Treatment FAQ

how can i get treatment for hiatal hernia

by Verda Volkman DVM Published 2 years ago Updated 2 years ago
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You'll probably see a family doctor or general practitioner. If you've been diagnosed with a hiatal hernia and your problems persist after you make lifestyle changes and start medication, you might be referred to a doctor who specializes in digestive diseases (gastroenterologist).Feb 23, 2021

Symptoms

Recommendations include:

  • losing weight (if needed)
  • decreasing food portion sizes
  • eating several smaller meals throughout the day (as opposed to a few large meals)
  • elevating the head of your bed by 8 inches
  • avoiding meals 2 to 3 hours before bedtime or before lying down

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Causes

What Is a Hiatal Hernia?

  • Drink a glass of room temperature or slightly warm water when you get out of bed in the morning. ...
  • While standing, bring your arms straight out from your sides and bend your elbows so your hands are touching your chest.
  • Stand up on your toes as high as possible and drop down. ...

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Prevention

It will also explain what might happen if a person does not seek medical treatment. Can people fix hiatal hernias themselves? It is not possible for a person to make a hiatal hernia go away without medical care. However, hiatal hernias do not require treatment if they are not causing a person to experience symptoms.

Complications

When should I be worried about a hiatal hernia?

  • heartburn that gets worse when you lean over or lie down.
  • chest pain or epigastric pain.
  • trouble swallowing.
  • belching.

What is the best cure for a hiatal hernia?

How can one naturally repair a hiatal hernia?

Will hiatal hernia go away on its own?

When should I be worried about a hiatal hernia?

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Can a hiatal hernia be cured on its own?

It is not possible to fix a hiatal hernia at home, but a person can take steps to minimize and treat existing symptoms and to prevent the hernia from recurring. These may include lifestyle changes, such as modifying the diet and starting a suitable exercise regimen, and OTC medications.

How can I get my hiatal hernia down?

Here's one method:Lie down or sit in a comfortable position, placing one hand on your belly and the other on your chest.Breathe in as deeply as you can until you can feel your stomach press against your hand.Hold, then exhale and feel your stomach move back away from your hand. Repeat for several breaths each day.

What is the best medicine for hiatal hernia?

What is the best medicine for hiatal hernia? Antacids, used to reduce stomach acids, such as Maalox or Tums are available over-the-counter and are often used to treat initial symptoms of a hiatal hernia. Prilosec is a highly recommended prescription drug used to treat hiatal hernia.

What is the fastest way to cure a hiatal hernia?

Try to:Eat several smaller meals throughout the day rather than a few large meals.Avoid foods that trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.Avoid lying down after a meal or eating late in the day.Maintain a healthy weight.Stop smoking.More items...•

How can you fix a hernia without surgery?

A hernia usually does not go away without surgery. Non-surgical approaches such as wearing a corset, binder, or truss may exert gentle pressure on the hernia and keep it in place. These methods may ease the pain or discomfort and may be used if you are not fit for the surgery or awaiting surgery.

What happens if a hiatal hernia is left untreated?

If left untreated, Hiatal hernias can rarely become trapped in the chest or strangulated—which means the hernia begins to cut off blood to the entrapped intestine. Strangulated Hiatal hernias can cause sudden pain in the chest and requires immediate medical attention.

Can a hiatal hernia be fixed with medication?

A hiatal hernia may be treated with medication to relieve symptoms or, in some cases, surgery to repair the hernia. The condition occurs when part of the lower esophagus (the tube that runs from the mouth into the stomach) pokes into the chest through the diaphragm.

When should I be worried about a hiatal hernia?

Get medical care immediately. You are being treated for heartburn or hiatal hernia, and you feel sudden chest or stomach pain, have difficulty swallowing, are vomiting, or are unable to have a bowel movement or pass gas; you may have a hernia that has become obstructed or strangulated, which are emergencies.

What is the first step in treating a symptomatic hiatal hernia?

According to a 2019 research review, one of the first steps in treating symptomatic hiatal hernia is addressing gastric acid secretion. Recommendations include:

How common is hiatal hernia?

According to the Esophageal Cancer Awareness Association (ECAA), hiatal hernias are quite common, occurring in up to 60 percent of people by the time they are 60 years old. They also note that it’s unusual for serious conditions to develop from this type of hernia.

How do you know if you have a hernia?

If you have a hiatal hernia, be aware of symptoms that may indicate blood flow to your stomach has been blocked by an obstruction or a strangulated hernia. Call your doctor immediately if you: can’t pass gas or empty your bowels. feel nauseated. experience vomiting.

