Patient's question:
I am 34 years old. Recently, I don't know why I always feel nauseous and like vomiting. My stomach has a dull ache, and sometimes I experience heartburn and acid reflux. I went to the hospital, and it was fine for a while, but then it came back. How can I identify a sliding hiatal hernia?Doctor's answer:
Pain is the most common symptom, recurring after defecation or within a sleep time of less than 0.5 to 1 hour. It may manifest as mild burning pain or intense burning pain. It is mostly located behind the sternum (middle or lower third), beneath the xiphoid process, or in both costal regions. It can radiate upward to the back between the shoulder blades, accompanied by belching or hiccups. It often changes according to body position. It can be triggered or relieved by lying down, bending forward, squatting, coughing, lying on the right side, or forceful inhalation after defecation. The symptom may decrease after standing, half-lying, walking, retching food, or hiccups.