
a.
To explain: The reason why hiatal hernia is aggravated by intake of a large meal.
Concept introduction: Hiatal hernia is a condition where the stomach protrudes through the diaphragm, as the upper part is located just below the diaphragm. Stomach is connected to the food pipe (esophagus) through a small opening present in the diaphragm known as hiatus. A hernia in hiatus is known as hiatal hernia. The main cause of hiatal hernia is by giving increased pressure to the abdomen. There are two types of hiatal hernia namely sliding hiatal hernia and paraesophageal hernia.
b.
To explain: The reason why hiatal hernia is aggravated by lying down after a meal
Concept introduction: Hiatal hernia is a condition where the stomach protrudes through the diaphragm, as the upper part is located just below the diaphragm. Stomach is connected to the food pipe (esophagus) through a small opening present in the diaphragm known as hiatus. A hernia in hiatus is known as hiatal hernia. The main cause of hiatal hernia is by giving increased pressure to the abdomen. There are two types of hiatal hernia, namely sliding hiatal hernia and paraesophageal hernia.

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Chapter 17 Solutions
Gould's Pathophysiology for the Health Professions, 6e
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