Treatment FAQ

when do you need treatment for a hiatal hernia

by Damien Hickle Published 2 years ago Updated 2 years ago
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Most people don't notice symptoms of a hiatal hernia and don't need treatment. If you have acid reflux, your doctor may suggest medications to treat those symptoms, including: Antacids to weaken your stomach acid. Proton pump inhibitors or H-2 receptor blockers to keep your stomach from making as much acid.Dec 5, 2021

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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When should a hiatal hernia be operated on?

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.

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

Symptoms may include dysphagia, chest pain after eating, belching, and vomiting. If this problem progresses, it can cause upper abdominal pain and distention, vomiting leading to nonproductive retching, and gastric bleeding (due to the abnormally increased blood pressure).

Do I need to worry about 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.

What happens if you don't treat hiatal hernia?

In some cases, it can cause other problems such as: Severe GERD (gastroesophageal reflux disease) Lung problems or pneumonia because stomach contents have moved up into your esophagus and into one or both lungs. Strangulation of the hernia, cutting off blood flow to your stomach (medical emergency)

How do I know if my hiatal hernia is strangulated?

What are the symptoms of a strangulated hernia?acute pain that comes on suddenly and may get more severe.bloody stools.constipation.darkening or reddening of the skin over the hernia.fatigue.fever.inability to pass gas.inflammation or tenderness around the hernia.More items...

Can hiatal hernia symptoms come and go?

If you are suffering from hiatal hernia you may experience one or more of the following symptoms during or after swallowing. These troubling symptoms may not be present every day, but can come and go: Acid indigestion, heartburn, reflux.

What aggravates a hiatal hernia?

Alcohol, mint, citrus fruit, tomatoes, and carbonated beverages may irritate the lining of the esophagus in those with GERD. Like caffeinated drinks, they also relax the LES and cause reflux.

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.

What causes a hiatal hernia to get bigger?

It is believed that the size of the hiatal hernia increases as patients age. We are not exactly sure why this happens, though it is most likely associated with the increase of intra-abdominal positive pressure over the years, which enlarges the diaphragmatic opening and pushes the hiatal hernia upward.

How does a hiatus hernia make you feel?

With a hiatus hernia you may: have a painful burning feeling in your chest, often after eating (heartburn) bring up small amounts of food or bitter-tasting fluids (acid reflux) have bad breath.

Can a hiatal hernia heal on its own?

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. The majority of paraesophageal hernias can be successfully repaired using laparoscopic techniques.

Can a hiatal hernia be life threatening?

Although usually asymptomatic, hiatal hernias typically present as gastroesophageal reflux disease (GERD). Life-threatening cases are extremely rare and those reported are mostly in patients with comorbidities and incarcerated paraesophageal or mixed hiatal hernias.

How common is a hernia in the 60s?

With this sort of hiatal hernia, a part of your stomach is stays stuck in your chest cavity. Hiatal hernias are so common that by age 60, up to 60% of people experience the condition to some extent.

How to tell if you have a hernia?

You can tell you might have a hiatal hernia when you experience symptoms such as: 1 Pressure or pain in your chest 2 Pain in your upper abdomen 3 Heartburn 4 Trouble swallowing 5 Hiccups 6 Coughing 7 Burping

Can a hernia be left untreated?

Leaving a hiatal hernia untreated can result in pain and serious illness. The blood supply to the trapped portion of your stomach can lose blood flow and result in serious illness, so it’s important to seek treatment at the first signs of illness.

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:

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:

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 is the role of the LES in a hernia?

Symptoms of a hiatal hernia are typically related to the dysfunction of the lower esophageal sphincter (LES), which separates the stomach from the feeding tube (esophagus). A hernia can alter the position of the lower esophageal sphincter, allowing stomach acid and food to reflux into the esophagus leading ...

What OTC medications are safe for acid reflux?

Among some of the more commonly used medications: 1 . Antacids, like Tums, Rolaids, and Gaviscon, work by neutralizing stomach acid with ingredients such as aluminum hydroxide and magnesium hydroxide.

Can a hernia cause heartburn?

For most people, hiatal hernias will cause only mild, intermittent heartburn that can be easily treated with antacids and acid-blockers. Unless the hernia is especially large, over-the-counter (OTC) medications, weight loss, and dietary changes are usually enough to ensure relief. In more severe cases, though, surgery may be needed if ...

Does weight loss help with hernia?

Weight loss relieves the abdominal pressure that promotes herniation. While it won’t necessarily reverse a hernia, it may prevent a mild hernia from developing into a more serious paraesophageal hernia. This is the type associated with an increased risk of gastroesophageal reflux disease (GERD).

Can a hernia cause esophageal reflux?

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. This happens most commonly in people who are overweight or obese.

How is a hernia treated?

Surgical Procedures. Sometimes, hiatal hernia is treated with the help of a minor surgery. The surgeon does this process to put the stomach back into its place, to correct the hernia. Surgery is usually reserved for patients who develop complications such as recurrent bleeding, ulcerations or strictures.

How to treat a hernia at home?

There are certain home remedies that have no significant clinical evidence to support that they are effective in the treatment of hiatal hernia. Below is a list of home remedies that potentially do more harm than good in the long run: 1 Apple cider vinegar 2 Lemon juice 3 Antacids 4 Slippery elm

What is a fixed hernia?

In a fixed hernia, part of your stomach pushes through the diaphragm and stays there. This hernia has a risk that blood flows to your stomach could create a blockage there.

What is a hernia in the stomach?

Hiatal hernia is a very common disease, especially in people who are above the age of 60. Hiatal hernia originates in the chest area and then disturbs the entire digestive system. It starts from the diaphragm and travels down to the stomach which lies right under it. When it occurs, the lower esophageal sphincter does not shut down properly. Therefore, the stomach contents flow back towards the esophagus or gut. This process is also known as acid reflux or GERD (gastro-esophageal reflux disease) in severe cases.

Why is a hernia painful?

A hiatal hernia can be extremely painful because the stomach keeps pushing on the diaphragm muscle. In order to manage a hiatal hernia, we need to address the cause of the hernia which is the inflammation of the intestines and pH imbalance.

What causes a hiatal hernia?

The most common cause of a hiatal hernia is an increase of pressure in the abdominal cavity. (The abdomen consists of the lower part of the esophagus, stomach, small intestine, colon, rectum, liver, gallbladder, pancreas, spleen, kidneys and bladder).

What home remedies can help with hernia?

Below is a list of home remedies that potentially do more harm than good in the long run: Apple cider vinegar. Lemon juice. Antacids.

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 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 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.

What to do when you have a swollen stomach?

self-massage, massaging your abdominal muscles in a downward motion while lying on your back on a flat surface. consuming apple cider vinegar, cinnamon, aloe vera, slippery elm, or chamomile.

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.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Preparing For Your Appointment

Medically reviewed by
Dr. Karthikeya T M
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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