Why Choose The Surgery Group
We remain committed to providing our patients with innovative, safe alternatives to open surgery. However, there are times when open surgery is warranted, and minimally invasive surgery is not an option. In cases such as these, our board-certified surgeons are prepared to perform conventional surgery and provide each patient with the compassionate, high-quality, personalized care they deserve.
OUR SURGEONS ARE NOT DIRECTLY OR INDIRECTLY ASSOCIATED WITH ANY HOSPITAL. As such, we can recommend the best place for your Surgery to be done. Our only interest is resolution of your health problem in the safest and easiest way. Any surgeon who works for a hospital is bound by the administrative policies dictated by that hospital which can affect your care. These surgeons may be encouraged to use techniques or consultants or diagnostic tests which benefit the hospital system and are not in the best interests of the patient.
Our surgeons are continually maintaining their skills and expertise. This is accomplished by keeping up with the latest surgical techniques and technological advancements in our field. Whether we are performing an open surgery, a minimally invasive procedure or a robot-assisted surgery, our expert surgeons can perform complex and delicate procedures with unmatched precision.
More About The Syndrome
The practitioners at Root Cause Medical Clinic have over 35 years of experience of successfully treating hiatal hernia. The term hiatal hernia syndrome is used because there are often multiple factors that have created the hiatal hernia.
The multitude of symptoms that can occur with hiatal hernia syndrome arise from a physical/mechanical/muscular condition affecting the diaphragm combined with pressure being created in the abdominal cavity from gas, bloating, constipation, pressure buildup, and obesity. It may be some or it may be all of the above factors that contribute to creating a hiatal hernia.
This condition is not just an esophagus/stomach problem, but it is also a muscular issue with the diaphragm. Knowledge of how to identify, diagnose and treat what actually creates a hiatal hernia leads to the ability to obtain great success in the treatment of this disorder.
When To Call A Doctor For Heart Attack Symptoms Or Hiatal Hernia
When to call the doctor heart attack warning signs or symptoms
Chest pain is almost always considered an emergency. Aside from heart attacks, pulmonary embolus and aortic dissection or tear can be fatal causes of chest pain. Classic pain from a heart attack is described as chest pressure or tightness with radiation of the pain to the jaw and down the arm, accompanied by shortness of breath or sweating. But it is important to remember that heart problems may not always present as pain or with the classic symptoms. Indigestion, nausea, profound weakness, profuse sweating, or shortness of breath may be the main symptom of a heart attack.
If you have any symptoms that you believe are related to your heart, call 911. First responders, emergency medical technicians, and paramedics can begin testing and treatment even before you arrive at the hospital. Remember to take an aspirin immediately if you are concerned that you are having a heart attack.
Many people die before they seek medical care because they ignore their symptoms out of fear that something bad is happening, or by diagnosing themselves in error with indigestion, fatigue, or other illnesses. It is much better to seek medical care if you are unsure whether your symptoms are related to heart disease and find that all is well than to die at home.
When to Call the Doctor for Hiatal Hernia Symptoms
When to call the doctor
When to go to the hospital
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Subject Grouping And Observation Indexes
The patients were divided into two groupsa hypotension group and a normal groupbased on the occurrence of intraoperative hypotension, which was defined as a mean arterial pressure < 65 mmHg lasting 1 minute after the posterior window of the esophageal hiatus was released.5 The perioperative data, which were collected by querying the electronic medical record system, included gender, age, height, weight, American Society of Anesthesiologists grade, hiatal hernia classification, hiatal hernia size, hypertension, coronary heart disease, diabetes, stroke, respiratory system diseases, fasting time before anesthesia, basal blood pressure, and preoperative heart rate. The intraoperative data that were collected included the presence of intraoperative hypotension and its duration, vasoactive drug use and types, volume and type of fluid supplement before hernia sac opening, and intraoperative fluid supplement volume.
How Is Surgery For A Hiatal Hernia Performed
Surgery for repairing a hiatal hernia involves:
- Pulling the hiatal hernia back into the abdomen.
- Improving the valve at the bottom of the esophagus.
- Closing the hole in the diaphragm muscle.
During surgery, your surgeon will wrap the upper part of the stomach around the lower portion of the esophagus. This creates a permanently tight sphincter so that stomach contents will not move back into the esophagus.
A laparoscopic surgery is done through several small incisions instead of one big cut. This is considered a minimally invasive option. The specific laparoscopic procedure used to repair a hiatal hernia is called the Nissen fundoplication. This procedure creates a permanent solution to your hiatal hernia symptoms. During the procedure, your surgeon will make five or six tiny incisions in the abdomen. The laparoscope and other surgical instruments are inserted through the small incisions. The fundus is wrapped around the esophagus and the sphincter is tightened during surgery. The advantages of laparoscopic surgery compared to an open surgery include:
- Smaller incisions.
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Common Symptoms For These People *:
* Approximation only. Some reports may have incomplete information.
