It is possible that the development of a hernia of the food section of the diaphragm can also be affected by lifestyle. It has been proven that people with an asthenic physique, who often lift weights, often become victims of thisabout illness.
Increased intra-abdominal pressure can also cause hiatal hernia. This may be facilitated. Symptoms of hiatal hernia in many cases are mild or absent. This is explained by the small size of the protrusion. Most often, the manifestation of pathology is observed in patients with large hernias. The signs of the disease include. Often there are such symptoms of a hernia of the esophagus as a burning tongue (glossalgia), a sour taste in the mouth, pain when bending or turning the torso.
Many patients complain of feeling a lump in the throat, increased salivation, bouts of sudden coughing, especially at night. The appearance of hernias can provoke pain in the region of the heart. Such signs make it difficult to diagnose the disease, as patients mistake the pathology for heart disorders.
Based on the degree of displacement of the stomach into the chest cavity, there are three stages of axial diaphragmatic hernia. The abdominal segment is located above the diaphragm, the cardia is at the level of the diaphragm, the stomach is directly adjacent to the cardia. The lower part of the esophagus protrudes into the chest cavity, the stomach is located at the level of the esophagus. Most of the subdiaphragmatic structures extend into the chest cavity. Why is this hernia difficult to recognize? It is often very difficult to suspect a hernia of the food opening of the diaphragm. All this creates serious diagnostic problems. Many patients continue to be treated by a cardiologist for years without success, while the true disease continues to progress.
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How to distinguish chest pain in HH from heart pain? The nature of the pain in these so different pathologies can indeed be very similar. according to patients, it is aching or burning, appears behind the sternum or between the shoulder blades, and can be provoked by physical activity. There are differences between the symptoms of a hiatal hernia and the symptoms of coronary heart disease that are important to be aware of. In the diagnosis of hiatal hernias, instrumental imaging methods play a leading role.
On x-rays, signs of axial hernias are clearly visible. high location of the esophagus, protrusion of the cardia above the diaphragm, disappearance of the subphrenic esophagus. With the introduction of a contrast agent, a suspension of suspension is observed in the hernia area. To assess the condition of the upper and lower esophageal sphincters and esophageal motility, esophagomanometry is performed - a functional study using a water-perfusion catheter equipped with a registration sensor. Indicators of pressure in a contracted state and at rest make it possible to judge the strength, amplitude, speed and duration of contractions of the sphincters and smooth muscles of the esophageal walls.
Impedancemetry allows you to get an idea of the acid-forming, motor-motor and evacuation functions of the stomach, based on the indicators of electrostatic resistance between the electrodes of the esophageal probe. Impedancemetry is considered the most reliable way to recognize gastroesophageal reflux with a simultaneous assessment of its type - depending on the pH value, acid, alkaline or slightly acid reflux is distinguished. In severe anemic syndrome, an additional fecal occult blood test is performed. To exclude cardiovascular pathology in the presence of complaints of a cardiological profile, it may be necessary to consult a cardiologist and conduct gastrocardiomonitoring - a combined daily monitoring of gastric acidity and Holter ECG.