Treatment FAQ

what treatment canbe used for sliding hiatal hernia

by Ozella Jenkins Published 3 years ago Updated 2 years ago
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Surgery to repair a hiatal hernia may involve pulling your stomach down into your abdomen and making the opening in your diaphragm smaller or reconstructing an esophageal sphincter. In some cases, hiatal hernia surgery is combined with weight-loss surgery, such as a sleeve gastrectomy.Feb 23, 2021

How do I choose the best hiatal hernia treatment?

2 rows · Oct 25, 2019 · With regards to the technical approach, hiatal hernia can be repaired either transabdominally ...

What is the best cure for a hiatal hernia?

Because most sliding hiatal hernias are not painful, over-the-counter antacids are often effective in managing occasional heartburn. Histamine blockers and proton pump inhibitors can also be used to reduce stomach acid production, helping to relieve heartburn and prevent serious damage to the esophagus.

What is the best diet to treat hiatal hernia?

There are two main types of hiatal hernias: (1) Sliding Hiatal Hernia (2) Paraesphogeal Hiatal Hernia. A Sliding Hiatal Hernia is the more common type of hiatal hernia. With a sliding hiatal hernia, the stomach and the part of the esophagus that connects to the stomach slide up into the chest through the small hiatus opening in the diaphragm.

What are the different treatment options for hiatal hernia?

What can be done for a sliding hiatal hernia? Treatment Antacids that neutralize stomach acid. Antacids, such as Mylanta, Rolaids and Tums, may provide quick relief. ... Medications to reduce acid production. ... Medications that block acid production and heal the esophagus. What are the symptoms of a sliding hiatal hernia?

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How do you live with a sliding hiatus hernia?

Hiatal Hernia: Lifestyle TipsDo not overeat. ... Avoid lying down or going to sleep for at least three hours after a meal.Do not bend over right after eating.Do not smoke.Lose weight, if necessary.Wear loose-fitting clothes so as to not add extra pressure on your stomach.More items...•Nov 13, 2021

How serious is a sliding hiatal hernia?

A small hiatal hernia usually doesn't cause problems. You may never know you have one unless your doctor discovers it when checking for another condition. But a large hiatal hernia can allow food and acid to back up into your esophagus, leading to heartburn.Feb 23, 2021

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

Does a sliding hiatal hernia need surgery?

Surgery. Sometimes a hiatal hernia requires surgery. Surgery is generally used for people who aren't helped by medications to relieve heartburn and acid reflux, or have complications such as severe inflammation or narrowing of the esophagus.Feb 23, 2021

What is the procedure to repair a paraesophageal hernia?

Open or Laparoscopic Repair. Either a transthoracic ("open") or transabdominal (laparoscopic, or "keyhole") surgery may be used to repair a paraesophageal hernia. 4 . Open surgery involves entry into the body through an incision, usually on the left side of the body.

What causes a hernia in the abdomen?

A hiatal hernia is usually caused by increased pressure in the abdominal cavity. That pressure can build up from obesity, pregnancy, coughing, vomiting, straining with a bowel movement, and physical exertion. 7.

What are the best medications for constipation?

Among some of the more commonly used medications: 1  1 Antacids, like Tums, Rolaids, and Gaviscon, work by neutralizing stomach acid with ingredients such as aluminum hydroxide and magnesium hydroxide. Overuse can lead to constipation (magnesium-based antacids) and diarrhea (aluminum-based antacids). 2 H2 receptor blockers, which reduce the production of stomach acids, include such popular OTC brands as Pepcid (famotidine), Tagamet (cimetidine), and Zantac (ranitidine). Side effects include constipation, diarrhea, dry mouth, headaches, and ringing in the ears ( tinnitus ). 3 Proton pump inhibitors (PPIs) offer similar action to H2 blockers but are stronger and faster. They include Nexium (esomeprazole), Prevacid (lansoprazole), and Prilosec (omeprazole). PPIs are more typically used if an H2 blocker fails to provide relief. Headache, constipation, diarrhea, and flatulence are common side effects.

What is the function of the lower esophageal sphincter?

A hernia can alter the position of the lower esophageal sphincter, allowing stomach acid and food to reflux into the esophagus leading to inflammation and discomfort.

Does smoking cause a hernia?

While smoking does not cause a hiatal hernia, it can relax an already weakened LES and allows food and acid to reflux more easily. This is why smokers often experience heartburn immediately after lighting up or why they are far more likely to develop GERD than non-smokers. 3.

Can a paraesophageal hernia be treated with medication?

Surgery for a hiatal hernia is only indicated if a paraesophageal hernia is causing symptoms that cannot be treated with medications or lifestyle changes. 4  This is because the appearance of symptoms reveals that the stomach has bulged further into the chest cavity and is now altering the position of the LES.

What are the side effects of H2 receptor blockers?

Side effects include constipation, diarrhea, dry mouth, headaches, and ringing in the ears ( tinnitus ).

Why do people get hiatal hernias?

There is no exact cause for a hiatal hernia. Increased pressure on the diaphragm and the small hiatus opening in the diaphragm from such things as pregnancy and obesity are contributing factors. Hiatal hernias are common in women, people who are overweight and people older than 50 years of age.

What is the most common type of hernia?

There are two main types of hiatal hernias: A Sliding Hiatal Hernia is the more common type of hiatal hernia. With a sliding hiatal hernia , the stomach and the part of the esophagus that connects to the stomach slide up into the chest through the small hiatus opening in the diaphragm. With a Paraesphogeal Hiatal Hernia, ...

