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Hiatal Hernia

– There is a herniation in the portion of the stomach, protruding towards the thoracic cavity.

Assessment/ Symptoms:

Symptoms are very similar to GERD:

  • Dysphagia (difficulty swallowing)
  • Odynophagia (painful swallowing)
  • Regurgitation of foods
  • Heartburn (Dyspepsia)

There are two types:

  • Sliding or rolling Hernia
  • Paraesophageal Hernia


  • Barium swallow X- ray.
  • direct visualization by endoscopy.

Management/ Treatments:

  • Management and treatments are the same as GERD.

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