Beneath the ribs, where secrets hide,
A tale of diaphragm, a turbulent ride.
In the realm of organs, a shift unseen,
A stomach's journey, a diaphragm's screen.
A sliding dance, the common kind,
Where esophagus and stomach bind,
Through the hiatus, a passage wide,
Into the chest, where they coincide.
But in the quiet realm, a rarer feat,
Paraesophageal, a discreet retreat,
The stomach, in its secret play,
Beside the esophagus, finds its way.
A mystery, the cause obscured,
In diaphragmatic realms, changes endured,
Age's touch, an injury's plea,
Or pressures mounting, a stomach's decree.
No herald announces this silent breach,
Discovered by chance, as doctors teach,
Investigations, a gastrointestinal quest,
Revealing the hernia, in the chest.
Symptoms may cloak in silence deep,
Or shout in heartburn, a call to keep,
Chest pains linger, a troublesome cue,
A ballet of belches, an uneasy brew.
Yet many dwellers, unaware,
No symptoms to their bodies bear,
In the diaphragmatic realm, discreet,
A silent wanderer, beneath the heartbeat.
Severe cases may weave a tale,
GERD's shadow, Barrett's trail,
Complications loom, a darker art,
Prompting decisions, a medical chart.
Lifestyle whispers change, a subtle voice,
Medications hum, offering a choice,
Surgery may dawn, in severe light,
To mend the breach, restore the night.
In the realm of hiatal hernia, unknown,
A silent saga, a hushed undertone,
Seek the healer, the guide, the hand,
In the diaphragmatic realm, where mysteries stand.
