Treatment FAQ

what is a hiatal hernia treatment

by Josefa Schuppe PhD Published 3 years ago Updated 2 years ago
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Medication

How long does it take to heal from hiatal hernia surgery? Because this is a major surgery, a full recovery can take 10 to 12 weeks. That being said, you can resume normal activities sooner than 10 to 12 weeks. For example, you can start driving again as soon as you're off narcotic pain medication. Click to see full answer.

Procedures

The Warm Water Fix

  • Drink a glass of warm water soon after waking up. Doing this will relax and put some weights for your stomach.
  • Then, stand up and lift your arms to your sides. ...
  • Next, rise up on your toes and lift your body as high as possible. ...
  • Then, open your mouth and take a few quick breaths with your arms up. ...

Self-care

  • Food allergies
  • Indigestion
  • Heartburn
  • Acid Reflux
  • Upper GI discomfort
  • Abnormal bowel movements (normal is brown, large, no pain or strain)
  • Gastric or duodenal ulcers
  • Stomach burns/churns when empty (not hunger pangs)
  • Eating or drinking solves stomach pain
  • Eating or drinking worsens stomach pain

More items...

Nutrition

While there are lifestyle changes you can make to treat hiatal hernia, consider discussing those changes with your doctor before moving ahead with them. Lifestyle changes include: If home treatment is not effective, your doctor may recommend prescription medication or, in some cases, surgery.

How long to heal hiatal hernia?

Are there any remedies for hiatal hernia?

Why to fix your hiatal hernia?

Can you heal a hiatal hernia?

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What is the main cause of hiatal hernia?

The most common cause of a hiatal hernia is an increase in pressure in the abdominal cavity. Your abdominal cavity is the space in the middle of your body that holds several organs, including the: Lower part of the esophagus and stomach. Small intestine, colon and rectum.

What is the best way to treat 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.

Can hiatal hernia be treated without surgery?

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.

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.

What foods should be avoided with hiatal hernia?

Hiatal Hernia: Foods That May Cause SymptomsCitrus foods, such as oranges, grapefruits, and lemons, and orange juice, grapefruit juice, cranberry juice, and lemonade.Chocolate.Fatty and fried foods, such as fried chicken and fatty cuts of meat.Garlic and onions.Spicy food.Peppermint and spearmint.More items...•

How serious is a hiatal hernia?

Fixed hiatal hernia Most cases are not serious. But there's a risk that blood flow to your stomach could become blocked. If that happens, it could cause serious damage and is considered a medical emergency.

How do you push a hiatal hernia back into place?

How to heal your hiatal hernia at homelosing 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.More items...•

How long can a hernia go untreated?

If this condition is left untreated longer than 6 hours, incarcerated hernia can cut off blood flow to part of the intestine, resulting in strangulated hernia.

What relaxes a hiatal hernia?

What's the best way to reduce hiatal hernia symptoms? To reduce hiatal hernia symptoms, consider over-the-counter medications such as antacids or H2 blockers. These can be used to relieve heartburn and acid reflux attacks.

When should I be worried about a hiatal hernia?

For many people, hiatal hernias cause no symptoms, acute pain, or disruptions to everyday life. In some cases, however, hiatal hernias can lead to more severe symptoms and complications including anemia, chronic heartburn, recurrent acid reflux, and narrowing of the lower esophagus.

How can a hiatal hernia make you feel?

Hiatal hernias, especially Type I hernias, do not usually cause symptoms. They may, however, be associated with the following: burping, heartburn, nausea, vomiting, and/or regurgitation into the esophagus. A paraesophageal hernia, or Type II, III, or IV hernia, may cause more severe symptoms.

Does hiatal hernia affect heart?

A hiatal hernia can mimic heart attack symptoms, but they are not related. Heart attacks are caused by a buildup of plaque in the arteries, which results in a coronary artery becoming blocked, while heartburn is a symptom of another digestive problem that causes stomach acid to back up or reflux into the esophagus.

What relaxes a hiatal hernia?

What's the best way to reduce hiatal hernia symptoms? To reduce hiatal hernia symptoms, consider over-the-counter medications such as antacids or H2 blockers. These can be used to relieve heartburn and acid reflux attacks.

