hiatal hernia

An apple a day keeps hiatal hernia away

2008-12-01T23:04:00.000-08:00

As hernia occurs when when part of our stomach pushes through the opening of the diaphragm result in pain in the stomach and it is cause by the weakness in the muscles tissue. Most hiatal hernia can be cure if it is at the beginning state if care is taken of. Doctors found females had Hiatal hernia more than males, person who had abdominal surgery and age people whose mussels tissue became weak.

Most of the symptoms are feeling burning sensation in the chest. heartburn, bloating, difficult in swallowing and times feeling pain in the stomach after heavy eating. Proverb said an apple a day keeps the doctor away. Taking apple each day before going to beds or after dinner can helps cure Hiatal hernia and escape you from the doctors knife. Others remedy is to take small portions and soft foods many time in each time rather then heavy and solid food in two or three times. Avoid or control your smoking and liquors.

Hiatal hernia affects male and female equally and with all age

2008-07-09T01:17:00.000-07:00

Hiatal Hernia is a herniation of our upper part of our stomach which is cause through a tear in our muscle between the chest and the abdomen. Most minor hiatal hernia do not cause any problem or symptoms at the beginning unless it was discovered by your doctor. For major or large hiatal hernia which allows food and acid to go back into your esophagus which lead to symptoms of hernia such as chest pain and heartburn. With medication and self care hiatal hernia can be relieve and cure unless it is very serious whereby surgical is needed.

Hiatal hernia affects male and female equally and with all age but the disorder occur most on elderly people. Hiatal hernia is very common to people who are frequently to physical exercises such as weight lifting and overweight people. People whose works towards heavy lifting or frequently bending down. Hard coughing and hard sneezing that increased the pressure within the abdomen that can leads to hiatal hernia. People who are heavy smokers or use drug such as cocaine are another risk to cause hiatal hernia.

Symptoms of people suffering from large hiatal hernia are heartburn, chest pain, nausea or belching and this sign can be worse when leaning forward or carry objects or bending down.

The symptom, cause and treatment of hiatal hernia

2008-04-28T02:45:00.000-07:00

Most of the symptoms of hiatal hernia that are first notice by the patients are acid reflux and pain in the chest and upper parts of the stomach which is very similar to heartburn. When the stomach acid refluxes back into the esophagus system patients sometimes will experience heartburn and regurgitation. For some patients there will be no symptoms at the beginning stage until surgery is the main treatment to it.

The cause of hiatal hernia are due to the increased pressure within the abdomen and to due to heavy lifting frequent in bending up and down, Using the abdomen parts to push extra weight things. Heavy weight lifting person. Smokers and drugs user such as cocaine. Stress and anxiety persons.

Most of the beginning sufferers required no treatment if care is taken on in the first place. While some on mild medication but when the hiatal hernia is large it is likely to cause esophageal stricture and discomfort and if it is severe and chronic acid is involved, this is sometimes surgery is recommended.

The cause ,symptoms and care of hiatal hernias

2008-03-10T00:05:00.000-07:00

A hernia occurs when one part of the body protrudes through a gap or opening into another part. Most people with small hiatal hernias will not knows that their are suffering from hernias as it don't cause problems unless it is a large hiatal hernias as it shows symptoms of hernias. The cause of large hiatal hernias as its allows food and acid to back up into your esophagus. most of the symptoms of large hiatal hernias are feeling chest pain and heartburn. Having beaching and nausea. The pain will get worse if you lift heavy objects, lie down or lean forwards.

The cause of hiatal hernias is when the surrounding muscle tissue at the opening became weak. It may be due to the pressure to our abdomen that cause hernias. The cause might be injury to the hernias area during an accident. Others cause are including persistent or severe coughing or vomiting, pregnancy, straining while going to the bathroom, increased abdominal fluid.

Elders people who is above fifty years of age, heavy smokers and obese are at high risks of suffering from hiatal hernias or people who are born with large hiatal hernias. Talk to your doctor if you suspect you are suffering from hiatal hernias. Finding that you are having difficulty in breathing or trouble swallowing, chest pain most of the time, coughing, wheezing, asthma and sore throat,

Care has to be taken if you are diagnose. Never eat heavy meals. Eat small meals and after eating always stand up and walk. Avoids heavy exercise when you just finish eating. Try not to eat spicy foods and limit fatty foods. Stops smoking and alcohol. Avoids acidic fruits and vegetable such as tomato and citrus fruits. Limit coffee or stop drinking coffee as it can be irritating to an inflamed esophageal lining.

Symptoms of hiatal hernia are mostly such as heartburn

2007-11-06T23:09:00.000-08:00

Hiatal hernia affects both sexes equally. mostly people who suffer from hiatal hernia don't have any symptoms in the early stage. Hiatal hernia can occurs at any age but the highest risk people who will suffer from the hiatal hernia are the early people, people who are overweight, and weight lifting people. Hernia generally involves penetration of the internal organs through the protective muscle walls that surround them which involved the organ causing the disorder.

The symptoms of hiatal hernia are mostly such as heartburn, abdominal pain and discomfort and neusea. Uncomplicated hiatal hernia can be effectively cured by making lifestyle improvements. Portion your food consumption by taking less portion and more times, try to lose weight and do not wear very tight dress or cloth, stop smoking and drinking alcohol.

Heavy smokers, obesity and increasing in age are main cause of hiatal hernia

2007-09-06T02:46:00.000-07:00

Hiatal hernia is a condition in which a portion of the stomach protrudes upward into the chest. Heavy smokers, obesity and increasing in age are the main cause of getting hiatal hernia. For people above the age of 50 are high risk of hiatal hernias as this coditions may cause reflux of gastric acid from the stomach into the esophagus.

Most of the symptoms are heartburn, bleching, chest pain and finding difficulty in swallowing. To reduce the pain is to avoid taking heavy meals at one time and bending and lying down after each heavy meals. If you notice a bulge or swelling in your groin, abdomen, scrotum, or thigh, you should talk to your doctor. Sometimes a hernia may also cause sharp or dull pain and the pain may worsen when you are standing.

Most small hiatal hernias show no symptoms

2007-07-16T20:32:00.000-07:00

Most small hiatal hernias don't cause any problems and also will never symptoms only when your doctor discover when checking for condition. A large hiatal hernia will allow food and acid to back up into your esophagus, leading to heartburn and chest pain. This large hiatal hernias will sometimes needs surgical operation. Hiatal hernia are most cause in the abdominal area but sometimes it can develop elsewhere. It occur when one part of the body protrudes through a gap or opening into another part.

A hiatal hernia can contributed to gastroesophageal reflux. It happen when a hernia slightly displaces the lower esophageal sphincter. A hiatal hernia can also cause heartburn when our stomach becomes a reservoir for gastric acid, which can then easily travel up your esophagus. Most heartburn patients only discoverd through their doctor that they have hiatal hernias. Talk to your doctor if your symptoms are severe, occur often, or are accompanied by coughing, wheezing, asthma, a sore throat, difficulty swallowing or chest pain.

Hiatal hernia required no treatment unless it is complication by Gerd.

2007-06-21T21:59:00.000-07:00

A hiatal hernia is a condition in which the upper part of the stomach bulges through an opening in the diaphragm. The diaphragm is the muscle wall that separates the stomach from the chest. The diaphragm helps keep acid from coming up into the esophagus. When you have a hiatal hernia, it's easier for the acid to come up. The leaking of acid from the stomach into the esophagus is called gastroesophageal reflux (GERD). GERD may cause symptoms such as heartburn, problems swallowing, a dry cough and bad breath.

Hiatal hernias are common, especially in people over age 50. If you are symptoms of heatal hernias it is adviseable to reduce the portion of your food and also to take your food three hours before going to bed as this lessen reflux by allowing the acid in the stomach to decrease and the stomach to partially empty. Stop smoking and drinking alcohol. Hiatal hernia did not required treatment unless it is complication by Gerd.

Hiatal hernia can be effectively cured by chaning our lifestyle

2007-05-09T00:20:00.000-07:00

If you have been diagnosed with a hiatal hernia or finding that you have hiatal hernia symptoms it is best important to see your doctor or healthcare to determine the best treatment for you. Hiatal hernia is cause as our supportive and surrounding tissues is weakening due to advancing age, smoking and obeesity.

The symptoms of hiatal hernia are mostly heartburn, chest pain and difficulty in swallowing. These symptoms occur not as a direct result of the hiatal hernia itself but as a result of what the hernia allows…the backflow of food and stomach acid into the esophagus. Many people report an increase in symptoms when lifting heavy objects, lying down, leaning forward or straining. Hiatal hernia affects both sexes equally. Although it can occur at any age, the disorder has the highest incidence in elderly people. Hiatal hernia is also common in overweight people and in people who frequently sustain intense physical effort such as weight lifting.

