Diaphragmatic Hernia

When part of the stomach or intestine protrudes into the chest cavity, it is known as a diaphragmatic hernia. In adults, diaphragmatic hernias are caused by congenital conditions that were not discovered early in life or by a blunt trauma, such as a car accident.

You may not know you have a diaphragmatic hernia as it may not have any symptoms. Often it is discovered during routine chest X-rays related to the accident. If the hernia is severe, you may experience what feels like heartburn and you need to burp regularly. If the hernia has become strangulated, you may have severe chest pain or difficulty swallowing. In these cases you will want to see a doctor immediately.

Most diaphragmatic hernias are detected using X-rays. Ultrasonography can also be effective, though its use is limited in patients who are on mechanical ventilation.