Treatment FAQ

what is the best treatment for hiatus hernia

by Jessie O'Connell Published 2 years ago Updated 2 years ago
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Treatment for a sliding hiatus hernia usually focuses on relieving the symptoms of GORD
GORD
Gastro-oesophageal reflux disease (GORD) is a common condition, where acid from the stomach leaks up into the oesophagus (gullet). It usually occurs as a result of the ring of muscle at the bottom of the oesophagus becoming weakened.
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, such as heartburn. Lifestyle changes and medication are the preferred treatments. Surgery is usually only recommended as an alternative to long-term medication or if other treatments haven't worked.
Feb 14, 2020

Medication

Sep 20, 2017 · PPIs are the most effective medical treatment for symptoms of hiatus hernia and usually work very well. Ranitidine is often effective if PPIs don’t suit you. These medicines do not cure the hiatus hernia, but they do help the symptoms. The operation is effective and cures the hiatus hernia as well as the symptoms.

Procedures

May 27, 2021 · Prescription medication for hiatal hernias include: esomeprazole (Nexium) lansoprazole (Prevacid) omeprazole (Prilosec) pantoprazole (Protonix) rabeprazole (Aciphex)

Self-care

Nov 22, 2021 · This is considered a minimally invasive option. The specific laparoscopic procedure used to repair a hiatal hernia is called the Nissen fundoplication. This procedure creates a permanent solution to your hiatal hernia symptoms. Can a hiatus hernia cause breathlessness? A hiatus hernia can cause shortness of breath that worsens after eating.

Nutrition

How do I choose the best hiatal hernia treatment?

What is the best treatment for hiatal hernia?

How long to heal hiatal hernia?

Why to fix your hiatal hernia?

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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...•Feb 23, 2021

What is the best medication for hiatus 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.Oct 5, 2020

Can a hiatal hernia go away without surgery?

Hiatal hernias that do not cause symptoms do not require immediate treatment. However, symptom-producing hiatal hernias may need to be treated. They do not heal on their own and require surgical intervention.

What causes a hiatal hernia to flare up?

Injury to the area, for example, after trauma or certain types of surgery. Being born with an unusually large hiatus. Persistent and intense pressure on the surrounding muscles, such as while coughing, vomiting, straining during a bowel movement, exercising or lifting heavy objects.Feb 23, 2021

Is omeprazole good for hiatus hernia?

Proton pump inhibitors (PPIs) Reduce the amount of acid produced by your stomach. They are usually the first treatment for gastro-oesophageal reflux disease (GORD), which can be a symptom of hiatus hernia and include omeprazole and lansoprazole.

Is Gaviscon good for hiatus hernia?

Over-the-counter (OTC) medications A person may wish to try using OTC medications to alleviate acid reflux that has occurred due to a hiatal hernia. Antacids, such as Gaviscon or Tums, may help alleviate GERD symptoms.Jun 28, 2021

Does drinking water help hiatal hernia?

Hiatal hernia treatment often involves medication, surgery, or lifestyle changes. There are anecdotal stories that this at-home protocol may help push the stomach back down through the diaphragm: Drink a glass of warm water first thing in the morning.

How do I know if my hiatal hernia is getting worse?

Symptoms of a hiatal hernia heartburn that gets worse when you lean over or lie down. acid reflux or GERD. chest pain or epigastric pain. trouble swallowing.

Can a hernia change bowel movements?

Any blockage in the large intestine caused by a hernia can cause constipation or difficulty in having a bowel movement as it interferes with digestion. It will also be difficult to pass gas, making you even more uncomfortable.

How effective is a hiatus hernia?

How effective is it? Not effective for the hiatus hernia; however, if there are no symptoms this does not matter. This may improve symptoms so that further treatments may not be needed. These usually help temporarily; however, the effect does not last for long, so you may have to take them several times each day.

What is a hiatus hernia?

Hiatus hernia is the term used to describe a condition where part of the stomach pushes up into the lower chest through a weakness in the diaphragm. The diaphragm is the large flat muscle that separates the lungs from the tummy (abdomen) and helps us to breathe. Not everyone with a hiatus hernia develops symptoms.

