Gastric antrum with hernia diaphragmatic hiatus is okay?

Question
Hello doctor,
I have gastric antrum and diaphragmatic hernia, after 1.5 months of taking the medicine, my pain is relieved but I have reflux, eating is okay. So the doctor asked me if there is a problem with hernia of the antrum of the stomach and diaphragmatic hernia? Thank you.
Anonymous customer
Answer
Answered by Specialist Doctor I Dong Xuan Ha - Department of Medical Examination & Internal Medicine, Vinmec Ha Long International General Hospital.
Hello,
With the question “What's wrong with gastric antrum with hernia diaphragmatic hiatus? ", the doctor would like to answer as follows:
Slit diaphragmatic hernia is caused by the structure of the diaphragm - separating the abdomen from the ribcage, the stomach is located below the diaphragm - there is a weak pulse, so part of the stomach get through that weak spot into the chest. Usually it comes down on its own when changing positions.
Depending on how much more or less part of the stomach goes into the chest, it causes different symptoms, it may be just a mild pain in the epigastrium, but it can also cause reflux, dilation of the esophagus due to restriction. restricting the circulation of the esophagus - stomach, in some severe cases, it can cause chest pain, difficulty breathing or the stomach can go up into the chest without being able to go down, causing suffocation.
Medical treatment in this case does not make much sense, you must go to the doctor and regularly monitor the extent of that hernia. Your doctor will give you a contrast-enhanced esophagography, computed tomography, and upper gastrointestinal endoscopy to determine the exact extent of the disease. Surgical reinforcement of the weak part of the diaphragm is the most radical treatment. You are young, you should go to a specialized medical facility for thorough treatment.
Vinmec hospital system has many good gastroenterologists in both internal medicine and surgery, strict procedures, modern equipment, regular updates of new medical knowledge, optimization of examination and treatment for patients. each patient. In addition to caring attentive service when visiting and treating at the hospital, your doctor will monitor and support you throughout the outpatient treatment process until the disease is cured.
If you still have questions about gastric antrum with hernia diaphragmatic hiatus, you can go to the hospital of Vinmec Health System for further examination and advice. Thank you for trusting and sending questions to Vinmec. Wishing you lots of health.
Best regards!