What is the best medicine for a swollen abdomen?

taking over-the-counter (OTC) medications such as antacids, such as Gaviscon (aluminum with magnesium hydroxide) or H-blockers (such as Pepcid AC or famotidine) avoiding tight clothing that can increase the pressure on your abdomen, such as a tight belt, control top hosiery, and body shapers.

What to do if home treatment is not effective?

If home treatment is not effective, your doctor may recommend prescription medication or, in some cases, surgery.

What to do when you have a swollen stomach?

self-massage, massaging your abdominal muscles in a downward motion while lying on your back on a flat surface. consuming apple cider vinegar, cinnamon, aloe vera, slippery elm, or chamomile.

Can overweight people get hiatus hernia?

Pandolfino, MD stated that, “Obese people are certainly more prone to the development of hiatus hernia.”. This leads to the conclusion that, if you are overweight, reducing your weight could lower your chances of experiencing a hiatal hernia.

What Is a Hiatal Hernia?

But first, a quick explanation of what’s happening when you have a hiatal hernia...

How to fix a hernia without surgery?

Here’s how to fix a hiatal hernia naturally without surgery, with a quick morning exercise. (See video below.) Drink a glass of room temperature or slightly warm water when you get out of bed in the morning. (Skip the coffee, tea, juice, and cold water—just drink warm water.) While standing, bring your arms straight out from your sides ...

Why do you breathe at the end of a hiatal hernia?

The breathing at the end helps close the diaphragm and the hole where your stomach was lodged. As long as you have a hiatal hernia, this is an exercise you’ll have to do every morning to put an end to your acid reflux problems.

What is the best treatment for a hernia?

The most effective treatment option for curing a hiatal hernia is laparoscopic hernia repair.

How to keep hydration up during hiatal hernia?

It is important for hiatal hernia patients to maintain optimal hydration throughout the day. Drinking water outside the meal times makes sure that the digestive juices are not diluted nor digestion is inhibited. A basic guideline to keep in mind is avoiding drinking an hour before and after meals.

What is the most common type of diaphragmatic hernia?

Hiatal hernia is the most common type of diaphragmatic hernia. The hernia occurs when a part of the stomach pushes through the hiatus (part of the digestive system that connects stomach to the esophagus).

How to help a herniated abdomen?

Self-massage. A simple self-massage can help get relief from the symptoms of hiatal hernia. This works on the uppermost portion of the abdominal cavity. This not only helps to reduce the discomfort and symptoms of hernia but also strengthens the abdominal muscles. You can self massage the herniated area twice daily.

How to get rid of a hernia in the diaphragm?

Just after waking up in the morning, while you are still in bed, drink a glass of lukewarm or room temperature water. This helps to relax the abdominal muscles and the diaphragm, therefore, bringing down the hernia from opening in the diaphragm.

How to close a hernia?

Yoga is the safest method to close an opening caused by a hiatal hernia. However, not all poses should be practiced or else it can make the condition worse.

What foods are safe to eat for a person with a hernia?

Some of the foods that are safe to eat are-. -Green vegetables. -Beans and peas. -Lean protein such as fish and chicken. -Non-citrus fruits and juices.

How to treat hernias?

Lifestyle changes for hiatal hernias 1 Avoid foods in your diet that may trigger reflux symptoms including fatty foods, spicy foods, caffeine, chocolate, alcohol, or peppermint. 2 Avoid large meals and eating late at night. 3 Raise the head of your bed (put a foam wedge under the mattress, or wood blocks under the frame – using extra pillows does not help). 4 Lose weight, quit smoking, wear loose clothing, and chew sugarless gum to increase saliva production.

What is the procedure to repair a hernia?

If you have a hiatal hernia and symptoms are severe or the acid reflux causes damage to your esophagus, a surgery called a fundoplication may be necessary. This procedure, which can be done laproscopically, fixes the hiatal hernia and strengthens the muscle of the diaphragm to prevent the hernia from returning.

What is the best medicine for acid reflux?

Over-the-counter antacids (such as Tums, Maalox, Mylanta) are used for short-term relief of acid reflux.

What is the first treatment for acid reflux?

If you have mild acid reflux, diet and lifestyle changes are often the first treatment.

Does MedicineNet treat hernias?

Terms of Use. MedicineNet does not provide medical advice, diagnosis or treatment. See additional information. Often, hiatal hernias do not require treatment. However, if you have symptoms such as gastrosophageal reflux ( GERD) associated with a hiatal hernia may be treated.

How do they do hiatal hernia surgery?

Many hiatal hernia surgeries use a method called laparoscopy. Your doctor will make a few small (5 to 10 millimeter) cuts in your belly. They insert a tool called a laparoscope through these incisions, and it sends pictures to a monitor so your doctor can see inside your body.