Hiatal hernia can be effectively cured by chaning our lifestyle. The diet we daily take, avoid spispy and oily food, reduce or stop smoking and drinking hard liquors. Avoid heavy exercise such as weight lifting.

Hiatal hernia sometimes show no systoms

2007-04-03T01:04:00.000-07:00

Hiatal hernia appears in the upper parts of the abdomen. A simple definition of hernia is that it is a disease that appears when a certain part of the body loses its resistance. If the muscles get weak and the abdominal pressure increases, eventually the hiatus will stretch so much that the upper part of the stomach will pass through it thus causing the hiatal hernia. Hiatal hernia doesn't cause any symptoms or trouble in the body, so in most cases people already suffer with the disease and don't even know about it until their are diagonise by the doctor.

There are two ways of repairing hiatal hernia. The first one is used for the simple hernias and is called herniorraphy. This procedure will make possible the return of the intestines to their proper place and a strengthening of the abdominal wall. For larger hernias hernioplasty is used. This procedure includes the usage of a plastic or steel mesh that is added to the abdominal wall. Best advise if you are suffering from hiatal hernia try to lose some weight and not to wear tight clothes.

Hiatal hernia sometimes never cause systoms

2007-04-03T00:23:00.000-07:00

Hiatal hernia may be the cause of our diets

2007-02-12T02:38:00.000-08:00

Most people who suffer hiatal hernia has no symptoms. Hiatal hernia may be cause by previous surgery, aging, obesity or pregnancy. People with symptoms are heartburn or chest pain due to the gastric from our stomach being pushed up into the esophagus. Results to abdominal uncomfortable and regular belching.

Methods to avoid getting hiatal hernia is to avoid spicies, acidic and oily foods.
Alcohol and tobacco is bad for health and at the same time is parts of the causes of hiatal hernia. Try to chew your food to tiny piece before swallowing and eating more high fiber diet to protect from hiatal hernia.

Hernia is not a serious illness

2007-01-08T23:05:00.000-08:00

Hernia is not a serious illness, but if do not go for early checked up or treated it can lead to serious complications and pain. Hernia can appear in different parts of the body, but the most common place where it is encountered is the abdomen.

The upper stomach and the end of the esophagus slip up through the hiatus because it has become weakened and this is how hiatal hernia appears and is called a sliding hiatal hernia. Most of the hiatal hernias that people suffer are sliding hiatal hernias, but other people might suffer from a different form hernia, called paraesophageal hernia, which is slightly more dangerous because the stomach can get strangled.

hiatal hernia contributes to the acid reflux

2006-12-17T21:50:00.000-08:00

Some people with acid reflux have hiatal hernias and some do not. Hiatal hernias are not a pre-requisite for acid reflux, but a large amount of people with acid reflux DO have hiatal hernias. A hiatal hernia disrupts the location of the LES but due to the hiatal hernia the LES is pushed up and lies in the chest. This is a problem because the diaphragm is a large part of helping the LES to prevent reflux. Now the pressure of both the LES and diaphragm are not working as a strong unit. The hiatal hernia contributes to the reflux because of the decreased pressure.

Acid reflux can also be caused by a hiatal hernia due to the hernial sac. The location of the sac is near the esophagus. Acid gets trapped in the sac. Because the sac is so close to the esophagus, when the LES relaxes, it is easy to reflux.

Hiatal hernia can cause acid reflux

2006-11-13T23:35:00.000-08:00

Hiatal hernia can cause acid reflux in adults and is becoming common in the world of today. Eating spicy food may cause acid reflux and can also manifest itself as heartburn.

Looking after your diet intake is one best approaches of preventing acid reflux. avoild food that likly to cause acid reflux are spicy food, fatty fried food, coffee, chocolate onion and garlic.

Change your life style on your diet and drink and live a healhty life.

Smoking can lead to heartburn

2006-10-17T03:31:00.000-07:00

People who experience chronic symptoms of burn heart indigestion have other more serious diseases which may not be relieved by changes in eating habits or lifestyle. These include acid reflux disease, hiatal hernia and diseases of the esophagus. In addition, any non-burning chest pain, pressure, heaviness or nausea associated with chest pain could be related to the heart, rather than the throat and stomach. It is important to err on the side of caution whenever chest pain is involved. It could be simple burn heart indigestion or something much more serious.

Tomatoes and citrus fruits are foods that cause heartburn in some people. These highly acidic foods can lead to excess stomach acid and may cause heartburn. The causes of heartburn vary from individual to individual. Some people are not bothered by tomatoes or oranges, but may be bothered by fried or spicy foods. It is sometimes necessary to keep a food diary to isolate the foods that cause heartburn in your own diet. You may notice that you only experience heartburn after eating Mexican or Italian foods.

Smoking can lead to heartburn. And, there are other more serious medical conditions that are causes of heartburn, particularly heartburn that is experienced frequently. Hiatal hernia is one example of a medical condition that often presents with frequent heartburn. If you experience heartburn once or more per week, you should have your symptoms evaluated by your physician to rule out the presence of another health problem.

It may not be necessary to remove all of the foods that cause heartburn from your diet. It may simply be a matter of eating less of them or eating them less often.

Hiatal hernias people of all ages

2006-10-05T02:24:00.000-07:00

Hiatal hernias may develop in people of all ages and both sexes, although it is considered to be a condition of middle age. In fact, the majority of otherwise normal people past the age of 50 have small hiatal hernias.

Hernia can be of the following types: Indirect, Direct, Inguinal, Obturator, Spigelian, Umbilical, Incisional and Femoral. Hernia can be caused by many factors. The main ones are obesity, coughing, weight lifting exercises, lung ailments, exertion of pressure on the abdomen during pregnancy and the presence of hernia in the umbilical cord which may then pass on to the baby.

Hernia can occur if anyone keeps on putting too much of strain on the bowel or the kidneys during bowel movement or urination during Straining during a bowel movement or urination. Moreover, hernia may take place if there is too much of fluid in the cavity that makes up the abdomen.

Hiatal hernia common in overweight people

2006-09-26T01:03:00.000-07:00

Most hernias occur in the abdominal area. Hiatal hernia appears in the upper parts of the abdomen, at the diaphragm. A simple definition of hernia is that it is a disease that appears when a certain part of the body loses its resistance, because it gets old in most cases, and another part of the body that is in contact with the first one slips through a small hole that appears in the first part. Depending on the body parts involved in this hernia can be divided into more types.

Hiatal hernia affects both sexes equally. Although it can occur at any age, the disorder has the highest incidence in elderly people. Hiatal hernia is also common in overweight people and in people who frequently sustain intense physical effort like weight lifting.

Uncomplicated hiatal hernia can be effectively cured by making lifestyle improvements. An appropriate diet and a healthy eating schedule have proved to be very effective ways of correcting hiatal hernia. Also, people who suffer from hiatal hernia are recommended to avoid weight lifting and straining in order to prevent complications.

Some people who suffer from hiatal hernia usually don’t have any symptoms at all. However, hiatal hernia can generate symptoms such as heartburn, abdominal pain and discomfort and nausea. Most people affected by hiatal hernia suffer from heartburn, which usually intensifies after meals. This common symptom of hiatal hernia occurs due to reflux of the stomach content inside the esophagus.

Children suffer from acid reflux

2006-09-15T03:51:00.000-07:00

When you suspects that a child is afflicted with acid reflux, should have the child seen by his or her pediatrician. After examining the child and evaluating the symptoms, the doctor may run tests to diagnose whether acid reflux is present. Often, the doctor will begin treatment before testing for acid reflux.

Acid reflux is a condition normally associated with adults. Sadly, many children also suffer the effects of acid reflux.
Though quite common in children, most people are not aware of it's occurrence. In most cases, the process of gastro-esophageal reflux occurs quickly, the acid comes up into the esophagus and then rapidly goes back down into the stomach. In this case, the esophagus suffers no damage. However, if the stomach acid stays in the esophagus, it damages the esophagus lining. This process causes a number of symptoms such as a chronic cough, or a hoarse voice. More serious symptoms can include difficulty in swallowing, wheezing, and chronic pneumonia.

Hiatal hernia are also at a greater risk of developing acid reflux than those person who are not.

