Common Symptoms of Failed Hiatal Hernia Repair
The most frequent symptoms indicating a potential failure of hiatal hernia repair include:
• Recurrent or persistent heartburn
• Regurgitation of stomach contents
• Difficulty swallowing (dysphagia)
• Chest pain or discomfort
• Bloating and gas
• Nausea and vomiting
• Abdominal pain
These symptoms may appear weeks, months, or even years after the initial surgery. It’s important to note that some degree of discomfort immediately following surgery is normal, but persistent or worsening symptoms warrant medical attention.
Unexpected Complications
In addition to the recurrence of reflux symptoms, patients should be aware of potential complications that may indicate a failed repair:
• Unexplained abdominal pain or swelling
• Difficulty breathing or shortness of breath
• Fever or signs of infection
• Persistent cough or hoarseness
• Unintended weight loss
These symptoms could suggest more serious issues such as hernia recurrence, wrap migration, or even rare complications like gastric perforation.
Diagnostic Approaches
If you suspect your hiatal hernia repair may have failed, your healthcare provider may recommend the following diagnostic tests:
• Upper endoscopy (EGD)
• Barium swallow X-ray
• CT scan
• Esophageal manometry
• 24-hour pH monitoring
These tests can help identify anatomical abnormalities, assess the integrity of the repair, and evaluate esophageal function.
When to Seek Medical Attention
It’s crucial to consult your doctor if you experience:
• Persistent or worsening reflux symptoms
• New onset of severe chest or abdominal pain
• Difficulty swallowing that doesn’t improve
• Unexplained weight loss or malnutrition
• Any symptoms that significantly impact your quality of life
Early intervention can prevent further complications and improve outcomes for patients with failed hiatal hernia repairs.