What to do if you have a hernia?

If you have acid reflux, your doctor may suggest medications to treat those symptoms, including: Proton pump inhibitors or H-2 receptor blockers to keep your stomach from making as much acid.

What Is a Hiatal Hernia?

A hiatal hernia is when your stomach bulges up into your chest through an opening in your diaphragm, the muscle that separates the two areas. The opening is called the hiatus, so this condition is also called a hiatus hernia.

Why do hiatal hernias happen?

Causes might include: Being born with a larger hiatal opening than usual. Injury to the area. Changes in your diaphragm as you age. A rise in pressure in your belly, as from pregnancy, obesity, coughing, lifting something heavy, or straining on the toilet.

How to diagnose a hernia?

Hiatal Hernia Diagnosis. To diagnose a hiatal hernia, your doctor may do tests including: Barium swallow. You drink a liquid that shows up on an X-ray so your doctor can get a better look at your esophagus and stomach. Endoscopy.

How to treat a hernia?

They include: Don’t exercise or lie down for 3 or 4 hours after you eat. Avoid acidic foods like orange juice, tomato sauce, and soda.

What are the two types of hiatal hernias?

There are two main types of hiatal hernias: sliding and paraesophageal.

How do you treat a hernia?

Hiatal hernias are treated with lifestyle changes and medication or surgery. Specific treatment for a hiatal hernia will be determined by your doctor based on multiple factors, including your general health, anatomy, extent and location of the hernia, and severity of symptoms such as acid reflux.

How are hernias treated?

Hiatal hernias are treated with lifestyle changes and medication or surgery.

What is a hiatal hernia?

Unlike ventral hernias, which protrude through the abdominal wall, a hiatal hernia occurs when the upper part of the stomach pushes up into the chest through a small opening in the diaphragm, the muscle that separates the abdomen from the chest. A hiatal hernia results in retention of acid and other contents since the stomach tends to get squeezed by this opening in the diaphragm. These acids and other substances can easily back up — reflux or regurgitate — into the esophagus.

What is the name of the hernia that slides up into the chest?

Type II, III and IV hiatal hernias are called paraesophageal hernias.

How many types of hernias are there?

There are four types of hiatal hernias. The vast majority of hiatal hernias are called type I, or sliding hiatal hernias. In this type, the stomach intermittently slides up into the chest through a small opening in the diaphragm. Type II, III and IV hiatal hernias are called paraesophageal hernias. They occur when a portion of the stomach pushes up into the chest adjacent to the esophagus and may require a thoracic surgeon.

What happens when you have a hernia in your stomach?

A hiatal hernia results in retention of acid and other contents since the stomach tends to get sque ezed by this opening in the diaphragm. These acids and other substances can easily back up — reflux or regurgitate — into the esophagus. There are four types of hiatal hernias.

How to identify a hiatal hernia?

To identify a hiatal hernia, a health care provider may use multiple diagnostic techniques but will begin with a medical history and physical examination. The provider will inquire about and/or look for: Acid reflux. Acidic or “sour” taste in the back of the mouth or throat. Anemia.

How is a hernia treated?

Surgical Procedures. Sometimes, hiatal hernia is treated with the help of a minor surgery. The surgeon does this process to put the stomach back into its place, to correct the hernia. Surgery is usually reserved for patients who develop complications such as recurrent bleeding, ulcerations or strictures.

How to treat a hernia at home?

There are certain home remedies that have no significant clinical evidence to support that they are effective in the treatment of hiatal hernia. Below is a list of home remedies that potentially do more harm than good in the long run: 1 Apple cider vinegar 2 Lemon juice 3 Antacids 4 Slippery elm

What Causes Hiatal Hernia?

The most common cause of a hiatal hernia is an increase of pressure in the abdominal cavity. (The abdomen consists of the lower part of the esophagus, stomach, small intestine, colon, rectum, liver, gallbladder, pancreas, spleen, kidneys and bladder). This pressure can occur due to coughing, vomiting, straining during a bowel movement, heavy weight lifting and physical strain. Pregnancy, obesity or extra fluid accumulation in the abdomen can also lead the situation to a hiatal hernia.

What is a fixed hernia?

In a fixed hernia, part of your stomach pushes through the diaphragm and stays there. This hernia has a risk that blood flows to your stomach could create a blockage there.

What is a hernia in the stomach?

Hiatal hernia is a very common disease, especially in people who are above the age of 60. Hiatal hernia originates in the chest area and then disturbs the entire digestive system. It starts from the diaphragm and travels down to the stomach which lies right under it. When it occurs, the lower esophageal sphincter does not shut down properly. Therefore, the stomach contents flow back towards the esophagus or gut. This process is also known as acid reflux or GERD (gastro-esophageal reflux disease) in severe cases.