Acid reflux in children may manifest in frequent spitting, throwing up repeatedly, coughing and other respiratory problems. Children suffering from acid reflux may also experience weight loss.

hiatal hernia : Adjustable Beds - More Popular Than Ever

2006-09-10T21:10:00.000-07:00

We have all heard of them but how many people have actually considered buying one? Well it is really something to think about if you are considering buying a new bed and/or mattress set. In the last few years there has been such advancement in adjustable beds. More people than ever before are purchasing them.

Just think, with the touch of a button you can change positions and ease that tired back. Most people wake up more refreshed and ready to begin a busy day. Unlike flat beds, adjustable beds support the curvatures of your body.

Some of the benefits of adjustable beds are easier breathing and pressure point reduction. Being able to change your sleeping position at the touch of a button can relieve pain in the back, neck, shoulder and hip. Most people with these problems do not get a good restful night's sleep.

Blood circulation to the legs is less impaired with adjustable beds.

An adjustable bed can make many positive changes in your life such as:

- Getting more sleep

- Improves overall health

- Wake up refreshed

- Getting more sleep may help you think clearer

- Better concentration

The adjustable beds with the new mattresses helps to ease lower back pain by eliminating the pressure points and providing the support you need to get good nights sleep. And adjustable beds are just the thing for a person confined to a bed. It makes their life easier and it makes it easier on the person tending them.

They also make watching television easier and you can easily sit up for reading. Many people report less acid reflux and less trouble with a hiatal hernia when sleeping on an adjustable bed. These beds also make it easier for a person that has had surgery. And if one suffers from knee pain it can be adjusted to relieve even this annoying pain.

Most people think adjustable beds are very expensive, but this doesn't have to be the case. Shop around and you may find them at online stores which can save you hundreds of dollars. Stores on the internet are sometimes able to keep their own costs down which cuts the cost for the purchaser.

There are many types of mattresses to go on adjustable beds. Some mattresses have what is call memory. These mattresses return to there normal shape without sinking like a normal mattress. Some have air that allows you to adjust them to suit what is comfortable for you. Some can be adjusted for a couple sleeping in the same bed. If one person wants firm and the other soft, it can be arranged with a simple push of a button.

The makers of the adjustable bed have made it so simple to get relief from pain, hernia, acid reflux and sleepless nights.

So if you have never tried one and you suffer from neck aches, back aches, knee aches or just plain don't sleep well, it might be in your best interest to check one out. There is nothing to lose but sleepless nights and the elimination of pain.

by Michael Russell

hiatal hernia : Change Your Lifestyle and Control Hiatal Hernia

2006-09-10T21:00:00.000-07:00

Hiatal hernia (often referred to as hiatus hernia) is the protrusion (or hernia) of the upper part of the stomach into the thorax through a tear or weakness in the diaphragm

Hiatal hernias may develop in people of all ages and both sexes, although it is considered to be a condition of middle age. In fact, the majority of otherwise normal people past the age of 50 have small hiatal hernias.

Lifestyle adjustments to control a hiatal hernia

If you're overweight, losing weight alone may relieve your symptoms.

If you smoke, quit.

Do not wear tight clothes around your chest or abdomen (belly). They put pressure on your stomach.

Elevate the head of your bed 6 inches by placing blocks under the bed frame. Gravity will help prevent stomach acid from moving up into your esophagus as you sleep. Using a foam wedge to raise your mattress also may help. Don't try to use pillows, which tend to increase pressure on your abdomen.

It is important to avoid large meals. Eating small, frequent, bland meals to keep pressure on the esophageal sphincter.

Do not eat for at least 2 hours before going to sleep.

Avoid spicy and acidic foods.

Do not bend over or lie down after eating.

By Uthkusa Gamanayake

hiatal hernia : Associated Diseases

2006-08-29T03:17:00.000-07:00

Associated Diseases
Barrett’s oesophagus - 96% of Barrett’s oesophagus patients have a hiatus hernia3
Oesophageal adenocarcinoma - increase in risk x6 with hiatus hernia but no reflux and x8 if reflux as well.4

Management
Non-Drug Patients with hiatus hernia should be advised to avoid any factors likely to increase intra-abdominal pressure e.g. tight clothing, corsets.

Nocturnal symptoms may be helped by elevating the head of the bed to reduce postural reflux.

Weight loss should be advised in obese patients and patients who smoke and /or drink should be encouraged to stop.

Drugs Symptomatic relief may be gained by the use of alginates +/- use of proton pump inhibitors, although patients with hiatus hernia may require larger doses for symptom control.

Surgical The presence of a hiatus hernia is a marker for severe GORD .Patients with a hiatus hernia tend to have more severe symptoms and a poorer response to treatment, but it’s presence per se does not alter management strategies.

Indications for surgery in patients with severe GORD include:-

Patients who are unable to comply with therapeutic regimes
Patients who require high doses of drugs
Patients who wish to avoid lifelong medical treatment
The surgical procedure most commonly used involves mobilising the oesophagus in the thorax, bringing it down to restore the intra-abdominal portion and repairing the deficit (modified Nissen procedure).

Oesophageal lengthening combined with fundoplication may be performed during laparoscopic surgery.

Several novel endoscopic techniques have been used in the treatment of GORD with some success, but the results do not separate out patients with hiatus hernia.

Prognosis The majority of patients will gain symptomatic relief from medical or surgical intervention, although a few will go on to develop Barrett’s oesophagus or oesophageal adenocarcinoma.

© EMIS and Patient Information Publications 1997-2006

hiatal hernia : Epidemiology

2006-08-29T03:13:00.000-07:00

Incidence The precise incidence of hiatus hernia is not known, as most studies have looked only at individuals who presented with symptoms of dyspepsia. Of patients undergoing investigation for dyspepsia in western populations approximately 15-25% are discovered to have a hiatus hernia.2 Males and females appear to be equally affected. The incidence increases with age and obesity but varies from country to country being more common in western societies and rare in the Far East.

The term hiatus hernia refers to the herniation of a part of the abdominal viscera through the oesophageal aperture of the diaphragm. The vast majority of hiatus hernias involve only the herniation of a part of the gastric cardia through the muscular hiatal aperture of the diaphragm, however rarely, hernias with a large defect can allow other organs to enter the thoracic cavity such as spleen and pancreas. A hiatus hernia may be caused by one or more of 3 possible mechanisms i) widening of the diaphragmatic hiatus. ii) pulling up of the stomach due to oesophageal shortening. iii) pushing up of the stomach by increased intra-abdominal pressure.1 The association between hiatus hernia and oesophagitis has been recognised for over 70 years, however it is only much more recently that the precise relationship between the two has been understood. It is now believed that the hiatus hernia has major pathophysiological effects resulting in gastro-oesophageal reflux and contributing to mucosal injury, particularly in patients with severe Gastro-oesophageal reflux (GORD or GERD)

Presentation Many individuals with a hiatus hernia will be totally asymptomatic, others may present with any of the following:-

Retrosternal burning sensation or "Heartburn" especially on bending or lying
Flatulance
Gastro-oesophageal reflux
Large hernias may cause difficulty in swallowing (rare)

Investigations Barium studies remain the only accurate method of measuring the size of a hiatus hernia

Upper GI endoscopy although commonly used for assessing symptoms of dyspepsia, it is not useful for assessing a hiatus hernia due to difficulties with measurement.

Oesophageal manometry, is not sufficiently sensitive for diagnostic purposes especially with small hernias

© EMIS and Patient Information Publications 1997-2006

hiatal hernia : Taming a Hiatal Hernia?

2006-08-29T03:07:00.000-07:00

A hiatal hernia is a protrusion of a portion of the stomach through the muscular ring at the junction of the esophagus and stomach. Usually, this common occurrence causes no symptoms, but sometimes the lining of the protrusion becomes inflamed, causing heartburn, belching, distention, problems swallowing, and regurgitation.

For relief, I recommend deglycyrrhizinated licorice (DGL), which can soothe the lining of the esophagus and stomach. Chew two tablets slowly before each meal or between meals, or take one-half teaspoon of the powder before meals. Let it slowly trickle down your throat. You can continue to use DGL as long as you have symptoms. Here are some other lifestyle changes that can help:

Reduce or eliminate alcohol consumption. If you do take an occasional drink, be sure to eat something first.
If you smoke, stop -- tobacco can irritate the digestive system.
Avoid coffee and decaffeinated coffee. Caffeine can aggravate symptoms. Substitute chamomile tea, which is soothing.
Experiment with foods to see which ones trigger your symptoms and avoid any that do.
Don’t eat within two to three hours of bedtime, and don’t lie down after meals.
Eat frequent small meals rather than three large ones.
Elevate the head of your bed by six to eight inches (to prevent stomach acid from refluxing while you’re lying down).
You should also try to avoid drugs that can make reflux worse by decreasing the pressure of the lower esophageal sphincter. These drugs include calcium channel blockers, nitrates, sedatives, and theophylline. Peppermint can have the same undesirable effect.

