Hiatus hernia, Biology

Hiatus Hernia:

In  this type of hernia, cardiac end of  the stomach passes through an abnormally wide oesophageal opening in the diaphragm  (see Fig. 2.6). Clinical manifestation includes salivation, regurgitation  and vomiting. The vomiting may sometimes be associated with mucus and blood due to oesophageal  irritation. There may be failure to thrive, anaemia and pneumonia due to aspiration. There may be retrosternal pain and burning sensation due to oesophagitis which may lead to stenosis in chronic cases. Diagnostic evaluation includes barium swallow which shows free reflux. These children are usually nursed in uprightlpropped up position, antacids are used in case of  oesophagitis and semi solid feeds are used to prevent reflux. Surgery is indicated in case of stenosis.  

Assessment:

The symptoms do not appear until baby is two or three weeks old. The child may present with nonbilious vomiting which later on becomes forceful and projectile, regurgitation,'failure to thrive and constant hunger or excessive hunger and willingness to take feed after vommiting. The von~itus  may contain mucus and may be blood streaked. Occassionally there may be greenish stools, gastric haemorrhage or Jaundice, dehydration and electrolyte imbalance. ' - Clinical evaluation includes palpaton of an olive shaped mass in the right upper quadrant of the abdomen, epigastric fullness, and peristaltic waves mov'rig from right to left. Diagnositc evaluation includes ultrasound, and a barium meal showing gross narrowing and elongation of pylorus. The stomach is markedly distended wid1 abnormal retention of barium as barium cannot pass in duodenum. 

Posted Date: 10/26/2012 7:38:36 AM | Location : United States







Related Discussions:- Hiatus hernia, Assignment Help, Ask Question on Hiatus hernia, Get Answer, Expert's Help, Hiatus hernia Discussions

Write discussion on Hiatus hernia
Your posts are moderated
Related Questions
Pulmonary Valvotomy on Cardio Pulmonary Bypass :  Patient is connected to cardio pulmonary bypass using ascending aortic cannula and single 01- double (preferred) ven

What do digestive enzymes do to food? Digestive enzymes suspend food; make food soluble, break large insoluble food molecules into smaller, soluble molecules

In a possible future scenario, male fertility drops to zero, but, luckily, scientists develop a way for women to produce babies by virgin birth. Meiocytes are converted directly (w


Q.What is ST Heart Rate Slope? Correcting ST depression for heart rate, seems to be based on second physiological principles and has been proposed by a number of investigations

Why is the dietary obtainment of iodine so important for thyroid functioning? The obtainment of iodine from the diet is significant for the thyroid because this chemical elemen

Q. What are the reticular fibers of the connective tissue and where they can be found? The reticular fibers are especially delicate interstitial fibers made of a special kind o

What Factors causing short-term changes in intra-ocular pressure 1) Arterial blood pressure 2) Systemic venous pressure (SVP) 3) Mechanical pressure 4) Plasma osmolari

lest the characteristics of Protozoa

How did the first fermenting autotrophs appeared? What about the first aerobic beings? A heterotrophic hypothesis asserts that the first living beings were the fermenting heter