What percentage of hiatal hernia needs surgery?

Though many patients had persistent symptoms at 10 years of follow-up, researchers discovered that only 1.5% of patients ultimately underwent elective surgery for their hiatal hernia. Two patients received an operation due to the development of refractory GERD.

What is hiatal hernia?

A hiatal hernia refers to the protrusion of the stomach or, rarely, other abdominal organs through a weak opening in the diaphragm. The diaphragm i...

Where is a hiatal hernia located?

A hiatal hernia is by definition located in the thoracic cavity, also known as the chest cavity. More specifically, it is positioned in the inferio...

What causes a hiatal hernia?

A hiatal hernia happens when the upper part of the stomach bulges through a weakness in the esophageal hiatus of the diaphragm. This weakness is oc...

What are the symptoms of a hiatal hernia?

The symptoms of a hiatal hernia vary based on the severity of the hernia. In mild cases, individuals may not experience any symptoms at all. In mor...

How is a hiatal hernia diagnosed?

In order to diagnose a hiatal hernia, a thorough review of the individual’s medical history and a physical examination are typically necessary. Sin...

How is a hiatal hernia treated?

Treatment of hiatal hernias largely depends on the severity and the underlying cause. When confronted with a mild symptomatic hernia, the symptoms...

Can a hiatal hernia go away on its own?

Hiatal hernias cannot go away on their own. While symptoms may fade for a period of time, the hernia will not heal without intervention.

What are the most important facts to know about hiatal hernia?

Hiatal hernias occur when the stomach or other abdominal organs protrude through the esophageal hiatus of the diaphragm. Hiatal hernias are classif...

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 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.

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

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

What is a hernia in the abdomen?

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.

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.

Can a hernia be controlled?

Many people do not experience any symptoms related to their hiatal hernia, or their symptoms, like heartburn, are mild. Generally, the symptoms of hiatal hernias can be controlled with lifestyle changes and medication such as:

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.

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 is a hernia in the stomach called?

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

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.

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 happens if you have a hernia?

Upset stomach and vomiting. Backflow of food or liquid from your stomach into your mouth. Shortness of breath. Get medical care right away if you have a hiatal hernia and: Severe pain in your chest or belly. Upset stomach. Vomiting.

How to diagnose a hiatal hernia?

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. Your doctor puts a long, thin tube called an endoscope down your throat. A camera on the end shows inside your esophagus and stomach.

What is a hiatal hernia?

What is hiatal hernia? A hiatal hernia refers to the protrusion of the stomach or, rarely, other abdominal organs through a weak opening in the diaphragm. The diaphragm is a dome-shaped muscle that separates the chest from the abdomen.

Where is a hiatal hernia located?

A hiatal hernia is by definition located in the thoracic cavity, also known as the chest cavity. More specifically, it is positioned in the inferior mediastinum, a division of the chest cavity that is between the lungs and includes many vital organs, such as the heart, great vessels, and esophagus. There are 4 types of hiatal hernia ...

What is a type III hernia?

Type III is a combination of a classic paraesophageal hernia and a sliding hernia. In type III, both the GEJ and a portion of the stomach have migrated into the thoracic cavity. This is sometimes referred to as a “mixed paraesophageal hernia.”. Finally, type IV occurs when the stomach, as well as other parts of the gastrointestinal (GI) tract, ...

What is the GEJ in a hernia?

The GEJ is the point that connects the end of the esophagus to the stomach. Type 1 hiatal hernias are the most common type, making up more than 95% of hiatal hernia cases. Type II, also called a pure (or classic) paraesophageal hernia, occurs when the upper part of the stomach (i.e., fundus) migrates into the thoracic cavity parallel to ...

What is the hiatal hernia that pushes through the esophagus?

There are 4 types of hiatal hernia that push through the esophageal hiatus and into the thoracic cavity. Type I, also known as sliding hiatal hernia, occurs when the lower esophagus and stomach, including the gastroesophageal junction (GEJ), ascend through the hiatus. The GEJ is the point that connects the end of the esophagus to the stomach.

What is the best test for hiatal hernia?

In some cases, computerized tomography (CT) scans may also be helpful in determining the location and type of hiatal hernia. Another diagnostic test, known as esophageal manometry, may be used to assess the function of the lower esophageal sphincter by inserting a pressure-sensitive tube through the nose and into the lower esophageal sphincter.

