Treatment FAQ

what is the treatment for a hiatus hernia

by Okey Hodkiewicz Published 2 years ago Updated 2 years ago
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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 · If lifestyle changes and home treatments aren’t helping, your doctor may recommend prescription medication or surgery. Prescription medication for hiatal hernias include: esomeprazole (Nexium)...

Self-care

Apr 12, 2022 · Medicines resembling antacids and H2 blockers are sometimes the physician’s prescription to a affected person with a hiatal hernia. These capsules handle the commonest signs of a hiatal hernia – heartburn and acid reflux disorder. A few of these medicines will decrease the manufacturing of acid within the abdomen, whereas others block its results.

Nutrition

Oct 05, 2020 · Proton pump inhibitors (PPI) are the most commonly used prescription medications for hiatal hernias. PPIs reduce stomach acid production. Prescription-strength PPIs are the most effective in reducing acid secretion. Prilosec, Nexium, and Prevacid are among the most commonly prescribed prescription drugs for a hiatal hernia.

How do I choose the best hiatal hernia treatment?

In many cases, a hiatus hernia doesn’t need treatment — simple lifestyle changes can relieve any symptoms. However, sometimes hiatus hernia medication or surgery may be necessary. Acid-suppressing medication is usually effective. Understanding the upper gut

What is the best treatment for hiatal hernia?

Hiatal Hernia Lifestyle and Medication Treatments. Eating meals at least three to four hours before lying down. Eating moderate to small portions of foods. Limiting fatty foods, acidic foods (citrus fruits or juices), foods containing caffeine and alcoholic beverages. Losing weight or maintaining a ...

How long to heal hiatal hernia?

Jun 04, 2021 · 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 and bend your elbows so your hands are touching your chest. Stand up on your toes as high as possible and drop down.

Why to fix your 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. The diaphragm has a small opening, called the esophageal hiatus, through which the esophagus passes before connecting to the stomach.

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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.Oct 5, 2020

Can a hiatus hernia go away on its own?

“There is no way to prevent any hernia and not doing heavy lifting wouldn't prevent them.” Once you notice a bulge in your groin that causes discomfort, it's time to go see a physician. “Once you have a hole there, it will never go away on its own,” says Dr. Rosen.Jun 25, 2020

Is hiatal hernia a serious surgery?

A hiatal hernia repair is a serious surgery. You will need some time to recover after the surgery. Your healthcare provider will suggest this surgery if you have a hiatal hernia and long-term (chronic) heartburn and other symptoms.

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

Does omeprazole help with 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.

What foods should you avoid if you have a 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...•Nov 13, 2021

Is it worth fixing a hiatal hernia?

Patients who do not experience reflux but have other symptoms associated with their hiatal hernia should consider hernia repair. Patients with Type II-IV Hiatal hernias should consider surgical repair, especially if they have symptoms.

Who is not a candidate for hiatal hernia surgery?

Who Is NOT a Good Candidate for Hernia Repair? You may not be a good candidate if: You have a high risk of surgical complications. You are elderly (hernia repair studies suggest elderly as older than 75 years of age) and your hernia is not causing pain or discomfort.

How long is hospital stay for hiatal hernia surgery?

Expect stay in the hospital one to two days after this procedure. On the morning after your procedure you will get a swallowing study to make sure everything is in the proper place. After that, you will start on a liquid diet.

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 can a hiatal hernia make you feel?

Symptoms. 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.

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.Jan 16, 2022

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.

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 hiatus hernia cause heartburn?

Not everyone with a hiatus hernia develops symptoms. However, if you have a hiatus hernia you are more prone to reflux acid into your gullet (oesophagus), which can cause heartburn and other symptoms. If symptoms do occur, there are some treatments which may help. You can compare treatment options below. Frequently asked questions.

How to prevent hiatal hernia?

Other prevention methods to consider could include: avoiding strenuous activities such as lifting heavy objects. quitting smoking. eating a balanced, nutritious diet.