What Is A Hiatal Hernia
A hiatal hernia is when your stomach bulges up into your chest through an opening in your diaphragm, the muscle that separates the two areas. The opening is called the hiatus, so this condition is also called a hiatus hernia.
There are two main types of hiatal hernias: sliding and paraesophageal.
Ordinarily, your esophagus goes through the hiatus and attaches to your stomach. In a sliding hiatal hernia, your stomach and the lower part of your esophagus slide up into your chest through the diaphragm. Most people with hiatal hernias have this type.
A paraesophageal hernia is more dangerous. Your esophagus and stomach stay where they should be, but part of your stomach squeezes through the hiatus to sit next to your esophagus. Your stomach can become squeezed and lose its blood supply. Your doctor might call this a strangulated hernia.
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How Is A Hiatal Hernia Diagnosed
Several tests can be done to help diagnose a hiatal hernia. These include a barium swallow test, an endoscopy procedure, esophageal manometric studies, a pH test and gastric emptying studies.
- A barium swallow involves drinking a special liquid, then taking X-rays to help see problems in the esophagus and the stomach . It also shows how big the hiatal hernia is and if there is twisting of the stomach as a result of the hernia.
- An endoscopy is a procedure in which the inside of the upper digestive system is viewed with an endoscope .
- Anesophageal manometry measures the strength and muscle coordination of your esophagus when you swallow.
- A pH test measures the acid levels in the esophagus and helps determine which symptoms are related to acid in the esophagus.
- Gastric emptying studies examine how fast food leaves the stomach. Results from this test are especially important in patients who have nausea and vomiting. There could be other causes of the nausea and vomiting besides a hiatal hernia.
Hiatus Hernia And Palpitations
I have been diagnosed with a hiatus hernia but have had lots of problems with palpitations recently, i also sometimes get a cold shivery feeling some nights as if i am going down with flu, i have suffered from really bad acidity over the last 10 years, i have had three endoscopy’s and it was on the last one that i was diagnosed with a hernia, i also get bad chest pain along the sternum and a bad pain where my ribs meet in the middle, it’s so depressing, does anybody else suffer from palpitations etc?
9 likes, 153 replies
13 years ago
Yes I suffer these symptoms too, I also get very breathless especially when I bend over or climb stairs and also feel quite faint and dizzy during a bad attack.
My stomach is also badly swollen, so much that it looks like I am pregnant.
Posted 7 years ago
have you had any luck I myself and strugling to diagnose myself I have chest/heart pains huge belly and i urinate less but mostly stomach pain and swelling so bad that I find my self going crazy becuase the doctors have not even scanned it just poked it and said its ok
Posted 6 years ago
Why on the world would you drink anything with caffeine or sugary with recent heart events, hun?? You should ONLY be drinking water and lots of it! This will help work palpitations, anxiety, and and being hot tremendously! Stay AWAY from caffeine!!
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What Causes A Hiatal Hernia
The most common cause of a hiatal hernia is an increase in pressure in the abdominal cavity. Your abdominal cavity is the space in the middle of your body that holds several organs, including the:
- Lower part of the esophagus and stomach.
- Small intestine, colon and rectum.
This pressure can build up from things like:
- Straining during a bowel movement.
- Heavy lifting.
- Physical strain.
Increased pressure in the abdomen causes part of the stomach to push through the diaphragm and into the chest cavity.
Causes Of High Blood Pressure
Although the exact cause is unknown, certain conditions, traits or habits may raise your risk for the condition. These are known as risk factors and include:
Non-modifiable risk factors: These factors are irreversible and cannot be changed. The more of these risk factors you have, the greater your chance of developing HBP.
- Starting at age 18, ask your doctor for a blood pressure reading at least every two years. If you’re age 40 or older, or you’re 18 to 39 with a high risk of high blood pressure, ask your doctor for a blood pressure reading every year.
- Family history/Genetics
- African Americans and non-white Hispanic Americans are at higher risk for developing high blood pressure than any other group in the U.S.
Modifiable risk factors: These factors can be modified, treated or controlled through medications or lifestyle changes.
- Excessive alcohol consumption over many years.
- Little to no physical activity
- Excessive amounts of salt in diet that excess the recommended amounts of 1,500 to 2,300 mg of sodium per day.
- Long history of smoking and/or drug abuse
- Extreme emotional stress
Other conditions that contribute to developing high blood pressure
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Your Ectopic Heartbeat And Health
An ectopic heartbeat can also be described as a Premature atrial contraction or a premature ventricular contraction
Is treatment of ectopic heartbeats critical? Heres the deal.
In most cases NO! and symptoms will resolve themselves in most cases according to HEALTHLINE. This will however not curb the anxiety that most of us experience when we get that awful ectopic attacks. So! they may not be harmful in most cases but seek medical advice in the following situations:
Secondary Study End Points
All patients underwent endoscopy, simultaneous 24-hour continuous BP monitoring, esophageal impedance and pH monitoring. Patients on any form of antiacid therapy were asked to stop treatment for at least 2 weeks before the study. Antihypertensive therapy was not withheld or altered during the study. Twenty-four hour continuous BP monitoring and impedance-pH monitoring were carried out at the same time.
