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Suggest Treatment For Hiatal Hernia
Question: I need to chat with a hernia expert I need to confirm that I have a hiatal hernia as opposed to other types and if so, what to do about it.
I really expected a conversation. You should no that I have a visible bulge in my stomach when I tighten my abdominal muscles. It is about seven inches long running vertically from my belly button to by breast bone. I am taking nexium for acid reflux.
I really expected a conversation. You should no that I have a visible bulge in my stomach when I tighten my abdominal muscles. It is about seven inches long running vertically from my belly button to by breast bone. I am taking nexium for acid reflux.
Brief Answer:
Divarication of recti.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/70 - need to confirm about having hiatal hernia - visible bulge as described - on Nexium for GERD.
The bulge that you have got is called divarication of recti due to thinning of the fibrous tissue in between the abdominal wall's flat vertical muscles called as recti.
If you are in the initial periods it can be healed well with the exercises which strengthen the anterior abdominal wall exercises.
If too wide or too old, exercises do not work to much.
If there are no symptoms no specific treatment is required.
Hiatal hernia is deep within, at a place where the esophagus enters from the chest to the abdomen through a muscle that is called diaphragm. Diaphragm separates the abdominal cavity fro the chest cavity. Has a opening that allows the esophagus to pass through. This small opening does allow the esophagus pass but does not allow the contents of abdomen to go to the chest., When this opening is wide, it allows the stomach to pass through up into the chest and this is called hiatus/hiatal hernia and not at all related to the bulge that you have.
IU hope this answers your query, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Divarication of recti.
Detailed Answer:
Hi.
Thanks for your query.
To recapitulate: Male/70 - need to confirm about having hiatal hernia - visible bulge as described - on Nexium for GERD.
The bulge that you have got is called divarication of recti due to thinning of the fibrous tissue in between the abdominal wall's flat vertical muscles called as recti.
If you are in the initial periods it can be healed well with the exercises which strengthen the anterior abdominal wall exercises.
If too wide or too old, exercises do not work to much.
If there are no symptoms no specific treatment is required.
Hiatal hernia is deep within, at a place where the esophagus enters from the chest to the abdomen through a muscle that is called diaphragm. Diaphragm separates the abdominal cavity fro the chest cavity. Has a opening that allows the esophagus to pass through. This small opening does allow the esophagus pass but does not allow the contents of abdomen to go to the chest., When this opening is wide, it allows the stomach to pass through up into the chest and this is called hiatus/hiatal hernia and not at all related to the bulge that you have.
IU hope this answers your query, please feel free to ask for further relevant queries if you feel that there is a gap of communication.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you. This has been very informative. 3 more questions:
If this is not a hernia, what is inside the bulge?
If this could develop into a hernia, why isn't some sort of resolution recommended.
Am I correct in concluding (from various internet sources) that doing the proper type of exercises will reverse this condition. I've had it for 15 years at least.
If this is not a hernia, what is inside the bulge?
If this could develop into a hernia, why isn't some sort of resolution recommended.
Am I correct in concluding (from various internet sources) that doing the proper type of exercises will reverse this condition. I've had it for 15 years at least.
Brief Answer:
as explained in details.
Detailed Answer:
Thanks for your appreciation.
To answer your queries:
If this is not a hernia, what is inside the bulge?
>There is practically nothing inside the bulge, this is because this is not a hernia. There would be stomach, transverse colon or so in their normal position posterior to the bulge.
If this could develop into a hernia, why isn't some sort of resolution recommended.
> In some cases Keel repair is done if required, the first layer of approximating sutures follow the second one in such a way that it appears like a keel of a boat.
Am I correct in concluding (from various internet sources) that doing the proper type of exercises will reverse this condition. I've had it for 15 years at least.
> Yes, there is still chance of a lots of good results with this anterior wall of abdomen muscle strengthening.
I hope these answer all your queries well.
as explained in details.
Detailed Answer:
Thanks for your appreciation.
To answer your queries:
If this is not a hernia, what is inside the bulge?
>There is practically nothing inside the bulge, this is because this is not a hernia. There would be stomach, transverse colon or so in their normal position posterior to the bulge.
If this could develop into a hernia, why isn't some sort of resolution recommended.
> In some cases Keel repair is done if required, the first layer of approximating sutures follow the second one in such a way that it appears like a keel of a boat.
Am I correct in concluding (from various internet sources) that doing the proper type of exercises will reverse this condition. I've had it for 15 years at least.
> Yes, there is still chance of a lots of good results with this anterior wall of abdomen muscle strengthening.
I hope these answer all your queries well.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I'm still a little confused about your answer about what's inside the bulge.
I don't intend to do this, but if I stuck a knife in it, what would come out? Air? Water? Blood? Ii's pretty big (1 1/2 to 2 inches high by 6 to eight inches long) to have nothing in it.
BTW: I do believe you about it being a divarication of recti. The picture you provided was convincing.
I don't intend to do this, but if I stuck a knife in it, what would come out? Air? Water? Blood? Ii's pretty big (1 1/2 to 2 inches high by 6 to eight inches long) to have nothing in it.
BTW: I do believe you about it being a divarication of recti. The picture you provided was convincing.
Brief Answer:
This is no true hernia hence no sac, no contents.
Detailed Answer:
Depends how deep you stuck the knife.
If you just pierce through, nothing will come out as this is weakness in the tissues that join the two recti muscles.
Rest of the organs as discussed above are behind it hence will get in touch with it.
There is no true sac formation as is the case with hernia elsewhere. Hence no contents other than the fat of falciform ligament, which is a natural anatomical structure to be present in all.
I hope this clarifies your doubts.
This is no true hernia hence no sac, no contents.
Detailed Answer:
Depends how deep you stuck the knife.
If you just pierce through, nothing will come out as this is weakness in the tissues that join the two recti muscles.
Rest of the organs as discussed above are behind it hence will get in touch with it.
There is no true sac formation as is the case with hernia elsewhere. Hence no contents other than the fat of falciform ligament, which is a natural anatomical structure to be present in all.
I hope this clarifies your doubts.
Note: For further inquiries on surgery procedure and its risks or complications book an appointment now
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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