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Hiatal hernia

Also known as Diaphragmatic Hernia

A hiatus hernia or hiatal hernia is the protrusion (or herniation) of the upper part of the stomach into the thorax through a tear or weakness in the diaphragm.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with hiatal hernia, 63% report having sharp abdominal pain, 48% report having sharp chest pain, and 45% report having nausea. The symptoms that are highly suggestive of hiatal hernia are difficulty in swallowing, heartburn, and vomiting blood, although you may still have hiatal hernia without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with hiatal hernia often receive hematologic tests, complete blood count, glucose measurement, electrolytes panel, electrocardiogram, kidney function tests, intravenous fluid replacement and biopsy .

Common Medications

The most commonly prescribed drugs for patients with hiatal hernia include midazolam (versed), pantoprazole, fentanyl, meperidine (demerol), sucralfate (carafate), raloxifene (evista), atropine / hyoscyamine / phenobarbital / scopolamine, dexlansoprazole (dexilant), mesalamine (asacol), thyroid (usp) (armour thyroid), azelastine nasal, tetracycline and simethicone (degas) .

Who is at risk?

Groups of people at highest risk for hiatal hernia include age 75+ years age 60-74 years. On the other hand, age 5-14 years and age < 1 years almost never get hiatal hernia.

Age

< 1 years
0.0x
1-4 years
0.1x
5-14 years
0.0x
15-29 years
0.2x
30-44 years
0.7x
45-59 years
1.3x
60-74 years
2.5x
75+ years
2.1x

Sex

Male
0.9x
Female
1.1x

Race/Ethnicity

Black
0.6x
Hispanic
0.9x
White
1.2x
Other
0.8x
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