So, The hiatal hernia pain can be located in atypical locations such as in the jaw, arms, or back when severe GERD complicates it.
The pain resolves spontaneously or with antacids.The pain lasts anywhere from minutes to hours.The pain radiates to the back, jaw, or two arms (similar to heart attack pain).Squeezing or heaviness in the front of your chest (behind the sternal bone).This type of pain is called GERD-related chest pain it has the following characters ( reference): However, the pain is severe, compressing chest pain in front of your chest mimicking the angina pectoris pain (heart attack). Hiatal Hernia with severe GERD can cause a different type of chest pain than classic heartburn. GERD-related chest pain (similar to the pain from a heart attack). Therefore, your doctor will often perform an endoscopy to differentiate the causes. The persistence of epigastric pain or discomfort despite gastritis or functional dyspepsia treatment can signify hiatal hernia. However, the epigastric hiatal hernia pain and fullness don’t improve by anti-acid drugs. When the hiatal hernia pain is located in the epigastric area, it can be confused with gastritis and functional dyspepsia. Increase in GERD symptoms (heartburn and regurgitation).Recurrent vomiting after eating or drinking minimal amounts.Epigastric pain or discomfort after eating.The fullness of the epigastric area after eating very little.This will lead to rapid filling of your stomach with little amounts of food. The capacity of the remaining part of your stomach will become significantly low. As a result, this part is not functional and cannot receive food. With a paraesophageal hernia, part of your stomach can get stuck inside the chest cavity. This type of pain occurs more often with the paraesophageal hernias.
This location is famous for gastritis pain. This area of your abdomen is called the (epigastric area).
The second most common hiatal hernia pain location is the upper-middle abdomen. Upper-middle abdominal pain and fullness (epigastric pain). Your doctor is the only one who can differentiate them.ĭifferentiation is confirmed by ( reference): The symptoms of a hiatal hernia with acid reflux are not different from the GERD without a hiatal hernia. Regurgitation of food particles or bitter material up to the throat.Symptoms suggesting that heartburn is due to hiatal hernia: Other types of Hiatal hernia (type II, III, IV, or para esophageal hernia) typically don’t cause heartburn ( reference). GERD is the commonest among the type I hiatal hernia (esophageal hernia). But is the most common type of pain associated with a hiatal hernia. The pain results from the inflamed esophagus and not from the hiatal hernia itself. This will cause a burning sensation in the front of your chest (heartburn). The refluxed acid leads to inflammation and erosions in the lower part of your esophagus. This is because a hiatal hernia causes the acid inside your stomach to reflux back into the esophagus. The most common symptom of hiatal hernia is acid reflux (GERD). This type of pain can mimic anginal pain (heart attack).Ĭontinue reading this in-depth, evidence-based explanation of the different characters and locations of hiatal hernia pain. Hiatal hernia can also cause GERD-related chest pain, which is squeezing or compressing in nature. Other less common locations of hiatal hernia pain include epigastric pain and back pain. Hiatal hernia pain is typically located in the front of your chest felt heartburn. Hiatal hernia can be painless or asymptomatic in most cases of the small and uncomplicated types.
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