Hiatal Hernia
Hiatal Hernia
Esophageal or diaphragmatic hernia where stomach herniates through the diaphragm and to the thorax. Weakening of the diaphragm due to pregnancy, ascites, obesity, tumors or heavy lifting
Diagnosis
Barium swallow with flouroscopy
Symptoms
Heartburn, regurgitation, vomiting, dysphagia, chest pain, & feeling of fullness.
Treatment
 Medical and surgical management similar to GERD. Small frequent meals with little fluid, & do not recline after meals
Complications
Hemorrhage, ulceration, strangulation and incarceration of the stomach.
NCLEX Alert: Teach client to drink plenty of fluids and eat fiber to expel barium after the procedure.