Conventional doctors probably will prescribe acid-suppressive drugs. I recommend using them only short-term or not at all, as they have significant side effects, are not intended for long-term use, treat the problem superficially, and cause rebound increase in acid production when you stop taking them.

Dr. Andrew Weil

hiatal hernia : Causing Strain on Bowel or Kidneys

2006-08-23T21:27:00.000-07:00

Hernia occurs when the abdominal wall structure ruptures or an opening takes place there. As a consequence thereof, the wall of the abdomen is destroyed and there is an outcropping via that membrane which is rather thin. The outcropped parts are mainly sections of the fatty tissue that make up the abdomen or certain parts of the intestine (small and large). Mention may be made of Hiatal hernia which happens when the tummy comes out through the diaphragm and rises till the chest. However, hernia can happen anywhere in the human body.

Hernias can lead to pain in the chest besides heartburn. Moreover, hernias can stop blood flow to that affected part, and during such abnormal situations surgeries are the only ways out.

Hernia can be of the following types: Indirect, Direct, Inguinal, Obturator, Spigelian, Umbilical, Incisional and Femoral. Hernia can be caused by many factors. The main ones are obesity, coughing, weight lifting exercises, lung ailments, exertion of pressure on the abdomen during pregnancy and the presence of hernia in the umbilical cord which may then pass on to the baby.

Hernia can occur if anyone keeps on putting too much of strain on the bowel or the kidneys during bowel movement or urination during Straining during a bowel movement or urination. Moreover, hernia may take place if there is too much of fluid in the cavity that makes up the abdomen.

Different types of hernia have different sets of symptoms. The commonly reported symptoms of hernia are belching, heartburn – especially when one lies down or while bending -- chest pain, groin pain during bending, groin soreness, appearance of lump which may be painless, esophagus blockage, swallowing problems, and/or protrusion(s) that may be just tender or swollen for that matter.

If hernia is diagnosed, strictly follow your physician’s schedule. Some of the commonly prescribed methods to check hernia is to say ‘NO’ to depression, cut down on the regularly taken diet, avoid non-digestible food items, quit smoking or/and alcoholic substances, never to lie down or even bend after meals, and avoid tight-fitting clothes. Moreover, ensure that you do not exert pressure on the abdomen while coughing and stop lifting heavy articles.

The best way to control hernia is to consume fibery items like grains (including millet and barley), vegetables (sweet potatoes, cabbage, artichoke, and dandelion), herbs (aloe vera, arrowroot, parsley, mint, asafetida, cumin, fennel, among others) and lots of fruits. To prevent constipation and thus obviate the possibility of putting undue pressure on the intra-abdominal area is to increase the amount of liquids especially water. Take to regular exercise. Sweating can also help excrete toxic items from the body. Go for six meals in lesser amounts instead of three large meals. But, remember to not consume such items you may be allergic to. Moreover laugh away your blues by enrolling yourself in the local laughter club.

One of the popular remedies for hernia is to consume Cayenne pepper, sweating out a lot by either exercising, brisk walking, or by drinking tea (warm) in a room that is hot. One can also get relief from hernia by placing a rupturewort tea-soaked cloth on the portion that is affected.

by Nilutpal Gogoi

hiatal hernia : All About Acid Reflux

2006-08-23T21:21:00.000-07:00

Acid reflux is scientifically known as Gastroesophageal Reflux Disease (GERD). It is a disease characterized by the abnormal reflux of gastric contents into the esophagus resulting to chronic symptoms or mucosal damage.

Acid reflux is often caused by temporary or permanent alterations in the lining that separates the esophagus and the stomach. Ineffectiveness of the lower esophageal sphincter (LES) or a temporary LES relaxation connected with a hiatal hernia are just some of the common causes of acid reflux. The process can also lead to a backflow of gastric juices to the pharynx or mouth.

Among adults, the most common symptom of acid reflux is heartburn which is caused by the presence of acid in the esophagus. Heartburn is characterized by a painful burning sensation behind the sternum or breastbone. Another symptom or manifestation of acid reflux is esophagitis which is characterized by an inflammation of the lining of the esophagus which is also known as the mucosal lining. Esophagitis also causes swallowing difficulties and chronic pains in the chest area.

Sometimes, individuals suffering from acid reflux may also experience coughing, persistent pain in the ears, hoarseness or a change in the voice and even sinusitis. If acid reflux gets complicated it may lead to formation of a stricture or ulcers in the esophagus. It may also lead to a condition called Barrett’s esophagus and in worst cases to cancer of the esophagus.

It doesn’t mean however that a person who regularly suffers from heartburn is suffering from acid reflux. By all means, the heartburn may be from other causes. But if a person suffers from heartburn for more than once a week, then he or she is at a risk of acquiring acid reflux. Person with hiatal hernia are also at a greater risk in developing acid reflux than those who are not.

By Robert Thatcher

hiatal hernia : Heart Burn and Indigestion

2006-08-15T00:57:00.000-07:00

There are many people who suffer from the symptoms of heart burn and indigestion. These symptoms may result from the foods we eat, the beverages we drink or our lifestyles, but symptoms of burn heart indigestion may also be related to other medical conditions and chronic symptoms should be reported to your doctor. Choosing a burn heart medication is a choice to be made by you and your doctor. Here is a look at some of the common heart burn medications and the side effects associated with them.

One of the most highly advertised heart burn medications is Prevacid. Prevacid burn heart medication should not be used by persons with liver disease or certain allergies. You have probably seen the commercials and may have heard the side effects associated with this popular treatment for burn heart indigestion. If your heart burn symptoms are mild, the side effects may not seem worth it. Constipation or diarrhea may occur when using Prevacid.

Another common burn heart medication is Pepcid. It should not be used by persons with liver problems, kidney disease, stomach cancer or those with certain allergies. Side effects that may be experienced include headache, constipation, diarrhea or dizziness. There are serious side effects that are rare, but have occurred in persons using Pepcid to treat burn heart indigestion symptoms.

Prilosec is a prescription medication used to treat heart burn symptoms. Users of this burn heart medication may experience constipation, cough, dizziness or back pain.

Any over the counter or prescription burn heart medication may cause unwanted side effects. Only you and your doctor can decide if the benefits outweigh the possible risks. The symptoms of burn heart indigestion may be relieved by certain botanicals or health supplements and possibly prevented changing the diet and lifestyle.

Some people who experience chronic symptoms of burn heart indigestion have other more serious diseases which may not be relieved by changes in eating habits or lifestyle. These include acid reflux disease, hiatal hernia and diseases of the esophagus. In addition, any non-burning chest pain, pressure, heaviness or nausea associated with chest pain could be related to the heart, rather than the throat and stomach. It is important to err on the side of caution whenever chest pain is involved. It could be simple burn heart indigestion or something much more serious.

By Patsy Hamilton

hiatal hernia : Heart Burn Remedies

2006-08-15T00:51:00.000-07:00

There are many heart burn remedies on the market. There are many heart burn home remedies, as well. Any may be effective. Here we look at some of each.

Heartburn is a burning sensation in the throat or chest that may or may not be accompanied by gas or bloating. It happens when stomach acid, which is normally confined to the stomach, bubbles up or leaks into the esophagus and is also referred to as indigestion. Effective heart burn remedies neutralize the acid and soothe the burning sensation. Some heart burn remedies will also relieve the gas and bloating. Many over the counter heart burn remedies contain calcium carbonate. One popular product even advertised itself as an effective calcium supplement. Effective heart burn home remedies include using peppermint or other mints to relieve the symptoms. Most over the counter heart burn remedies are mint flavored, but not all contain peppermint oil. The ones that do may be more effective in relieving gas and other symptoms of indigestion.

It is not uncommon to experience heartburn symptoms after a very large meal. These meals often make one feel sluggish as well, but taking a nap may bring on or worsen heart burn symptoms. Some people find that heart burn home remedies are unnecessary if they take a leisurely slow or sit quietly for a while following the meal. Even after symptoms are present, relaxing in a sitting position or strolling around the neighborhood may be effective heart burn home remedies.

