Classification[edit] · Type I: A type I hernia, also known as a sliding hiatal hernia, occurs when part of the stomach slides up through the hiatal opening in ...HiatalherniaFromWikipedia,thefreeencyclopediaJumptonavigationJumptosearchTypeofherniainwhichabdominalorgans(typicallythestomach)slipthroughthediaphragmintothemiddlecompartmentofthechestMedicalconditionHiatalherniaOthernamesHiatusherniaAdrawingofahiatalherniaSpecialtyGastroenterology,generalsurgerySymptomsTasteofacidinthebackofthemouth,heartburn,troubleswallowing[1]ComplicationsIrondeficiencyanemia,volvulus,bowelobstruction[1]TypesSliding,paraesophageal[1]RiskfactorsObesity,olderage,majortrauma[1]DiagnosticmethodEndoscopy,medicalimaging,manometry[1]TreatmentRaisingtheheadofthebed,weightloss,medications,surgery[1]MedicationH2blockers,protonpumpinhibitors[1]Frequency10–80%(US)[1]Ahiatalherniaisatypeofherniainwhichabdominalorgans(typicallythestomach)slipthroughthediaphragmintothemiddlecompartmentofthechest.[1][2]Thismayresultingastroesophagealrefluxdisease(GERD)orlaryngopharyngealreflux(LPR)withsymptomssuchasatasteofacidinthebackofthemouthorheartburn.[1][2]Othersymptomsmayincludetroubleswallowingandchestpains.[1]Complicationsmayincludeirondeficiencyanemia,volvulus,orbowelobstruction.[1]Themostcommonriskfactorsareobesityandolderage.[1]Otherriskfactorsincludemajortrauma,scoliosis,andcertaintypesofsurgery.[1]Therearetwomaintypes:slidinghernia,inwhichthebodyofthestomachmovesup;andparaesophagealhernia,inwhichanabdominalorganmovesbesidetheesophagus.[1]Thediagnosismaybeconfirmedwithendoscopyormedicalimaging.[1]Endoscopyistypicallyonlyrequiredwhenconcerningsymptomsarepresent,symptomsareresistanttotreatment,orthepersonisover50yearsofage.[1]Symptomsfromahiatalherniamaybeimprovedbychangessuchasraisingtheheadofthebed,weightloss,andadjustingeatinghabits.[1]MedicationsthatreducegastricacidsuchasH2blockersorprotonpumpinhibitorsmayalsohelpwiththesymptoms.[1]Iftheconditiondoesnotimprovewithmedications,asurgerytocarryoutalaparos