How to diagnose a hernia?

In order to diagnose a hiatal hernia, a thorough review of the individual’s medical history and a physical examination are typically necessary. Since hiatal hernias are not externally visible, diagnosis may require imaging or more invasive techniques. One imaging option involves a barium swallow, in which the individual drinks a liquid containing ...

Overview

A hiatal hernia occurs when the upper part of your stomach bulges through your diaphragm into your chest cavity.

Symptoms

Most small hiatal hernias cause no signs or symptoms. But larger hiatal hernias can cause:

Causes

A hiatal hernia occurs when weakened muscle tissue allows your stomach to bulge up through your diaphragm. It's not always clear why this happens. But a hiatal hernia might be caused by:

How to treat hiatal hernia?

Share Your Story. Foods, drinks, and home changes that treat hiatal hernia symptoms include: Elevating the head of the bed when sleeping to allow gravity to prevent acid from refluxing into the esophagus. Eating small frequent meals may help instead of eating two or three larger meals a day.

What is the procedure to check for a hernia?

Endoscopy: Endoscopy is a procedure performed under sedation by a gastroenterologist to look at the lining of the esophagus, stomach, and duodenum. A hiatal hernia may be diagnosed easily in this manner and more importantly, the physician may be able to see complications of GERD from the reflux of acid.

What percentage of hernias are sliding?

A sliding hiatal hernia accounts for 95% of all hiatal hernias. In a sliding hernia, a portion of the stomach slides upward through the diaphragm and into the chest such that the junction of the esophagus and stomach (gastro- esophageal junction) lies in the chest.

What happens to the gasatroesophageal junction in a sliding hernia?

In the situation of a sliding hiatal hernia, the gasatroesophageal and esophagus junction moves above the diaphragm and into the chest , and the portion of the higher-pressure zone due to the diaphragm is lost. Acid is allowed to reflux back into the esophagus causing inflammation of the lining of the esophagus.

How to tell if a hernia is a hernia?

Symptoms of a hernia include pain, nausea, vomiting, bowel obstruction, and fever. Hernias are diagnosed by a physical exam and imaging tests. Some hernias may be held in place with a supportive belt. Other hernias require surgical repair. The prognosis of people who undergo elective hernia repair tends to be good.

What age can you get a strangulated hernia?

smoking, high cholesterol, high blood pressure, older than 55 years, male gender, or. family history of early heart attacks or angina (before age 55 years) Strangulated hernia is a medical emergency. If you have any of these symptoms call 911 or go to your nearest Emergency Department.

Can a hernia cause a cough?

In some people with a hiatal hernia, it refluxes into the lower esophagus that sets off nervous reflexes that can cause a cough or even spasm of the small airways within the lungs people. Rarely, some people with a hiatal hernia, it may reflux acid droplets into the back of their throat.

When do hiatal hernias show symptoms?

The symptoms usually present in the second trimester. Despite their prevalence, less than 10 percent of people with hiatal hernias experience any symptoms, or their symptoms, such as heartburn, are mild.

How common are hernias in women?

Hiatal hernias are the most common type of hernias caused by pregnancy and occur in 15 to 20 percent of pregnant women. The symptoms usually present in the second trimester.

What is the procedure for a hernia?

pantoprazole (Protonix) ra beprazole (Aciphex) Surgery for hiatal hernias typically involves three steps. The surgeon: moves the hiatal hernia from your chest cavity back into your abdomen. repairs the valve in your esophagus where your esophagus joins your stomach. tightens the hole (hiatus) in your diaphragm.

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.

How to get rid of a swollen head?

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.

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.

Can a 50 year old get a hernia?

Hiatal hernias are quite common, especially in adults who are 50 + years old. Fortunately, it’s unusual for serious conditions to develop from them. While there are lifestyle changes you can make to treat hiatal hernia, consider discussing those changes with your doctor before moving ahead with them.

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.

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.

Why do people get hernias?

Chronic stress is a major factor why people develop hiatal hernias. When stress occurs too often or stays too long in the body, these changes can cause a malfunction in the body and lead to displacement such as a hernia.

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