If we look up information about hiatal hernia (HH) on the Internet, we will find that many articles give hiatal hernia a nickname like "stomach disease that can't be cured by medicine". Why is this so?
The first thing to say is that this nickname is still a bit problematic. Because hiatal hernia is not a stomach disease, not even a digestive tract disease, it is a type of hernia, which belongs to one of the generalized abdominal wall surgical diseases.
Hiatal hernia and other hernia diseases have certain similarities, both of which are caused by the displacement of organs in the abdominal cavity (stomach, intestines, omentum, etc.) due to weakness or defect in a certain part of our body. However, hiatal hernia is a special "alternative" in hernia. Most hernias are external abdominal hernias, commonly known as "hernias", which can be found and diagnosed directly from the surface of the body, while hiatal hernias are internal hernias that occur on the diaphragm between the chest and abdomen, so it is difficult to find directly, and the diagnosis often requires a variety of auxiliary tests.
The second thing to say is that there is some justification in calling hiatal hernia a "stomach disease".
Most hiatal hernias are asymptomatic, which is why many hiatal hernias are detected during the examination of other diseases, and the current incidence is difficult to determine (you can't pull everyone for a test, and there is currently no "gold standard" test, which often requires a combination of upper gastrointestinal barium swallowography, gastroscopy, CT and esophageal high-resolution manometry results).
Once there are symptoms of hiatal hernia, the most common ones are heartburn, acid reflux, chest pain, and difficulty swallowing. Yes, proper symptoms of gastroesophageal reflux disease (GERD)! A typical "cross-border" performance, focusing on a person who pretends to be someone else to do bad things without leaving a name! I like to see you misdiagnosed and mistreated!
Therefore, calling a hiatal hernia a "stomach disease" is very intuitive, which can not only tell you the main symptoms, but also suggest that you have such symptoms to think of hiatal hernia. This is just like the mainland's ballistic missiles on the Internet with the title of "Dongfeng Express", although the two do not have a boundary at all, but we have a deep impression of the missile launch immediately "fast and accurate".
Finally, let's focus on why hiatal hernia is a disease that cannot be cured by drugs.
The main symptom of hiatal hernia is gastroesophageal reflux, and according to statistics, 50%~90% of patients with gastroesophageal reflux disease are combined with hiatal hernia. This is due to the fact that hiatal hernia completely destroys the anti-reflux barrier of the gastroesophageal junction, and irreversible anatomical changes lead to the chronicity of gastroesophageal reflux disease, which tends to increase and worsen gradually.
Taking antacids only reduces the problem of acidity in the reflux, but does not address the reflux itself. It's like if you treat a flood, you put medicine into the water, and you only improve the quality of the flood, but you can't change the direction of the flood. Treating reflux itself is the key to achieving the corresponding results!
Therefore, patients with hiatal hernias with symptoms of gastroesophageal reflux disease should have the weak or enlarged hiatus repaired and an anti-reflux procedure called fundoplication at the same time.
In 2013, the American Society of Gastrointestinal and Endoscopic Surgeons (SAGES) recommended indications for hiatal hernia surgery, such as:
Under:
Sliding hiatal hernias in the presence of chronic gastroesophageal reflux disease (hiatal hernia type I) have indications for surgical repair, whereas repair of hiatal hernia type I in the absence of gastroesophageal reflux disease is not necessary;
All symptomatic paraesophageal hernias (giant hiatal hernias) should be repaired, especially those with acute obstructive symptoms or concomitant torsion;
Routine elective repair of completely asymptomatic paraesophageal hernias may not always be indicated, and the choice of surgery should take into account the patient's age and comorbidities;
Symptomatic hiatal hernias in children should be repaired laparoscopically, and gastroesophageal reflux in children should be resolved with fundoplication.
The disease must be cured, not delayed. If you don't make a decision for a long time, it will only make the condition worse, especially for hiatal hernia. Since the drug can't solve the ...... Then look no further!