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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is A Painful Abdominal Bulge Symptom Of Hernia?

I have suffered from a painful bulge since 2009 started after work injury heavey box falling from overhead caused permenant damage to left arm and shoulder. When I told dr I had pain in top of stomach turned into personal attack. Accused me of reinjuring myself. never tested or treated. I beleive injury occured trying to keep from being crushed by box. Can you get hernia from that. 3 dr s said they could see hernia 3 said no. Painful when lifting of eating full meal. visiable bulge size of que ball unless fasting. recent abdominal CT scan shows no explanation for abdominal discomfort but radiologist says small nodual in left adrenial gland recommend MRI. Both my mother and brother have hernia top of stomach. could CT scan not show hernia?
Fri, 23 Sep 2016
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General Surgeon,  's  Response
Hello,
1) What you are asking is about diaphragmatic hernia. It occur either as hiatus hernia or as a traumatic diaphragmatic hernia
2) Yes traumatic diaphragmatic hernia can occur after blunt injury to upper part of abdomen, in which part of stomach herniate into chest through damaged part of diaphragm from trauma; you might have symptoms due to herniation of stomach. This hernia is also associated with other minor/major injuries and also can be detected by X-ray or CT scan
3) Second type is hiatus hernia, in which junction of esophagus-stomach move upward into chest through opening of diaphragm. This type of hernia is missed sometimes due to small in size, also it require particular position of patient during CT scan to confirm the diagnosis.
4) In both type of hernias, part of stomach protrude into chest and symptoms are early satiety, vomiting, nausea, upper abdominal pain.
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Is A Painful Abdominal Bulge Symptom Of Hernia?

Hello, 1) What you are asking is about diaphragmatic hernia. It occur either as hiatus hernia or as a traumatic diaphragmatic hernia 2) Yes traumatic diaphragmatic hernia can occur after blunt injury to upper part of abdomen, in which part of stomach herniate into chest through damaged part of diaphragm from trauma; you might have symptoms due to herniation of stomach. This hernia is also associated with other minor/major injuries and also can be detected by X-ray or CT scan 3) Second type is hiatus hernia, in which junction of esophagus-stomach move upward into chest through opening of diaphragm. This type of hernia is missed sometimes due to small in size, also it require particular position of patient during CT scan to confirm the diagnosis. 4) In both type of hernias, part of stomach protrude into chest and symptoms are early satiety, vomiting, nausea, upper abdominal pain.