Over the counter heart burn remedies include antacid products like Tums or Rolaids. There are other products that will relieve gas and bloating. Calcium carbonate is usually effective for neutralizing the stomach acid, but may leave a chalky taste in the mouth. Products that contain mint oil or peppermint may be a little harder to find, but will leave a pleasant taste in the mouth. Heart burn home remedies containing fennel and other herbs have been used by Native Americans and Europeans alike to relieve the symptoms of indigestion. It is possible to make a soothing tea using fennel seeds. Drops containing fennel and other herbs are also available from companies that sell natural products. Relief may also be found in chewing on a piece of rhubarb or non-fruit flavored gum. The saliva created by the chewing action will help neutralize the acid. Smoking will worsen the heartburn symptoms, because it dries out the saliva in the mouth and throat. Experiencing frequent heartburn is one of many reasons to quit smoking.

Chronic heart burn may be a symptom of another more serious medical condition. For instance, a hiatal hernia pushes up against the stomach, causing the stomach acid to leak up into the esophagus. Anyone experiencing symptoms of heartburn more than once a week should have their symptoms evaluated by a physician. Heartburn may be a result of stress, overeating, drinking too much coffee or eating fried or acidic foods, but if heart burn remedies do not provide relief or if the heartburn is frequent, it could mean something else is going on.

By Patsy Hamilton

hiatal hernia : Ways to Reduce Heartburn

2006-08-08T00:15:00.000-07:00

There are many ways to reduce heartburn frequency. There are some pretty safe foods for heartburn sufferers. However, it may be necessary to evaluate your lifestyle and overall health in order to prevent the frequency of heartburn. Sometimes it is necessary to keep a food diary or at least a mental note of what foods you ate before you experienced the heartburn symptoms. Most people experience heartburn occasionally. It is next to impossible to avoid everything that can cause heartburn all the time, but there are ways to reduce heartburn or at least the likelihood of experiencing heartburn symptoms.

Some ways to reduce heartburn include dietary changes. If your diet is high in fat and acidic foods like tomatoes and citrus fruits, reducing this and including more safe foods for heartburn sufferers may reduce the frequency of your heartburn. Experts may not always agree on what are safe foods for heartburn sufferers, but most agree that they are foods that are low in fat and low in acid. For instance, apples, bananas and pears are better choices than oranges. Baked, grilled or boiled skinless, white meat chicken and baked, boiled or broiled seafood are better choices than hamburgers and fried chicken. It is a sensible diet that you are looking for, not just a list of safe foods for heartburn sufferers.

Most treatment plans or recommended ways to reduce heartburn include lifestyle changes along with dietary changes. For example, eating several small meals every couple of hours is better than eating one or two large meals. Even if you only eat supposed safe foods for heartburn sufferers, but you overeat, you may experience heartburn. If you are overweight, eating smaller meals more frequently may help you lose weight by increasing your metabolism and maintaining proper blood glucose levels. People who are overweight suffer from heartburn more frequently than people who are at their ideal weight, so losing weight may be one of the ways to reduce heartburn.

If you experience heartburn at night, one of the ways to reduce heartburn is to eat your last meal three to four hours before going to bed. Elevating the head of your bed or sleeping on a specially designed wedge are other possible ways to reduce heartburn that is experienced at night. Overweight people are more likely to experience heartburn at night, it may interfere with their sleep or they may be unaware of it. Nighttime heartburn can lead to respiratory problems, as the acid can be inhaled. If you are eating small meals, trying to lose weight and including mostly safe foods for heartburn sufferers in your diet, but you know or believe that you are suffering from nighttime heartburn, it is advisable to see your doctor, before the problem becomes worse.

All of the above recommendations for ways to reduce heartburn assume that a person is in otherwise good health. Heartburn can be a symptom of more serious medical conditions including acid reflux and hiatal hernia. Treatment plans still generally include the above mentioned lifestyle changes and eating more safe foods for heartburn sufferers, but other medications may be recommended.

by Patsy Hamilton

hiatal hernia : Diet For Heartburn

2006-08-07T23:52:00.000-07:00

Heartburn is a common digestive complaint which affects an estimated 15 million Americans every day, and 60 million once a month. Relief of mild heartburn is typically achieved through diet and lifestyle changes, although medication (eg. antacids) is usually necessary if the heartburn is caused by gastroesophageal reflux disease (GERD).

What is Heartburn? What Are The Symptoms?

Heartburn is a digestive problem: it has nothing to do with your heart. It occurs when small amounts of stomach acid accidentally rise up the esophagus (the food canal running from the mouth to the stomach) causing symptoms like a burning pain in the chest which rises towards the throat. Sufferers may even taste the fluid in the back of the mouth, and this is called acid indigestion. In many cases the pain and burning sensation is relatively mild, but sometimes is so severe that patients think they are experiencing a heart attack.

What Are The Causes Of Heartburn?

In general, the immediate cause of heartburn is the acidic digestive juices which leave the stomach and rise up the esophagus. The acid burns the tissue of the esophagus causing inflammation and pain - a condition called esophagitis. Heartburn may also occur in pregnancy when the baby is pressing up against the underside of the diaphragm and squeezing the stomach. An occasional episode of acid-regurgitation or indigestion is quite normal. But persistent heartburn (eg. twice a week), is usually a sign of something more serious. The two most common underlying causes of heartburn symptoms are gastroesophageal reflux disease (GERD), and hiatal hernia.

Gastroesophageal Reflux Disease

GERD is characterized by a failure of the muscular valve, known as the lower esophageal sphincter (LES), which is located at the bottom of the esophagus. The function of this valve is to keep acid in the stomach and prevent it leaking back up the esophagus. When this valve doesn't work properly, reflux (leak-back) and heartburn can occur. Factors that contribute to gastroesophageal reflux disease include obesity, pregnancy, smoking and, in particular, hiatal hernia.

Hiatal Hernia

Hiatus or hiatal hernia is a condition in which part of the stomach herniates (protrudes) upwards into the chest through the hiatus (opening) in the diaphragm normally only occupied by the esophagus. This puts extra pressure on the LES valve preventing it from closing properly. As a result, stomach acid leaks into the esophagus causing heartburn. The underlying cause of hiatal hernia is unknown. Contributory factors include: obesity, pregnancy, constipation, abdominal muscle strain, and smoking.

Dietary Treatment For Heartburn

In cases of persistent heartburn, dietary improvements are not sufficient. So as well as advocating a digestion-friendly diet, your doctor is likely to recommend one or more of the following types of medication. Antacids to neutralize the acid in your stomach; H2 blockers or proton pump inhibitors to reduce acid production; or prokinetics to strengthen the lower esophageal sphincter and expedite stomach-emptying. However, if heartburn symptoms are mild and occur only from time to time, usually you will be advised to make the following changes to your diet.

If Overweight, Switch To A Healthy Weight Loss Diet

Obesity, especially excess fat on the chest and abdomen, is a common contributory factor to GERD and hiatal hernia, and therefore to heartburn. So if you are obese (BMI > 30), take steps to normalize your weight and thus reduce your risk or symptoms of heartburn. Choose a healthy calorie-controlled diet and customize it by following the eating tips below.

Stop Eating Large Meals

A big meal distends the stomach and causes a rise in the production of stomach acid. Both these factors lead to an increased risk of heartburn. So opt for 4-6 small meals or snacks, and allow a maximum of 3 hours between eating. In addition, choose foods that are "easier on the stomach" and more more easily digested.

Avoid Acidic Food

Reduce your intake of very acidic foods by avoiding items such as: tomatoes, tomato-based sauces, citrus fruits, rhubarb, gooseberries, unripe fruit, vinegar and acidic pickles or relishes.

Cut Down On Fatty and Spicy Food

Fried or very fatty foods, including candy, encourage indigestion and should be avoided or eaten sparingly. So go easy on butter, mayo, sausages, salami, pate, meat pies, and full-fat cheese. The same applies to very spicy food such as: black pepper, chili peppers, curry, mustard and other hot spices, as well as raw onions and garlic.

Avoid Carbonated Drinks

Fizzy or carbonated soft drinks cause belching and upward pressure on the lower esophageal sphincter (LES), increasing the likelihood of heartburn. The best drinks include: water, herbal teas or diluted non-citrus fruit juices. Please also note that some soft drinks (eg. cocoa, coffee, orange juice) are not helpful for heartburn as they can over-relax the LES, thus encouraging the backward flow of acid from the stomach.

Eat More Fiber, Especially Soluble Fiber

Constipation can lead to extra strain on abdominal muscles and increase the risk of heartburn. To prevent constipation, eat more high-fiber foods such as: oats, apples, pears, dried apricots and vegetables. When increasing fiber intake it's also important to increase your water intake by at least 40 fl oz a day.

Reduce Alcohol Consumption

Alcohol is not helpful to heartburn for several reasons. So take steps to reduce your intake to one unit a day, or avoid it altogether. Alcohol is also a source of non-nutritious calories and can contribute to overweight.

