You may also need to treat it if you have one along with severe GERD or esophagitis ( inflammation of the esophagus). But it may be necessary if the hernia is in danger of becoming strangulated, or twisted in a way that cuts off blood supply. Hiatal hernias usually don’t need treatment. Although it’s usually a condition of middle age, hiatal hernias affect people of all ages. Many otherwise healthy people ages 50 and over have a small one. But having a hiatal hernia may allow stomach contents to reflux more easily into the esophagus.Ĭoughing, vomiting, straining, or sudden physical exertion can raise pressure in your belly and lead to a hiatal hernia. Many people with a hiatal hernia will not have problems with heartburn or reflux. Recent studies show that the opening in the diaphragm helps support the lower end of the esophagus. The diaphragm is the muscle separating the abdomen from the chest. Hiatal hernia happens when the upper part of your stomach moves up into the chest through a small opening in your diaphragm (diaphragmatic hiatus). Some doctors believe a hiatal hernia may weaken the LES and raise your chances of gastroesophageal reflux. It can also cause coughing and other breathing problems. It can cause vomiting that happens over and over again. Recent studies show that GERD in infants and children is more common than doctors thought. More than 60 million American adults have heartburn at least once a month, and more than 15 million adults have heartburn every day, including many pregnant women. This lets the stomach's contents flow up into the esophagus. Gastroesophageal reflux happens when the LES is weak or relaxes when it shouldn’t. Then it closes to stop food and acidic stomach juices from flowing back into your esophagus. ![]() In normal digestion, your LES opens to allow food into your stomach. Gastroesophageal reflux is when what’s in your stomach backs up into your esophagus. The term “gastroesophageal” refers to the stomach and esophagus. But some people may need medication or surgery. ![]() In most cases, you can ease your GERD symptoms through diet and lifestyle changes. Doctors think that some people may have it because of a condition called hiatal hernia. If you have it, you may get heartburn or acid indigestion. This ring is called the lower esophageal sphincter (LES). Gastroesophageal reflux disease, or GERD, is a digestive disorder that affects the ring of muscle between your esophagus and your stomach.
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