The 24-hour BP monitoring device consisted of an inflatable cuff attached to a small computer, which weighed about 500 grams. It was worn over the shoulder or on a belt. On the basis of study of Dobrzycki et al and Lam et al, hypertension provoked by GERD was defined as elevation of systolic BP to 140mmHg and/or diastolic BP to 90mmHg during and for up to 10 minutes after a PR episode. In our methodology, BP monitoring was set to monitor once every 10 minutes over a 24-hour time period. Information on the BP measurements was recorded on tape and could be downloaded to a computer. The following variables were assessed: daytime BP, nocturnal BP, diurnal average systolic and diastolic BP, and the percentage fall in nocturnal BP . According to the percentage fall in nocturnal BP, patients could be classified as dippers and nondippers . When the decrease in systolic BP and diastolic BP were discordant, only the systolic BP was considered.
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Can Acid Reflux Be Related To Heart Problems
Heart disease is more common in people with GERD than in others, which is characterized by abnormal heartbeats, plaque buildup in the heart arteries, or reduced blood flow to the heart. In 2010, heart disease caused one out of four deaths in the United States. deaths. The emergency room should be consulted if you have any abnormal signs or symptoms.
When Is Surgery For A Hiatal Hernia Needed
If the portion of the stomach entering the esophagus is being squeezed so tightly that the blood supply is being cut off, youll need to have surgery. Surgery may also be needed in people with a hiatal hernia who have severe, long-lasting esophageal reflux whose symptoms are not relieved by medical treatments. The goal of this surgery is to correct gastroesophageal reflux by creating an improved valve mechanism at the bottom of the esophagus. Think of this valve as a swinging door. It opens to let food pass down into the stomach and then closes to keep stomach contents from going back up the esophagus. When this valve doesnt work correctly, your stomach contents can go the wrong way and damage your esophagus. If left untreated, chronic gastroesophageal reflux can cause complications such as esophagitis , esophageal ulcers, bleeding or scarring of the esophagus.
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What Symptoms Of Hiatal Hernia You Should Look For
These are surgery emergencies but if there are no symptoms at all, these type of hernias are just monitored to check their progression. The sliding type is more common and is a high risk for developing gastroesophageal reflux disease.
Hiatal hernias can give the sense of heartburn , pain or pressure in the chest or in the upper abdomen due to the trapped stomach in the hiatus. Pain can be similar to a heart pain or angina with radiation in arm and the situation must be carefully evaluated. All the cases with a chest pain must be seen by a doctor, do not neglect it.
Difficulties in swallowing, hiccups, coughing and belching are common. Hiatal hernia palpitations and shortness of breath are also common.
What Is A Heart Attack What Is A Hiatal Hernia
A heart attack is due to a blood clot or a partially or completely blocked blood vessel in the heart from a blood clot or narrowed or completely occluded blood vessel. This causes slow or lack of blood flow to areas of the heart where the vessel is blocked. Lack of oxygen to the portion of the heart affected causes heart muscle in that area to die.
Hiatal hernia is a common gastrointestinal tract condition in which the upper portion of the stomach protrudes into the chest cavity through an opening of the diaphragm called the esophageal hiatus. This opening usually is only large enough to accommodate the esophagus. With weakening and enlargement, however, the opening can allow upward passage or even entrapment of the upper stomach above the diaphragm. Some people have a hiatal hernia to some degree by age 60 moreover, up to 60% of people have it to some degree. There are two types of hiatal hernia.
- Sliding hiatal occurs when the junction between the stomach and esophagus slides up through the esophageal hiatus during moments of increased pressure in the abdominal cavity. When the pressure is relieved, the stomach falls back down with gravity to its normal position.
- A fixed hiatal hernia does not slide up and down because a portion of the stomach remains stuck in the chest cavity.
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You May Also Need One Or More Of The Following Tests:
- An esophageal manometry which measures the strength and coordination of the muscular contractions of the esophagus
- A pH test that measures how often stomach acid refluxes back up into the esophagus from the stomach
- An upper gastrointestinal series is often ordered to identify unexpected esophageal pathology such as a stricture, hiatal hernia, or ineffective contractions.
Hiatus Hernia And Heartburn
A hiatus hernia itself rarely has any noticeable symptoms. However, it can cause a problem called gastro-oesophageal reflux disease .
GORD is where stomach acid leaks into the oesophagus . It can occur if a hiatus hernia prevents the valve at the bottom of the oesophagus from working properly.
Your oesophagus can become severely irritated, because it’s not protected against stomach acid. This can cause symptoms such as heartburn, chest pain, an unpleasant sour taste in your mouth, and swallowing problems .
You should see your GP if you have frequent and severe symptoms of GORD.
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