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

The esophagus is the “food tube” extending from the mouth to the stomach. When you eat or drink, the food or liquid travels through the esophagus to the stomach. This small opening in the diaphragm is called the hiatus. When a part of the stomach pushes up through the hiatus, it’s called a hiatal hernia. A hiatal hernia may lead to problems ...

Where is the stomach located when you breathe?

A Hiatal Hernia or Hiatus Hernia is a health condition where part of the stomach protrudes up into the chest area through a small opening in the diaphragm muscle. The diaphragm muscle is located just under your lungs and is used for breathing. When you take breathes, you are contracting and relaxing your diaphragm muscle.

Where is the vagus nerve located?

The Vagus Nerve is a major nerve within the human body that runs from the brain, down through the neck, chest, heart, and lungs. From there, it branches out into the abdomen. A hiatal hernia can cause irritation to the vagus nerve leading to a variety of abnormalities with the stomach, heart, and lungs as a result of the stress on ...

What is the purpose of chiropractic care?

Our chiropractic care focuses on the health and function of the body’s central nervous system . When the body’s central nervous system is optimized and 100% healthy, all systems within the body perform properly . When there are interferences (known as subluxations) in the central nervous system, the systems of the body are not able to function at peak levels which can lead to numerous health issues. Chiropractic adjustments remove subluxations and restore the health of the central nervous system.

What is subluxation in chiropractic?

When there are interferences (known as subluxations) in the central nervous system, the systems of the body are not able to function at peak levels which can lead to numerous health issues. Chiropractic adjustments remove subluxations and restore the health of the central nervous system.

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 treatment for a hernia with GERD?

Sliding hiatal hernias presenting with symptoms of GERD symptoms are typically treated with medications such as antacids, histamine-2 blockers and proton pump inhibitors (PPIs). For others, surgical repair may be indicated.

What is the term for a hernia that occurs when a portion of the stomach protrudes through

A paraesophageal hiatal hernia occurs when a portion of the stomach protrudes through the hole by which the esophagus passes through the diaphragm. The hernia then lies alongside the esophagus. Paraesophageal hernias tend to gradually increase in size leading to the protrusion of other abdominal organs into the chest.

What is the lining of the esophagus?

For most of its length as it passes through the neck and chest, its lining resembles skin , which does not secrete any fluid such as mucus. Over the years the esophagus is exposed to many corrosive substances such as acids, enzymes, and bile from the stomach, as well as anything swallowed from above. Ulcers of the lining of the esophagus may result from prolonged exposure to these substances, particularly in the lowermost part near the stomach.

How to treat a valve?

Treatment consists of defeating the action of the valve either by stretching (esophageal dilatation), or what is now considered the most definitive treatment, cutting of the muscle fibers of the valve. This treatment known as esophagomyotomy is performed by laparoscopic surgery.

Can a hernia bulge?

Because the hiatal hernia protrudes into the chest rather than abdominal wall, there is no visible bulge as with an abdominal hernia. Diagnosis of a hiatal hernia requires upper GI endoscopy, a barium swallow study, an MRI, or computerized tomography (CT) scan.

What is the muscular wall of the esophagus?

The muscular wall of the esophagus has its own rhythmic action that actively squeezes food toward the stomach. This activity can be impaired (called dysmotility) and difficulty swallowing may result. Sometimes it is necessary to measure the motility of the esophagus by a test known as manometry.

What is the protrusion of the stomach into the thorax?

A hiatal hernia is the protrusion (or herniation) of the upper part of the stomach into the thorax through a tear or weakness in the diaphragm. Hiatal hernias often result in heartburn but may also cause chest pain or pain with eating. The most common cause is obesity. The diagnosis is often made by endoscopy or medical imaging.

What is a Sliding Hiatal Hernia?

Have you ever stopped to consider the anatomy of your stomach and esophagus? Normally the stomach and the junction of the stomach and the esophagus, called the gastroesophageal junction, lie below the diaphragm, while the remainder of the esophagus lies above it.

What Causes a Sliding Hiatal Hernia?

A sliding hiatal hernia happens when the diaphragmatic muscles that hold the esophagus in place weaken.

Symptoms of a Sliding Hiatal Hernia

Surprisingly, most small sliding hiatal hernias cause few symptoms or are completely asymptomatic. When they do cause symptoms, the most common is a reflux of acid from the stomach back into the esophagus, a condition known as GERD.

Diagnosing a Sliding Hiatal Hernia

Many people have a small sliding hiatal hernia and don’t know it because they usually have few symptoms. When a sliding hiatal hernia is suspected because of symptoms such as GERD, it may show up on a special x-ray called a barium swallow.

How is a Sliding Hiatal Hernia Treated?

Sliding hiatal hernias that cause no symptoms require no treatment. If a person experiences reflux symptoms like heartburn, a sour taste in the mouth, or frequent belching, they can usually be relieved by taking simple measures.

The Bottom Line?

Sliding hiatal hernias are common and frequently cause no symptoms. If you suspect you have one, see your doctor for an evaluation.

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Home Remedies and Lifestyle

  • A hiatal hernia is often discovered during a test or procedure to determine the cause of heartburn or chest or upper abdominal pain. These tests or procedures include: 1. X-ray of your upper digestive system.X-rays are taken after you drink a chalky liquid that coats and fills the inside lini…
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