How long does it take for a hiatus hernia to come back?

The hernia can come back in 30-50 out of 100 successful operations, within five years, although it does depend on the type of hernia and on how big it is.

What is the best medicine to reduce stomach acid?

Two types of medicines are used to reduce the amount of acid the stomach makes: proton pump inhibitors - PPIs (eg, omeprazole, lansoprazole, esomeprazole) or H 2 -receptor antagonists (eg, ranitidine). An operation tightens the valve at the top of the stomach, so that acid is prevented from passing back up into the gullet.

Can PPIs cause constipation?

They are not as effective as PPIs. You have to take them quite often, as the effect does not last for long. There may be side-effects of the medication. Common side-effects of PPIs include: tummy ache, constipation, diarrhoea, excess wind, feeling sick and headache.

Can you take antacids daily?

There are very few side-effects. These are the most effective option other than an operation. They are usually taken daily but some people can take them as needed. This treats the problem itself (the hiatus hernia) rather than the symptoms (of acid reflux).

Does ranitidine cause dizziness?

Common side-effects of ranitidine include diarrhoea, dizziness and headache. Overall, fewer than 5 in 100 people taking PPIs and fewer than 2 in 100 people taking ranitidine get side-effects. As with any operation, there are risks attached.

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.

What is the name of the tube that carries food from your mouth to your stomach?

An opening in your diaphragm (called a hiatus in medical terminology) allows your esophagus (the tube that carries food from your mouth to your stomach) to connect with your stomach. If the upper part of your stomach pushes through this opening, you have a hiatal hernia. Keep reading to learn how to treat a hiatal hernia at home, ...

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.

Why does my diaphragm enlarge?

It may be hereditary or it may be caused by pressure buildup in your abdominal cavity from such things as: obesity . straining during bowel movements. heavy lifting.

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 is the diaphragm?

Layla Bird/Getty Images. Your diaphragm — which is your primary muscle used for breathing — is a thin, dome-shaped muscle that separates your chest cavity from your abdomen. An opening in your diaphragm (called a hiatus in medical terminology) allows your esophagus ...

What is the name of the condition where a portion of the stomach protrudes upward into the chest, through an

Other names: Hernia - hiatal. Hiatal hernia is a condition in which a portion of the stomach protrudes upward into the chest, through an opening in the diaphragm.

What is an EUA?

EUA. An Emergency Use Authorization (EUA) allows the FDA to authorize unapproved medical products or unapproved uses of approved medical products to be used in a declared public health emergency when there are no adequate, approved, and available alternatives. Pregnancy Category. A.

What is a lack of accepted safety for use under medical supervision?

There is a lack of accepted safety for use under medical supervision. 2. Has a high potential for abuse. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Abuse may lead to severe psychological or physical dependence.

Is fetal risk based on adverse reaction data?

Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use in pregnant women clearly outweigh potential benefits. N. FDA has not classified the drug.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Treatment involves medication to relieve symptoms and surgery to repair the hernia.
Medication

Antacids: Neutralize the stomach acids.

Aluminium hydroxide . Magnesium hydroxide . Calcium carbonate


H-2 receptor blockers: Histamine 2 receptor antagonist reduces the acid production.

Famotidine . Cimetidine . Nizatidine . Ranitidine

Procedures

Laparoscopy: Inserting surgical instruments in abdomen through small incisions and wrapping the upper region of the stomach.

Open surgery: Stomach is manually wrapped around the lower part of the esophagus.

Endoluminal fundoplication: Endoscope is inserted through the mouth and small clips are placed at the end of the food pipe to prevent reflux.

Self-care

Always talk to your provider before starting anything.

Eat small, frequent meals, keep head elevated, quit alcohol and smoking, exercise regularly and massage the abdomen.

Nutrition

Foods to eat:

  • Avoid foods that trigger Heartburn, such as chocolate, onions, spicy foods, citrus fruits and tomato-based foods
  • Avoid alcohol
  • Eat at least two to three hours before bedtime

Foods to avoid:

  • NA

Specialist to consult

Gastroenterologist
Specializes in the digestive system and its disorders.

Preparing For Your Appointment

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