NCLEX Review & Nursing School

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

Diagnosis:

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

Management/ Treatments:

• Management and treatments are the same as GERD.