Our Gastroenterology Blog

Posts for tag: Acid Reflux

By Ocean Family Gastroenterology
December 31, 2018
Category: GI Condition

Though many people never know they have one due to lack of symptoms, a hiatal hernia can cause complications which can affect your daily life. Knowing the signs and symptoms of this condition can help you spot its presence, alert your gastroenterologist, and get the treatment you need.

What is a hiatal hernia?
Your chest and abdomen are separated by a large muscle called the diaphragm. The esophagus passes through a small opening in the diaphragm and brings food from the mouth, down the throat, and into the stomach. A hiatal hernia occurs when the stomach pushes through the hole and begins bulging out of the other side, into the chest. Though small hiatal hernias are often nothing to worry about and do not produce symptoms, larger hernias may cause potentially serious complications.

Do I have a hiatal hernia?
A small hernia often does not produce any symptoms at all. However, larger hernias can cause some issues that can affect your day-to-day life:

  • Heartburn
  • Difficulty swallowing
  • Chest or abdominal pain
  • Regurgitation of foods (into the mouth)
  • Acid reflux
  • Vomiting blood or passing black stool
  • Shortness of breath

If you think you have a hiatal hernia, you should see your doctor to ensure that you receive the care you need.

How does a gastroenterologist diagnose a hiatal hernia?
It is not uncommon for a gastroenterologist to find a hernia while investigating the cause of heartburn, abdominal pain, or other symptoms. Some diagnostic tools they may use include x-rays or upper endoscopy. They will also gather your medical, family, and lifestyle history to further investigate the cause of your symptoms.

Hiatal Hernia Treatments
If a person with a hernia does not experience any symptoms or complications, they may not need any treatment at all. However, if the patient begins experiencing discomfort, their doctor will probably suggest beginning treatment for their condition. Medications, such as antacids or medication to reduce the body’s acid production, can help with symptoms of a hernia. In more severe cases, a surgical procedure to repair a hernia or make the hole in the diaphragm smaller may become necessary.

Your gastroenterologist can help you find the best treatment plan for you. If you think you have a hernia or are experiencing uncomfortable symptoms such as recurrent acid reflux or heartburn, you should speak with your doctor.

Crohn's disease can cause chronic pain and inflammation in your gastrointestinal tract. Although the inflammatory bowel disease can't be cured, treatments and lifestyle changes can help you avoid flare-ups.

Inflammation can cause a range of problems

When your digestive tract is inflamed, you may experience multiple symptoms, in addition to abdominal pain. They include:

  • Cramping
  • Frequent diarrhea
  • Ulcers in the digestive tract
  • Fever
  • Weight loss
  • Lack of appetite
  • Fatigue
  • Lack of energy
  • Rectal bleeding
  • Blood in your stool
  • Flatulence
  • Bloating
  • Sores in your mouth
  • Fistulas around your anus

If you have moderate to severe Crohn's disease, persistent vomiting and diarrhea, anemia, severe weight loss, abscesses and intestinal abscesses can occur. The disease can be life-threatening in some cases.

What causes Crohn's disease?

No one is sure what causes Crohn's disease, although immune system issues or genetics may make you more susceptible. You may be more likely to develop the disease if you are younger than 30, smoke, have a family history of Crohn's disease, or are white or of Ashkenazi Jewish descent.

How is Crohn's disease treated?

Reducing inflammation is the goal of Crohn's disease treatment. Your doctor may prescribe anti-inflammatory medications and immune system suppressors that prevent your immune system from triggering an inflammatory response. Antibiotics may be recommended if you have an infection or a fistula. Because people who have Crohn's disease can experience diarrhea 10 or more times per day, anti-diarrheal medication can be helpful. Frequent diarrhea can deplete nutrients. Your doctor may recommend B12 shots or iron, vitamin D and calcium supplements to prevent malnutrition.

If your symptoms are severe, your doctor may recommend a feeding tube for a period of time to give your bowel plenty of time to rest and recover. Sometimes, Crohn's disease can damage your digestive tract. Surgery may be needed to remove the damaged portions or open up areas of the intestines that have narrowed.

Eating several small meals during the day and limiting low-fat, dairy and high-fiber foods may also help you manage your symptoms. Prompt treatment and dietary changes may reduce flare-ups and might even lead to a remission of your syndrome.

Although living with Crohn's disease can be challenging at times, medical treatments and lifestyle changes can help you avoid the most serious consequences.



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