Treatment FAQ

what is the treatment for hiatal hernia

by Prof. Frederick Rath Published 2 years ago Updated 2 years ago
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Medication

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)...

Procedures

Treatment depends on the type of hernia and can either manage symptoms (e.g., lifestyle modifications, proton pump inhibitors, antacids) or resolve the hernia via minimally invasive surgery. Quiz yourself on Hiatal Hernia

Self-care

Surgery to repair a hiatal hernia is usually performed through small incisions during which the stomach and any other surrounding tissue are pulled down from the chest cavity and back into the abdomen. The surgeon will also make the opening in your diaphragm smaller and may reconstruct an esophageal sphincter to hold the stomach in proper position.

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 long to heal hiatal hernia?

Jun 04, 2021 · The only solution is to get your stomach out of the hole. 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.)

Are there any remedies for hiatal hernia?

Why to fix your hiatal hernia?

Can you heal a hiatal hernia?

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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 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.

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.

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 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:

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.

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.

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