Hiatus Hernia

A hiatal hernia is when the upper part of the stomach is pushed into the diaphragm and chest. Obesity, smoking, and aging are some factors that increase the risk of developing a hiatal hernia. Frequent coughing, vomiting, straining during bowel movements, and lifting heavy objects are other risk factors. The symptoms are heartburn, trouble swallowing, burping, and abdominal discomfort. Taking antacids and proton pump inhibitors helps to provide some relief. In severe cases, surgery is required.

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All the answers published in this website are written by Verified medical doctors, therapists and health experts. The Content has been moderated by iCliniq medical review team before publication. Post your medical clarifications on iCliniq by choosing the right specialty and get them answered. Your medical queries will be answered 24/7 by top doctors from iCliniq.

I feel like water and liquid gets diffused outside the digestive tract. Why?

Query: Hello doctor, I feel irritation and pain in the abdomen, particularly below my right rib cage for almost two years now. I feel like water and liquid food gets diffused outside the digestive tract, into the outer parts and skin. It causes allergic irritation, inflammation, discomfort, and pain in th...  Read Full »


Dr. Arvind Guru

Answer: Hi, Welcome to icliniq.com. For a detailed advice, I would like to know a bit more regarding your problem first. When did you notice it for the first time? How did it come to your notice? Does this pain come and go or present at all times? Is it a burning, piercing, constricting, or squeezing type? ...  Read Full »

Does a hiatus hernia cause ulcer formation in the lower end of the gullet?

Query: Hi doctor, I have a 10 cm hiatus hernia. I have been under a specialist for 12 months now. I had two endoscopic procedures done, one under GA, but my gullet was not opening and was severely inflamed. On the CT scan, it shows a dark shaded area. The consultant could not get to see a closer picture o...  Read Full »


Dr. Ajeet Kumar Lohana

Answer: Hi, Welcome to icliniq.com. I want some clarification before I would be able to guide you on what further you should do. TB (total billirubin) is 20. Is it in mmol/liter, or is it mg/dl? It is important. Please upload the liver function test results. I could not find this in your notes nor in the ...  Read Full »

Even after taking regular medicines, I have stomach pain. What to do?

Query: Hello doctor, I have been dealing with a stomach issue for almost four years. It originally was extreme pain and tarry stool once. It was first diagnosed as an ulcer as I was negative for H. pylori. I was given antibiotics just in case, PPIs and H2 blockers. Since then it has gotten worse, gotten be...  Read Full »


Dr. Happykumar Kagathara

Answer: Hello, Welcome to icliniq.com. I can understand your concern for GI (gastrointestinal) symptoms. All your treatment is appropriate. You might have a hiatus hernia associated GERD (gastroesophageal reflux disease), which is responsible for the appearance of intermittent symptoms. A hiatus hernia can ...  Read Full »

Kindly suggest the cause of nosebleeds and blood in vomit.

Query: Hello doctor, My brother is 32 years old. He is suffering from a strange medical problem. For the last couple of years, he has been vomiting blood. The problem has got worsened recently, with the blood coming from the nose and the mouth. This happens at least three to four times a week. Because of ...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com I have thoroughly gone through your case and can well understand your genuine health concerns. I want to assure you that, you do not have to worry as everything is going to be fine if proper care and treatment is opted.  Read Full »

Why do I have frequent gnawing pain when my stomach is empty?

Query: Hi doctor, I have frequent gnawing pain when stomach is empty, which is relieved after eating. There is a continuous mucus accumulation in the throat throughout the day, which obstructs proper breathing and flares the nose nostril followed by dry mouth. It is particularly in the early morning hours....  Read Full »


Dr. Happykumar Kagathara

Answer: Hello, Welcome to icliniq.com. Your symptoms are consistent with GERD (gastroesophageal reflux disease). In this condition, junction of esophagus and stomach become weak and therefore, stomach acid move up into the esophagus. The most common cause for this is hiatus hernia in which the...  Read Full »

Is it fine to do fundoplication for GERD?

Query: Hello doctor, I have been struggling with pressure under my ribs and tightness in my chest for 5 years. It is on and off, but mostly it gives me a hard time to come through. I feel hard to belch often. I have taken Esomeprazole and Nexium to keep the reflux down, but the tightness and other awful ...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hi, Welcome to icliniq.com. I have carefully worked through your health query and can well understand your issues. Yes, it seems to be due to GERD (gastroesophageal reflux disease), simply the acid reflux. It has caused damage to the esophagus and other parts of the body too. Hiatal hernia...  Read Full »

Why do I have a strangling feeling in my throat after thyroidectomy?

Query: Hi doctor, I have been having a strangling feeling in my throat for around seven months. This came post thyroidectomy and so I thought it had to do with surgery. However, my gastroenterologist did an endoscopy and found bile in my stomach. As I researched this, I immediately thought of my ga...  Read Full »


Dr. Happykumar Kagathara

Answer: Hi, Welcome to icliniq.com. Yes, your symptoms are consistent with acid reflux. Did you have the same strangling feeling in neck during the last episode of symptoms? Or was there mid-chest burning type pain? Did you have endoscopy last time? There is no correlation of your symptoms with thyroidecto...  Read Full »

Please interpret my CT abdomen for fatty liver with abdominal pain.

Query: Hello doctor, I have pain in the upper right abdomen. The pain goes to the back and side especially when I sleep on the side. Sometimes the discomfort is in the middle right and lower abdomen. I have taken a CT scan of the abdomen and pelvis with iv contrast. I had an ultrasound done a few months a...  Read Full »


Dr. Vivek Chail

Answer: Hi, Welcome to icliniq.com. I have seen the attachment. (attachment removed to protect patient identity). The CT abdomen scan is showing mild fatty changes in the liver and a left inguinal hernia. The ultrasound scan abdomen is showing fatty changes in the liver. The upper gastrointestinal endos...  Read Full »

I had to strain to have a bowel movement and felt a lump in my throat. Is this hiatal hernia?

Query: Hello doctor, I had to strain to have a bowel movement a few days ago. I instantly felt a lump in my throat after pushing. Can it potentially be a hiatal hernia?  Read Full »


Dr. Philip Shenouda

Answer: Hello, Welcome to ilciniq.com. I want to clarify that you suffer from two different conditions. First one is related to your lower gut (straining to have bowel movements) which is constipation, a second symptom which is the lump in the throat can be a symptom of hiatus hernia (one of the reasons)....  Read Full »

What can cause RUQ pain?

Query: Hello doctor, I am suffering from NAFLD for the last six months. Now, I am having RUQ heaviness, back pain and flatulence for the last three months. I had several tests and I have given the details below with the findings. USG of whole abdomen - hepatomegaly with fatty liver, fibroscan - 3.2 kPa me...  Read Full »


Dr. Sadaf Mustafa

Answer: Hello, Welcome to icliniq.com. Thank you for the detailed history. Your abdominal pain appears to be either coming from your stomach (gastritis and esophagitis) or from the hiatus hernia or gall bladder stones or dysfunction. Do you have any relation of your symptoms with food, like certain foods (f...  Read Full »

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