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.

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.

How common is a hernia in the esophagus?

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. Hiatal hernias are most common in adults who are 50+ years old.

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 ...

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.

What is the best treatment for a hernia?

Over-the-counter medications. Many people use over-the-counter medications ( OTC) to treat symptoms associated with a hiatal hernia. Some non-prescription medications used to treat hiatal hernia reduce the body’s production of acid.

How to help a hernia patient?

A foam wedge or wooden blocks placed under the legs of the head of the bed can be helpful solutions. Controlling symptoms naturally with lifestyle changes is one of the many ways you can take charge of your health, though many individuals will also need some form of medication to treat their hernia symptoms.

What causes a hernia?

Anyone may experience a hiatal hernia. While it’s not always clear why some individuals develop a hernia, there are several causes: 1 Age: Hiatal hernias often occur in individuals over 50 years old. 2 Weight: Obesity is another factor that can lead to the development of a hiatal hernia. 3 Injury: Hernias in the diaphragm can result from an injury to the area. For example, lifting heavy objects can trigger the development of a hernia. 4 Straining: Recurring stress from straining while having or attempting to have a bowel movement can be a potential cause of a hiatal hernia. 5 Coughing: Persistent coughing or vomiting, especially in the elderly and smokers, can weaken the muscle tissue in the stomach and can also cause the onset of a hernia.

Why do people get hiatal hernias?

While it’s not always clear why some individuals develop a hernia, there are several causes: Age: Hiatal hernias often occur in individuals over 50 years old. Weight : Obesity is another factor that can lead to the development of a hiatal hernia.

What is the hiatus in the stomach?

A small opening in the diaphragm, the hiatus, allows for the esophagus to pass through to part of your stomach and into the chest cavity. Approximately 8 inches long, the esophagus is a muscular tube responsible for delivering foods and liquids from the mouth to the digestive system. A hiatal hernia can be mild to severe ...

How to diagnose hiatal hernia?

An endoscopy is another option to diagnose a hiatal hernia. During the procedure, a small flexible tube with a camera and light (the endoscope) is inserted through the patient's mouth, down the esophagus, and into the stomach to view the problem area.

Where does a hernia occur?

This type of hernia occurs in the upper portion of the stomach and interferes with the diaphragm. Many people may not even know they have a hiatal hernia—some don't need treatment with medication or surgery. Learn more about what a hiatal hernia is and what can be done to treat it in the following sections.

What is hiatus hernia?

0800 169 1777. A hiatus hernia is when part of your stomach pushes into your chest, sometimes causing heartburn and other un pleasant symptoms . It’s also known as a hiatal hernia. By Wallace Health I Medically reviewed by Adrian Roberts. Page last reviewed: October 2018 I Next review due: October 2021.

Why do hiatus hernias occur?

A hiatus hernia is often symptomless and won’t give you any problems. If symptoms do occur, it is usually caused by acid reflux, when stomach acid and/or food in your stomach flows backwards into your gullet.

How does food enter the stomach?

Food passes down your gullet and into your stomach through a ring of muscle called a sphincter — the sphincter relaxes to allow food to enter the stomach and closes to stop food and stomach acid passing backwards into your gullet (reflux). In your stomach, food mixes with acid, which helps digestion.

What is the hole in the stomach called?

Food then passes into your duodenum. Your gullet passes through a hole in your diaphragm called the hiatus before it reaches your stomach — your diaphragm is a large muscle that separates your lungs from your abdomen.

Can hiatus hernia be treated?

You’re also more likely to develop a hiatus hernia if you’re overweight or pregnant. In many cases, a hiatus hernia doesn’t need treatment — simple lifestyle changes can relieve any symptoms. However, sometimes hiatus hernia medication or surgery may be necessary. Acid-suppressing medication is usually effective.

What is the most common type of hernia?

The most common type is a sliding hiatus hernia. It occurs when the sphincter at the bottom of your gullet pushes through your hiatus and slides in and out of your lower chest. This type of hernia is usually small and causes acid reflux.

