This site is intended for healthcare professionals

Sign in
Go to /sign-in page

You can view 5 more pages without signing in

Clinical features

Authoring team

Most para-oesophageal herniae are asymptomatic (1).

  • usually, symptoms develop in adult life and when the hernia is large
  • heartburn and regurgitation are absent since the hernia is intra-abdominal.

Clinical features may include:

  • intermittent dysphagia - chiefly a slowness in food passing through the distal oesophagus where it is compressed by the adjacent gastric pouch
  • gaseous eructations - belching of wind from the stomach through the mouth
  • hiccough - due to irritation of the phrenic nerve
  • gurgling or splashing noises in the chest
  • early satiety and postprandial vomiting
  • acute epigastric or chest pain due to volvulus, incarceration or gangrene

Rarely, a rolling hernia may cause:

  • cardiac symptoms due to pressure on the heart, e.g. palpitations

Reference:

Create an account to add page annotations

Create a free account

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.