Why is a hernia painful?

A hiatal hernia can be extremely painful because the stomach keeps pushing on the diaphragm muscle. In order to manage a hiatal hernia, we need to address the cause of the hernia which is the inflammation of the intestines and pH imbalance.

What is Holarrhena antidysenterica used for?

Holarrhena antidysenterica: It is a potent antispasmodic agent and used to relax the smooth muscles in the gastrointestinal tract. This plant is also used as a digestive aid to treat problems such as diarrhea, constipation, bloating and colic. All these mentioned problems worsen the hernia symptoms therefore; it is given to patients to avoid these complications.

What is the best way to fix a hernia?

“The absolute best time to get your hernia fixed, with the best chance of a great result, is the first time you get it fixed ,” says general surgeon Michael Rosen, MD. “You want to go to somebody who’s a specialist and knows all the options.

What are the causes of hernias in the elderly?

In most patients, the cause of a hernia is not known but an injury, straining or weakness in the area may contribute. Two other types of hernias can impact the elderly but are no more likely to occur later in life than at a younger age. 1. Inguinal hernias. These hernias occur in the groin and are more common in men.

Where are hernias located?

Hernias are a hole in something that allows things to poke through that typically shouldn’t. Hiatal hernias are located in the diaphragm where the esophagus joins the stomach and they typically cause heartburn and reflux. If the hernia just makes you uncomfortable, your doctor will treat it with medications.

Can you get a hernia right the first time?

That’s the situation facing most hernia sufferers who require surgery. This is a get-it-right-the-first-time situation or else you’re back at square one. Now, double down on this scenario for seniors who are suffering from a specific type of hernia. Hiatal hernias are most often found in people in their 70s and 80s.

Do hernias go away?

Ventral hernias. Ventral hernias occur in the abdomen and also exhibit a bulge and pain. These will not go away and there’s no way to prevent them. These hernias are more common in people who are obese or have diabetes or chronic smoking habits, but being in good health reduces the chances of those complications.

Can a hernia cause weight loss?

More serious hiatal hernias, also known as paraesophageal hernias, become larger over time and the stomach starts to rise farther into the chest. This sometimes causes significant chest pain after eating and can even cause weight loss and bleeding. “In those cases, surgery is usually needed,” says Dr. Rosen.

What are the conditions that cause hiatal hernias?

Obese. Working at a job that requires repeated heavy lifting. Smoking regularly. Conditions and situations that may cause hiatal hernias include: Heredity. Pregnancy. Heavy lifting. Weakness of the diaphragm tissues. Straining from a bowel movement.

What is a hiatal hernia?

A hiatal hernia is a condition that occurs when a part of the stomach pushes through an opening in the diaphragm. Risk factors and medical conditions that can cause a hiatal hernia include being over the age of 50, obesity, heavy lifting, smoking, pregnancy, and straining (bowel movement or exercise).

What is the most common hernia?

However, the sliding hiatal hernia is the most common, making up more than 95% of all cases. The sliding hiatal hernia occurs when a portion of the stomach works its way through the esophageal hiatus. This leaves part of the stomach sitting above the diaphragm. It is a common cause of gastroesophageal reflux disease ( GERD ).

What are the different types of hiatal hernias?

Types of hiatal hernia. There are two types of hiatal hernia, a sliding hiatal hernia and a paraesophageal hiatal hernia. Doctors often subdivide paraesophageal hiatal hernias to include an additional two classifications. However, the sliding hiatal hernia is the most common, making up more than 95% of all cases.

What is the term for a hernia in the stomach?

A hiatal hernia is a medical condition that occurs when a portion of the stomach pushes through the esophageal hiatus, an opening in the diaphragm. The esophagus passes through the esophageal hiatus as it carries food to the stomach. Researchers estimate that around 60% of adults will have a hiatal hernia, to some degree, ...

How does a paraesophageal hernia affect the stomach?

If you have a paraesophageal hernia, the stomach and esophagus remain in their correct positions — but a portion , or fold, of the stomach enters the chest cavity by squeezing through the hiatus. The stomach is then positioned next to the esophagus. There are different levels of paraesophageal hernia, depending on the severity and risk the condition presents.

How many people have a hernia by 60?

Researchers estimate that around 60% of adults will have a hiatal hernia, to some degree, by the time they reach 60 years of age. However, that percentage is considered to be conservative because many people who have hiatal hernias never experience any symptoms. They may never know that they have the condition

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