why does hiatal hernia happen?
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A hiatal hernia occurs when weakened muscle tissue allows your stomach to bulge up through your diaphragm. It's not always clear why this happens. But a hiatal hernia might be caused by: Age-related changes in your diaphragm.
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IT occurs most often in middle-aged and older adults but can affect people of any age. -It occurs as a result of reflux (backward flow) of GI contents into the esophagus. -Reflux produces symptoms by exposing the esophageal mucosa to the irritating effects of gastric or duodenal contents, resulting in inflammation.
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One common cause is bile reflux, which happens when bile backs up from your liver into your stomach and esophagus. You can develop reflux after gastric surgery. Bile reflux is not the same as acid reflux. You get acid reflux when acid backs up from your stomach into your esophagus.
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An umbilical hernia happens when intestine, fat, or fluid pushes through a weak spot or hole in your baby's stomach muscles. This causes a bulge near or in the belly button, or navel. It may look like your child's belly button is swollen. Many children have an umbilical hernia at birth.
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Experiencing pain when coughing or sneezing, lifting heavy objects, or even when laughing or crying can be a sign of a hernia. Usually this discomfort will be felt in the lower abdominal area. Frequent heartburn, indigestion and regurgitation can be indicators of a hiatal hernia.
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Although you can see how bad things can get, it's actually worse than that. As crazy as it may seem, Hiatal Hernias can actually kill you. That's why doing whatever it takes to get better — hopefully without having to undergo surgery — is a big deal, and potentially a huge boost to your health.
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Gastroesophageal reflux occurs when contents in the stomach flow back into the esophagus. This happens when the valve between the stomach and the esophagus, known as the lower esophageal sphincter, does not close properly.
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In general, a hernia starts with pressure on an organ or your intestines. A hernia forms when this pressure happens in the same area as a weakened muscle or tissue. Some people are born with weak muscles or tissue that isn't fully developed. However, most people get hernias as their bodies age and their muscles weaken.
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One common sign of a hernia is the visible bulge in the affected area. Other reported symptoms include pressure, a cough, heartburn, and difficulty swallowing. Severe hernia symptoms are shooting pain, vomiting, and constipation. If your hernia becomes soft or you can't push it in, go to the emergency room.
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A hiatal hernia can be diagnosed with a specialized X-ray study that allows visualization of the esophagus and stomach (barium swallow) or with endoscopy (a test that allows the doctor to view the hernia directly).
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In most cases, your food pipe (esophagus) goes through the hiatus and joins your stomach. But with a hiatal hernia, the top part of your stomach moves up through that opening into your chest. The top part of your stomach gets pinched. Stomach acid can back up (reflux) through the opening.
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Examples include laryngitis, goiters (enlargement of the thyroid gland), tumors in the neck, infections near the diaphragm, and hiatal hernia (usually accompanied by heartburn). Hiccups can also be triggered by excess alcohol use, kidney failure, and infections (especially ear infections).
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If the LES weakens even further, as it can happen with age, related symptoms can get progressively worse. People with a hiatal hernia are more likely to develop gastroesophageal reflux disease (GERD), a chronic form of reflux that can interfere with quality of life.
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Gastroenterology deals primarily with hiatal hernias in patients who experience abdominal pain and heartburn that worsens if the hernia grows.
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['Obesity.', 'Bulging of the top of the stomach up into the diaphragm (hiatal hernia)', 'Pregnancy.', 'Connective tissue disorders, such as scleroderma.', 'Delayed stomach emptying.']
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The spasm causes an intake of breath that is suddenly stopped by the closure of the vocal cords (glottis). This closure causes the "hiccup" sound. A very full stomach can cause hiccups that go away on their own. A full stomach can be caused by things like eating too much food too quickly or swallowing too much air.
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The diaphragm, which sits above and around the stomach, can contract involuntarily, causing hiccups. There's also the acid reflux explanation. Alcohol reduces the tone of the lower esophageal sphincter, the ring of muscles that leads from the esophagus into the stomach.