Does acid reflux cause cancer?

Cancer — long-term acid reflux slightly increases your risk of oesophageal cancer; long-term acid reflux and a hiatus hernia further increases your risk as acid reflux is usually worse in people with a hiatus hernia.

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 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 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 the purpose of barium x-ray?

Barium X-ray or CT of the upper digestive tract to identify the location and positioning of the gastric organs. Endoscopy exam, during which your doctor passes a thin, flexible tube equipped with a light and video camera (endoscope) down the throat and into the esophagus and stomach to check for inflammation.

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 to treat a hernia?

What Is a Hiatal Hernia? 1 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.) 2 While standing, bring your arms straight out from your sides and bend your elbows so your hands are touching your chest. 3 Stand up on your toes as high as possible and drop down. You should get a pretty good jolt. Drop down like this 10 times continuously. 4 Then, while standing with your arms up in the air, breathe short quick breaths with your mouth open for about 15 seconds. That’s it.

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 ...

What happens when you have a hernia?

But first, a quick explanation of what’s happening when you have a hiatal hernia... Your diaphragm separates the organs in your chest from your stomach and other digestive organs. But in the case of a hiatal hernia, your stomach has breached the divide, worming its way through an enlarged hole at the back of the diaphragm ...

How to get a good jolt?

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 . You should get a pretty good jolt. Drop down like this 10 times continuously.

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.

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.

Why do older people have hiatal hernias?

In such cases, they are more common in older adults. Muscle weakness, due to loss of flexibility and elasticity with age , is a major risk factor for developing a hiatal hernia. Other predisposing factors include trauma to the diaphragm and previous abdominal surgeries. In addition, high abdominal pressure can increase the risk ...

How do you know if you have a hernia?

Diagnosis involves a thorough review of medical history and physical examination and may include imaging.

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 the most common type of hernia?

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 the esophagus, while the GEJ remains in the abdominal cavity.

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, ...

How to reduce the symptoms of a hernia?

Other diet tips known to lower the symptoms of hiatal hernia include: Eat frequent meals and snacks in small portions. Drink plenty of fluids (particularly water) each day. Keep a food log of triggers.

What is the hiatal hernia?

Frequently Asked Questions. A hiatal hernia is a condition that involves the upper part of the stomach abnormally protruding though the hiatus (an opening in the diaphragm between the stomach and the chest). The esophagus (the tube that carries the food from the mouth to the stomach) normally goes through the hiatus.

What is the hiatus in the stomach?

The esophagus (the tube that carries the food from the mouth to the stomach) normally goes through the hiatus. But, in a hiatal hernia, part of the stomach slips through the hiatus into the chest. 1 . Commonly, symptoms of a hiatal hernia include acid reflux, a condition in which gastric fluid flows upward into the esophagus.

Can a small hernia cause acid reflux?

According to Columbia University , “Most small hiatal hernias do not cause symptoms. The most common symptom of hiatal hernia is gastroesophageal reflux (GERD).”. The overall goal of the hiatal hernia diet is to eliminate foods that increase stomach acid, thus, lessening the symptoms of acid reflux.

What foods can cause a hernia?

Some foods, such as carbonated beverages, citrus fruits, and more, may increase symptoms in some people diagnosed with a hiatal hernia.

How to get rid of a swollen thigh?

Drink plenty of fluids (particularly water) each day. Keep a food log of triggers. Chew your food thoroughly and eat slowly and drink lots of water during meals to promote proper digestion. Do not eat right before exercising or bending over.

Does coffee cause gastric reflux?

Chocolate and coffee contain compounds thought to relax the LES sphincter in the stomach, and coffee is said to stimulate (and raise) stomach acid, which promotes gastric reflux and irritates the lining of the esophagus in some people.

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Treatment

Clinical Trials

Lifestyle and Home Remedies

Preparing For Your Appointment

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.

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