Feline Hiatal Hernia
A hiatal hernia is the protrusion of abdominal contents into the thoracic or chest cavity through the esophageal hiatus, which is the natural opening in the diaphragm that allows the passage of the esophagus. These hernias may be persistent or intermittent.
Hiatal hernias occur in both dogs and cats, and males seem to be predisposed.
Causes of Hiatal Hernia in Cats
What to Watch For
Diagnosis of Hiatal Hernia in Cats
Baseline tests to include a complete blood count (CBC), biochemical profile, and urinalysis are recommended in all patients, and are often within normal limits.
More specific tests include:
Treatment of Hiatal Hernia in Cats
It is most important to determine whether the patient’s condition warrants admission to the hospital for treatment, or treatment at home as an outpatient. Treatment is important, as untreated animals are predisposed to developing chronic esophagitis with mucosal (lining of the esophagus) ulceration, aspiration pneumonia, stricture (narrowing), and strangulation of abdominal organs.
Treatment typically involves:
The best initial approach is conservative medial treatment to control esophagitis and clinical signs. Drugs that decrease or inhibit acid production by the stomach such as Tagamet® (cimetidine), Pepcid® (famotidine), Zantac® (ranitidine), Cytotec® (misoprostol), and Prilosec® (omeprazole) encourage and expedite the resolution of gastroesophageal reflux and esophagitis.
Administer all medication and diet as directed by your veterinarian. If any change is noted in your pet’s condition, notify your veterinarian. In particular, if coughing or difficulty breathing is observed, contact your veterinarian at once, as this may signal aspiration pneumonia secondary to a malfunctioning esophagus.