Abstract
A hiatus hernia occurs when a portion of the stomach protrudes into the chest cavity. It enters through the same entrance through which the food tube (oesophagus) travels to the stomach. A case of an 39-year-old male with a history of diabetic presented to the emergency room with acute onset shortness of breath, epigastric pain and chest pain. The stomach bulges up into the chest through that opening in a hiatal hernia (also known as a hiatus hernia). The client was having burning sensation in epigastric region since from 2-5 year, acid reflux after taking food, heartburn, nausea, regurgitation, vomiting, and abdominal pain and irritation. After the physical examination, history collection and investigations he was diagnosed as case of hiatus hernia.The study's main focus is on professional management and excellent nursing care, which may be able to give the holistic care that hiatus hernia requires while also efficiently treating the difficult case. Following a complete recovery, the patient's multidisciplinary health care team works together to help the patient reclaim his or her prior level of independence and contentment.
Highlights
The majority of hiatus hernias are acquired, with the exception of a few congenital types [1]
Hiatal hernia is characterized by the loss of the stomach's distal oesophagus and its placement in the abdomen, as well as the sliding of part or all of these organs through the oesophageal hiatus into the chest
Hiatal hernia is frequently detected during a test or treatment to figure out what's causing heartburn, chest pain, or upper abdominal pain
Summary
The majority of hiatus hernias are acquired, with the exception of a few congenital types [1]. The GEJ slides upward to an intrathoracic position, but in a paraesophageal hernia, a portion of the stomach moves into the thorax by the side of the GEJ and the GEJ's position remains unchanged [3,4]. This can happen as the supportive structural elements around the GEJ become more brittle with aging [5]. Increasing growth and greater complication rates [4,2]
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