junction (GE) junction moves above the diaphragm, leaving the stomach in the abdomen. Types II, III, and IV occur when part or all of the stomach and sometimes other organs move up into the chest.


Types of Hiatal Hernia



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A hiatal hernia is often discovered during a test or procedure to determine the cause of heartburn or chest or upper abdominal pain. These tests or procedures include:

  • X-ray of your upper digestive system. X-rays are taken after you drink a chalky liquid that coats and fills the inside lining of your digestive tract. The coating allows your doctor to see the outline of your esophagus, stomach and upper intestine.
  • Upper endoscopy. Your doctor inserts a thin, flexible tube equipped with a light and camera (endoscope) down your throat, to examine the inside of your esophagus and stomach and check for inflammation.
  • Esophageal manometry. This test measures the rhythmic muscle contractions in your esophagus when you swallow. Esophageal manometry also measures the coordination and force exerted by the muscles of your esophagus.


Hiatal Hernia Symptoms:


Hiatal hernia symptoms are common with other diseases such as acid reflux, GERD … etc. Some of its symptoms are regurgitation of food or liquids into the mouth, backflow of stomach acid into the esophagus (acid reflux), difficulty swallowing, chest or abdominal pain, shortness of breath. Symptoms might also include, feeling full soon after you eat, and vomiting of blood or passing of black stools, which may indicate gastrointestinal bleeding.


Hiatal Hernia Treatment in Dubai


Hiatal hernia treatment in Dubai is not the first solution provided for the patients, first some medications are provided to reduce the symptoms. The doctor may recommend antacids that neutralize stomach acid, medications to reduce acid production, medications that block acid production and heal the esophagus. Medications are a common treatment same as for acid reflux treatment in Dubai or heartburn treatment in dubai, however medications would not be a good solution, since we are treating the symptoms and not the disease.

Sometimes a hiatal hernia requires surgery. Surgery is generally used for people who aren't helped by medications to relieve heartburn and acid reflux, or have complications such as severe inflammation or narrowing of the esophagus. Surgery to repair a hiatal hernia may involve pulling your stomach down into your abdomen and making the opening in your diaphragm smaller or reconstructing an esophageal sphincter (muscle). To reduce the recurrence of this defect a mesh is place to reinforce tissue ingrowth.

Indigestion treatment in Dubai is achieved by treating hiatal hernia or acid reflux treatment; It depends on the reason of this discomfort. To improve your lifestyle and ensure you have the best solution, you must have an expert healthcare provider.

Dr. Ali Al Dameh is an expert in performing surgery for reflux disease, as well as laparoscopic and open hernia repair. His major interests include GERD, hiatal hernia repair.

Dr. Ali Al Dameh performed during his career:

  • 7000 Upper GI including complex and cancer cases
  • 800 Hiatal hernia cases and nissen fundoplication

Hiatal Hernia disease




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