Other Digestive Tips

For digestive disorders like heartburn, some dietitians and alternative health experts recommend patients to eat (or cook with) digestion-friendly aromatic herbs like basil, camomile, caraway, dill, fennel, rosemary and thyme. They also recommend that you end each meal with a glass of herbal tea (eg. camomile, fennel) to reduce acidity and wind.

Lifestyle Improvements To Reduce Heartburn

There are several lifestyle changes that can help to reduce the symptoms of heartburn. One obvious one is to stop smoking, as tobacco smoke increases acidity in the stomach. Other recommended changes include:

Avoid placing extra strain on your abdomen or chest. Wear loose-fitting clothes, and do not overstretch or lift heavy weights.

Do not lie down after eating, and try not to eat anything for at least three hours before going to bed. The less there is in your stomach when you come to lie down, the lower the risk of heartburn.

To minimize night-time discomfort, raise the head end of your bed by about 3 inches by using bed-blocks or by placing a solid object under the bed-legs. This helps to prevent stomach acid from leaking backwards into the esophagus. Do not use extra pillows - you simply end up with a stiff neck as well as heartburn!

Heartburn symptoms can be caused by certain over-the-counter drugs, such as aspirin, or other pain-killers or anti-inflammatories. So if you take this type of medication regularly, check with your doctor or pharmacist that it's safe to continue.

By Linda Smyth

hiatal hernia : What Are The Symptoms And How Does It Cause GERD?

2006-08-02T00:59:00.000-07:00

The symptoms of a hiatal hernia

The vast majority of hiatal hernias are 'sliding' hiatal hernias in which the junction of the esophagus and stomach, referred to as the gastroesophageal junction, and part of the stomach protrudes into the chest. The larger the hernia, the more likely it is to cause symptoms. When hiatal hernias produce symptoms, they are almost always those of gastroesophageal reflux disease (GERD) or its complications.

This happens because the formation of the hernia often interferes with the barrier (lower esophageal sphincter) which prevents acid from refluxing from the stomach into the esophagus. Patients with GERD are more likely to have a hiatal hernia than individuals not afflicted by GERD. Although hiatal hernias contribute to GERD, it is not clear if hiatal hernias alone can result in GERD. Since GERD occurs in the absence of a hiatal hernia, factors other than the existence of a hernia can cause GERD.

How a hiatal hernia causes GERD

GERD is when acid flows backwards (refluxes) up into the esophagus. Normally, there are several devices to prevent this from happening.

One device involves a band of esophageal muscle, where the esophagus joins the stomach. This is called the lower esophageal sphincter; it remains contracted most of the time to prevent acid from refluxing or regurgitating.

The sphincter only relaxes when food is swallowed so that the food can pass from the esophagus and into the stomach. The sphincter is normally attached firmly to the diaphragm in the hiatus, and the muscle of the diaphragm wraps around the sphincter. The muscle that wraps around the diaphragm increases the pressure of the contracted sphincter to further prevent reflux of acid.

Another device that prevents reflux is the valve-like tissue at the junction of the esophagus and stomach just below the sphincter. The esophagus normally enters the stomach logically so that there is a sharp angle between the esophagus and stomach. The thin piece of tissue in this angle, composed of esophageal and stomach wall, forms a valve that can close off the opening to the esophagus when pressure increases in the stomach; during a belch, for instance.

When a hiatal hernia is present, two changes happen:

The sphincter slides up into the chest while the diaphragm remains stationery. As a result, the pressure normally generated by the diaphragm overlying the sphincter and the pressure generated by the sphincter no longer overlap. As a result, the total pressure at the gastroesophageal junction decreases. When the gastroesophageal junction and stomach are pulled up into the chest with each swallow, the sharp angle where the esophagus joins the stomach becomes less sharp and the valve like effect is lost.

Both changes promote reflux of acid, or GERD.

Hope for Hiatal Hernia!

Understanding the processes behind a hiatal hernia and GERD is the first step to treating it.

By Nick Willis

hiatal hernia : What Is It?

2006-08-02T00:55:00.000-07:00

A hiatal hernia is an anatomical abnormality in which part of the stomach protrudes through the diaphragm and up into the chest. Although hiatal hernias are present in approximately 15% of the population, they are associated with symptoms in only a minority of those afflicted.

Normally, the esophagus or (food tube) passes down through the chest, crosses the diaphragm, and enters the abdomen through a hole in the diaphragm called the esophageal hiatus. Just below the diaphragm, the esophagus joins the stomach.

In individuals with hiatal hernias, the opening of the esophageal hiatus (hiatal opening) is larger than normal, and a portion of the upper stomach slips up or passes (herniates) through the hiatus and into the chest. Although hiatal hernias are occasionally seen in infants where they have probably been present from birth, most hiatal hernias in adults are believed to have developed over many years.

The Causes of a Hiatal Hernia.

It is thought that hiatal hernias are caused by a larger than normal esophageal hiatus, the opening in the diaphragm through which the esophagus passes from the chest into the abdomen. As a result of the large opening, part of the stomach "slips" into the chest.

Other contributing factors include:

A permanent shortening of the esophagus (perhaps caused by inflammation and scarring from the reflux or regurgitation of stomach acid), which pulls the stomach up.

An abnormally loose attachment of the esophagus to the diaphragm which allows the esophagus and stomach to slip upwards.

Different Types of Hiatal Hernias.

Hiatal hernias are either:

Sliding

Sliding hiatal hernias are those in which the junction of the esophagus and stomach, referred to as the gastro esophageal junction, and part of the stomach protrudes into the chest.

The junction may reside permanently in the chest, but often it juts into the chest only during a swallow. This occurs because with each swallow the muscle of the esophagus contracts causing the esophagus to shorten and to pull the stomach up.

When the swallow is finished, the herniated part of the stomach falls back into the abdomen.

Para-esophageal

Para-esophageal hernias are hernias in which the gastro-esophageal junction stays where it belongs (attached at the level of the diaphragm), but part of the stomach passes or bulges into the chest beside the esophagus. The para-esophageal hernias themselves remain in the chest at all times and are not affected by swallows.

A para-esophageal hiatal hernia that is large, particularly if it squeezes the adjacent esophagus, may hamper the passage of food into the stomach and cause food to stick in the esophagus after it is swallowed. Ulcers also may form in the herniated stomach due to the disturbance caused by food that is stuck or acid from the stomach.

Fortunately, large para-esophageal hernias are uncommon.

Hope for Hiatal Hernia!

Once you grasp the 'biology' behind a hiatal hernia, you can begin to understand the science behind some deceptively simple techniques to manage the condition. To find out more, check my review of my recommended resource on controlling a hiatal hernia.

by Nick Willis

hiatal hernia : Natural Treatment Options for Prostate Bph

2006-07-30T20:33:00.000-07:00

If your prostate diagnosis leaves you free of cancer, you may still have Benign Prostate Hypertrophy (prostate BPH). Rather than using hormonal or alpha blockers, many men have opted for a natural approach to avoid some of the unpleasant side effects of the drug therapy. The two prescription drugs, inasteride (Proscar) and terazosin (Hytrin) make lots of money for drug companies because they are the only two approved by the FDA to prevent prostatic proliferation (the growth of new prostate cells that cause prostate BPH in men over 50).

First we will look at 7 different therapy options for prostate BPH. These options are Ayurveda, Reflexology, Food Therapy, Imagery, Hydrotherapy, Vitamin and Mineral Therapy and Yoga. We present you with a brief synopsis of each therapy as it relates to prostate problems.

Ayurveda

The Ayurvedic approach to all disease is to first make certain that you have received an appropriate diagnosis from a medical professional. If the prostate diagnosis is benign the ''flowing'' approach can be used. Mix the following herbal powders: Punarnava, Gokshura and Shilajit. Ingest just 1/4 teaspoon a day either dry or added to warm water. An alternative is to drink any one of horsetail, ginseng or hibiscus tea, consumign as much as you wish each day. All of these herbs should be available at your health food store or by mail order.

Reflexology

Reflexology is the pratice of directing energy toward specific pressure points in the body. Reflexology sessions begin with relaxing the total body then shifting the focus of the reflex to those areas of greatest need. For our purposes that would be the prostate, endocrine, pituitary, parathyroid, thyroid and adrenal glands as well as the pancreas with the reflex in the hands or feet. You can find reflexology charts that give you the reflex points at most health food stores or schedule a session with a professional reflexologist.

