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Fixed (paraesophageal) hernia of the esophageal opening of the diaphragm is not so common. In this case, part of the stomach is pushed through the diaphragm and remains there. As a rule, such hernias are not considered a serious disease. However, there is a risk that blood flow to the stomach may be blocked, which can cause serious injury and is a medical emergency.

Patients with a fixed hernia may experience belching. It appears as a result of air entering the esophagus.

Quite often, patients with paraesophageal hernia complain of intense pain in the region of the heart. This is not surprising, because the pain in the thoracic region that they feel really mimics the heart. It is important to remember that early diagnosis of hiatal hernia will help to avoid complications, and HH treatment will be more effective. In the early stages, you can do without surgery. Complications that can occur with HH.

Sometimes it gets there with an admixture of bile or gastric juice. In this case, the belching will have a characteristic taste and smell.

A hernia of the esophageal opening of the diaphragm can be complicated by the development of gastrointestinal bleeding. The cause of bleeding are peptic ulcers, erosion of the esophagus and stomach. Another possible, but rare complication of a hiatal hernia is its incarceration and perforation of the stomach wall. Anemia is a common complication of hiatal hernia. Reflux esophagitis is a regular and frequent complication of HH. Other complications of hiatal hernia - retrograde prolapse of the gastric mucosa into the esophagus, intussusception of the esophagus into the hernial part are rare and are diagnosed during fluoroscopy and endoscopy of the esophagus and stomach.

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It is quite obvious that in the listed situations of complications of hiatal hernia, the central goal is the treatment of the underlying disease. To make a diagnosis with a hernia of the esophageal opening of the diaphragm, it is necessary to describe in detail your complaints to the doctor, to undergo a series of examinations. Since such a disease is sometimes asymptomatic, it is possible to detect a hernia during a random examination for other complaints.

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These include X-ray examination with contrast, endoscopic examination and manometry, which allows you to measure pressure in different parts of the esophagus. ExtraAdditionally, a complete blood count is prescribed to exclude a potential complication of a hernia - gastrointestinal bleeding. When, in addition to a herniated diaphragm, a patient has gallstone disease, he needs to undergo an ultrasound examination of the abdominal cavity. Since diaphragmatic hernia is often accompanied by symptoms similar to those of heart disease, an additional electrocardiogram will have to be done.