A hiatal hernia occurs when a portion of the stomach starts to push through the diaphragm into the chest. While the common symptoms of this type of hernia include heartburn and acid reflux, some people wonder if it can also cause back pain.
In this blog, we learn about the connection between a hiatal hernia and back pain, and understand the symptoms that require timely medical treatment. So, let’s begin!
What Is a Hiatal Hernia?
A hiatal hernia develops when a part of your stomach starts to push upwards through the diaphragm, which is a muscle that separates the chest from your abdomen. The opening, also known as the hiatus, normally allows the esophagus to connect to the stomach, however, in a hiatal hernia, the stomach slips through the gap.
There are two types of hiatal hernias:
- Sliding Hiatal Hernia: It is the most common type of hiatal hernia, where the stomach and a section of the esophagus slide up to the chest.
- Paraesophageal Hiatal Hernia: It is less common and can cause serious health risks if left untreated. In this type of hiatal hernia, the stomach pushes through the diaphragm beside the esophagus, which can cause reduced blood flow. Paraesophageal hiatal hernias are less common and can become serious if the stomach becomes trapped or twisted, which may reduce blood flow and require urgent treatment.
Common Symptoms of a Hiatal Hernia
Hiatal hernia can cause various symptoms that can vary depending on the type and size of the hernia. Here are some common symptoms of a hiatal hernia:
- Heartburn and Acid Reflux: Patients feel a frequent burning sensation in the chest or throat that is a result of stomach acid moving up.
- Difficulty in Swallowing: You feel as if the food is getting stuck in the chest or throat.
- Chest Pain: There is constant pressure in the chest, which patients sometimes mistake for heart problems. Because chest pain can also be related to heart problems, new, severe, or persistent chest pain should always be evaluated urgently.
- Nausea or Vomiting: In severe cases, patients may also experience nausea or vomiting, especially with paraesophageal hernias.
Can a Hiatal Hernia Cause Back Pain?
While back pain is not a common symptom of a hiatal hernia, some people can still experience it, particularly in their upper or middle back. Here are some reasons behind back pain during a hiatal hernia:
- Pain from the Diaphragm or Esophagus – The diaphragm has nerve pathways in the back and chest, and when your stomach pushes through the diaphragm, it can irritate these nerves, which might cause back pain.
- Muscle Strain from Posture Changes – Some patients with a hiatal hernia may change their posture to reduce pain and discomfort from the chest pressure. Over time, the posture change can cause back pain.
- Nerve Irritation – In rare cases, irritation in the diaphragm or esophagus may cause discomfort that radiates to the upper back.
It is important for patients to know that back pain from a hiatal hernia is uncommon. If you experience persistent back pain, it is important to consult your healthcare expert for timely and effective treatment.
Diagnosis may involve imaging or endoscopy, and treatment can range from lifestyle changes and medications to surgical repair in selected cases.
Final Thoughts
While hiatal hernias are commonly linked with heartburn, acid reflux, and chest discomfort, sometimes, they can also cause back pain. Although the connection is indirect, it can occur due to nerve irritation and muscle strain.
For effective treatment for a hiatal hernia, you can contact Nova Bariatrics & General Surgery. Our experts can help relieve discomfort and prevent further complications. Get in touch with us today to schedule your visit!