Food Therapy

The key to affecting positive change in the prostate by eating specific foods is including any foods high in zinc. The properties in zinc have been proven beneficial in shrinking an enlarged prostate. Take a daily supplement of zinc. In addition to a low-fat diet, particularly avoiding saturated fats, consider adding one or two tablespoons per day of flaxseed oil to your diet as well as pumpkin and sunflower seeds, both know for their high content of zinc.

Imagery

Imagery is closely associated to hypnosis, both practices incorporating positive visualization techniques to effect positive changes. Here is one exercise proven beneficial for our purposes here:

Close your eyes breathe out three times and imagine entering your body through any opening you choose. Find your prostate and examine it from every angle. Next, envision putting a thin golden net around the gland. This net has a drawstring that you can tighten. Cinch the drawstring so that the net is wrapped snugly around the prostate. As you do this, picture the prostate shrinking to its normal size. Then imagine using your other hand to massage your prostate. Sense that urine can now flow evenly and smoothly. The recommendation for this exercise is to practice it twice a day, three to five minutes per session for six cycles of 21 days on and 7 days off.

Hydrotherapy

A hot sitz bath comes highly recommended for the treatment of an inflammed prostate. Sit down in a tub filled with comfortably hot water to a depth of your navel. Soak for twenty to forty-five minutes and follow with a cold bath or shower. This treatment should be done once a day for thirty days or until the symptoms are gone.

Vitamin and Mineral Therapy The ideal vitamin and mineral treatment for prostate problems incorporates herbal medicine. The following regimen is recommended to help control symptoms:

a) 400 international units of Vitamin E per day
b) 30 milligrams of zinc twice a day
c) 1 milligram of copper twice a day
d) One tablespoon of flaxseed oil a day
e) 160 milligrams of saw palmetto twice a day.

Flaxseed oil and saw palmetto are easily obtainable in any health food store.

Yoga

Certain Yoga poses can increase blood flow to the groin, thereby relieving certain prostate problems. You can find books on Yoga that include these poses, as well as many others, at any herbal or homeopathic store. The two poses that will benefit prostate problems are the "knee squeeze" and the "seated sun" along with the "stomach lock."

To do the "stomach lock," lie on your back and take a deep breath. Breathe out until all air is expelled from your lungs, then pull in hard on your buttocks, groin and stomach muscles. Hold this pose for a count of three then release the muscles. It is recommended that this session is repeated two or three times a day, three times a session to help prevent prostate trouble. You should not use this yoga pose if you suffer from high blood pressure, hiatal hernia, ulcers or heart disease.

It must be perfectly understood that there is no substitute for your physician. These options are presented as just that. . .options and you should consult your physician before undertaking any new treatment options prostate BPH whether medical or homeopathic.

Mihail Fortomas is a teacher of Biology in a High School of Athens Greece. Free information on prostate diseases, symptoms and treatments of prostate problems , visit:
http://1source-body-health.com/prostate-health.html

Article Source: http://EzineArticles.com/?expert=Mihail_Fortomas

hiatal hernia : Some Cases of Acid Reflux May be Cured Naturally with Better Lifestyle Choice

2006-07-30T20:28:00.000-07:00

Acid reflux is a growing concern among adults and children today, and there are more and more over the counter and prescription remedies available now than ever. But some experts feel that a natural approach to combating and preventing acid reflux may be a better and safer bet.

Acid reflux can occur if an adult has a hiatal hernia, or in children if their esophagus is not developed completely after birth. The result is that stomach acid, instead of stopping in the esophagus, comes up into the throat and burns. Acid reflux can be particularly painful to newborns, and it is becoming more and more common in them today. In adults, acid reflux can also manifest itself as heartburn after eating spicy food.

One of the first natural approaches to curing acid reflux is to look at your diet. Some foods that may prompt an acid reflux attack are: citrus, caffeine, chocolate, fatty fried foods, garlic, and onions. Avoiding these foods is a good first natural step to preventing future acid reflux episodes.

Some other approaches for natural acid reflux cures and prevention are: losing weight if you are overweight, avoiding alcohol, eating small meals, not lying down to sleep for at least three hours after a meal, and raising the head of your bed by six to eight inches.

Making some of these simple lifestyle changes may help you to avoid further bouts of acid reflux pain and may also be your chance to avoid or get off of acid blockers and H2 blockers, which may come with their share of side effects.

For more information on Acid Reflux, Heartburn and GERD, their causes, dietary guidelines and acidity, plus information on acid reflux cures and relief visit http://www.acidrefluxsolutions.com

Article Source: http://EzineArticles.com/?expert=Jill_Dow

hiatal hernia : hitting the head on the nail

2006-07-27T22:22:00.000-07:00

Medicine; With YOUR Dignity In Mind

When in the E.R., O.R. and exam rooms, is it too difficult to cover a man’s pride or a woman’s dignity?

Less than a second’s effort isn’t worth a touch of human kindheartedness?

Whether seeing the patient’s naked body affects the medical team is not the issue, I’ve been told they (the medical teams) don’t see the patient that way (nude)… the patient does!

(By the way, I’ve personally over heard nurses and doctors discussions of sexuality… My mom was a nurse… I’ve heard the stories)

A simple cloth covering a patient’s genitals will not stop medical teams from observing that patient’s nudity, it does however leave the patient an air of dignity… conscious or not.

Other than the obvious external ailment, like an open sore or a rash… what is the necessity in X-Rated photographs of the patient’s naked body in sexually explicit positions? I don’t care that Doctors “think” no one sees the X-Rated photographs… What I want to know is, Why do they need them? What purpose do they perform? Do Doctors have to disrespect the patient, when a single in line photo of a sign stating “COLONOSCOPY” would suffice?

You can pull up tens of thousands of men and women that boisterously state that nudity and X-Rated images of their bodies, posted in publicly accessible records, is OK, and doesn’t bother them.

There are Millions that SILENTLY disagree. MILLIONS of potential patients… are avoiding all medical confrontations and disgustingly envisioned procedures, like colonoscopies, due directly to the prospect of such improper concerns for ones dignity by the medical profession. Simply corrected… by protecting the patient’s self-respect and controlling the degree of nudity.

Would you rather have 30% of the thousands or the same percentage of the millions? Paying patients! The ones with insurance! Simply stop the X-Rated, naked photographs and unnecessarily indignant exposures… you will see an improvement of your “Bottom” line. Advertise with the title of this letter!

In the exam room offer the male patient a wrap for around his waist… You don’t really NEED to visually see his genitals… and a woman can be examined for the most part with the paper robe in place. If they opt for the exposure… no problem, but for those that want their privacy… You just gained, everyone that satisfied patient knows, and they know, etc

Find, if you even care, a copy of the videotaped procedure of Katie Couric (of NBC) and see what I mean by dignifying the procedure.

She was laying on her side (not splayed like a gay w**** in heat), Covered with a blanket (not completely exposed to a room full of people), Only the necessary area exposed, then only to the doctor and assisting nurse (not the entire body with all that’s private to ones being dangling for all to gawk at), And no one was taking X-Rated pictures.

Just want to know… When a patient goes in for a Laparoscopic exam ordered by a Gastroenterologist, for GERD and a Hiatal Hernia, does an Urologist then come in to do the Colonoscopy? (Both were done in the same visit… I opted to be left unconscious). Or… does a single hospital surgeon do both procedures, and submit the findings to the appropriate specialists? ). I was OK with the procedure until I SAW the X-Rated photographs. Now I cannot bring myself to go back for a follow-up.

Telling a patient to “get over the embarrassment” just increases the delay in getting the normal man or woman to have sexually explicit procedures done… like the Colonoscopy.

It was not having that cable shoved up my r*****, it was being splayed and indignantly photographed as if a gay w****, that prompted this letter, and cost a Doctor a PAYING patient.

Terry Wilcox Anniston, AL

Comment provided April 30, 2005 at 11:04 am

hiatal hernia : Foods That Cause Heartburn

2006-07-27T22:18:00.000-07:00

Tomatoes and citrus fruits are foods that cause heartburn in some people. These highly acidic foods can lead to excess stomach acid and may cause heartburn. The causes of heartburn vary from individual to individual. Some people are not bothered by tomatoes or oranges, but may be bothered by fried or spicy foods. It is sometimes necessary to keep a food diary to isolate the foods that cause heartburn in your own diet. You may notice that you only experience heartburn after eating Mexican or Italian foods.

If you cannot identify specific foods that cause heartburn in your case, it could be the size of the meal that you tend to eat. Overeating is one of the causes of heartburn. When the stomach is overly full, the stomach acid has more of a tendency to leak up into the lower esophagus or throat and cause the burning sensation. Many people experience heartburn after a big holiday dinner.

