|HIATUS hernia occurs at the point where the
oesophagus passes the through the diaphagm.
Congenitally short oesophagus.
Raised intra abdominal pressures. Eg. Obesity, pregnancy,
Weakness of the oesophageal sphincter with reflux oesophagitis,
s in old age.
There are three types.
It is common in middle aged people, especially females.
Symptoms may be absent and the disease may be accidentally
discovered. Due to regurgiation of aid, heartburn or acid
regurgitation may be present. This is particularly felt after
a heavy meal or after stopping forward or lying down. After
taking hot drinks the condition can be aggravated. Sometimes
the oesophagus may be inflamed or ulcerated, which may give
rise to pain similar to heart pain. The pain may be produced
when the oesophagus is perfused with hydrochloric acid and
can be reduced by taking alkalis.
Nocturnal regurgitation of acid may cause respiratory distress.
In the long run it may lead to narrowing of the oesophagus
stenosis resulting in difficulty in swallowing and pseudo
Due to pressure on the gastric pouch there may be cough,
precordial distress, palpitation, heart pain and hiccups.
Due to slow bleeding from the oesophageal ulcer, the patient
may suffer from iron deficiency anaemia.
Reduction of body weight, maintenance of propped-up position
after food and small frequent meals.
Nuxvom, Amonmur, Belladona, Asafoetida and Natrumphos are
good medicines. Several others have to be tried according
to the symptoms.