If you typically eat small meals and avoiding the foods that cause heartburn does not help, look at the beverages that you choose to drink. Coffee and carbonated beverages are causes of heartburn in some people. Alcoholic beverages and citrus drink are causes of heartburn in some people. Chocolate is one of the foods that cause heartburn in some people and drinking a chocolate flavored drink can also lead to heartburn.

If it is not what or how much you eat or drink, it could be the clothes that you wear. Believe it or not, wearing tight clothing is one of the causes of heartburn. Anything that puts pressure on the stomach can cause heartburn, whether it is the excess weight of an obese person, the enlarging abdomen of a pregnant woman or pants that fit too tightly.

If you have looked at the foods that cause heartburn, the beverages that cause heartburn, you eat small meals and wear loose clothing, but still experience heartburn, there are a couple of other things that may be causes of heartburn. Stress or eating quickly in a high-paced environment can lead to heartburn. Smoking can lead to heartburn. And, there are other more serious medical conditions that are causes of heartburn, particularly heartburn that is experienced frequently. Hiatal hernia is one example of a medical condition that often presents with frequent heartburn. If you experience heartburn once or more per week, you should have your symptoms evaluated by your physician to rule out the presence of another health problem.

It may not be necessary to remove all of the foods that cause heartburn from your diet. It may simply be a matter of eating less of them or eating them less often. If you like spicy foods, you may be willing to deal with the symptoms of heartburn in order to keep eating the foods that you like. There are many over the counter and herbal remedies that provide relief for those who occasionally suffer from heartburn. Occasional heartburn is not serious, but frequent heartburn can eventually erode the lining of the esophagus. The frequency and causes of heartburn vary from individual to individual and can only truly be evaluated by you and your doctor.

Other foods that cause heartburn in some people because of they are highly acidic include eggs, legumes, certain nuts, animal fats, vegetable oils, pasta, beef, pork, white flour, starches and sugars. As you can see, it is not possible to avoid all of these foods, all the time.

For more information about heartburn and other common digestive problems, visit www.digestive-disorders-guide.com.

Patsy Hamilton writes informational articles for the Digestive Disorders Guide. Visit us at http://www.digestive-disorders-guide.com.

Article Source: http://EzineArticles.com/?expert=Patsy_Hamilton

hiatal hernia : A New Approach in the Medical Treatment for Morgagni

2006-07-26T20:47:00.000-07:00

Morgagni hernia is a type of hernia that occurs due to congenital abnormalities at the level of the retroxiphoid area. The congenital abnormalities presented by people with Morgagni hernia involve an unusual positioning of the diaphragm. In patients diagnosed with Morgagni hernia, the diaphragm takes the shape of a triangle, and this triangular region has been called “the foramen of Morgagni”. Morgagni hernia commonly occurs in the right side of the lower abdomen, although the congenital diaphragmatic defect is sometimes bilateral.

The process of diagnosing Morgagni hernia can be very problematic for doctors, as most patients with this type of hernia don’t always have specific symptoms. In some cases, the hernia can generate gastrointestinal or respiratory symptoms, rendering doctors unable to promptly establish a correct diagnose. Sometimes, Morgagni hernia can involve obstruction of the bowel, in which case the disorder is easier to identify. The most common symptoms of hernia in both children and adults are: abdominal pain that intensifies with movement, swollen abdomen, difficulty breathing, nausea and vomiting.

When doctors suspect the presence of Morgagni hernia in patients, they can reveal additional signs of the disorder by performing X-ray tests, computerized tomography, MRI (magnetic resonance imaging), or laparoscopy. In the last few years, laparoscopy has proved to be a very reliable medical procedure, suitable for both diagnosing and treating Morgagni hernia. Laparoscopic surgery is performed via a laparoscope, a thin, tube-shaped medical instrument that has a small camera attached to its lower end. The laparoscope is introduced inside the body through the oral cavity and down the esophageal tract, until it reaches inside the abdominal cavity. The doctors are able to observe the progress of the procedure on a TV screen, receiving real-time images captured by the laparoscopic video-camera.

Laparoscopic surgery has revolutionized the medical treatment for many types of internal disorders and nowadays this modern medical procedure is preferred by surgeons over traditional surgery. Traditional surgery, also referred to as open surgery, requires wide abdominal or thoracic incisions. Open surgery has a high morbidity rate, as patients can develop a wide range of post-operative complications (internal bleeding, infections, etc). People who suffer traditional, open hernia surgery recover slowly and need to remain in the hospital for a few weeks after the operation. Also, patients who suffer traditional surgery remain with large, prominent abdominal scars.

Laparoscopic surgery is much safer than the traditional approach, as the procedure can be performed a lot faster and requires smaller incisions. Laparoscopic surgery minimizes the risks of complications and hence, has a very low morbidity rate. Patients who suffer laparoscopic surgery recover a lot faster and they need a shorter period of hospitalization. Furthermore, thanks to the small incisions required in laparoscopic surgery, patients remain with minimal abdominal scars. Laparoscopic surgery is a reliable medical procedure in the treatment of Morgagni hernia. Due to its various advantages, this modern form of surgery is preferred both by surgeons and patients.

If you want to find great information on different hernia subjects check out this links. You can find great content regarding Morgagni hernia, hernia surgery and many more.

Article Source: http://EzineArticles.com/?expert=Groshan_Fabiola

hiatal hernia : Acid Reflux - Causes

2006-07-26T20:40:00.000-07:00

Acid reflux or GERD (gastroesophageal reflux disease) occurs when the liquid that is in the stomach backs up into the esophagus. This is usually a condition which persists throughout the life of the individual. Because the acid backs up into the esophagus, the esophagus may be damaged.

Acid reflux (GERD) can have many causes. The action of the lower esophageal sphincter (LES) may be one cause. The esophagus connects to the stomach. There is a muscle ring that goes around the end of the esophagus at the point where it meets the stomach. This is the LES. When we eat or drink the LES allows the food to pass into the stomach and then the muscle ring closes so the food does not reflux. People with acid reflux (GERD) may have abnormalities with their LES. The LES may have a weak contraction so there is a very good chance of reflux. Or, the LES may be too relaxed. The longer the LES is open (relaxed) reflux can easily occur.

Another cause of acid reflux (GERD) is a hiatal hernia. Some people with acid reflux have hiatal hernias and some do not. Hiatal hernias are not a pre-requisite for acid reflux, but a large amount of people with acid reflux DO have hiatal hernias. A hiatal hernia disrupts the location of the LES. The LES should be on a level with the diaphragm but due to the hiatal hernia the LES is pushed up and lies in the chest. This is a problem because the diaphragm is a large part of helping the LES to prevent reflux. Now the pressure of both the LES and diaphragm are not working as a strong unit. The hiatal hernia contributes to the reflux because of the decreased pressure.

Acid reflux can also be caused by a hiatal hernia due to the hernial sac. The location of the sac is near the esophagus. Acid gets trapped in the sac. Because the sac is so close to the esophagus, when the LES relaxes, it is easy to reflux.

The hiatal hernia can lead to acid reflux in a third way. Normally the esophagus connects to the stomach at an angle creating a flap of tissue. The hiatal hernia leads to the flap becoming warped and therefore it is useless to stop reflux.

People with acid reflux have a problem with the contraction of the esophageal muscles when they swallow. This is an issue because the contraction pushes all of the items in the esophagus into the stomach. If there is not a good contraction then the acid does not get pushed back and remains in the esophagus. Smoking disturbs the clearing of the esophagus too. It takes about six hours from the last cigarette you smoke for the effect on the esophagus to wear off.

Acid reflux is most common after meals. It is always better to be vertical so gravity can help the acid move down into the stomach. Large meals are not recommended for people with acid reflux.

There are many different reasons people may have acid reflux. Learning the cause may help in your quest to relieve some of the discomfort of acid reflux.

Michael Russell
Your Independent guide to Acid Reflux

Article Source: http://EzineArticles.com/?expert=Michael_Russell

hiatal hernia : Adjustable Beds - More Popular Than Ever

2006-07-24T00:31:00.000-07:00

hiatal hernia : Heart Burn and Indigestion

2006-07-24T00:27:00.000-07:00

hiatal hernia : Other types of hernia

2006-07-17T23:35:00.000-07:00

Since many organs can herniate through many orifices, it is very difficult to give an exhaustive list of hernias, with all synonyms and eponyms. Some are listed below, in alphabetical order:

Brain hernia: herniation of part of the brain because of excessive intracranial pressure. This may be a life-threatening condition, especially if the brain stem (responsible for some important vital signs) is involved.
Cooper's hernia: A femoral hernia with two sacs, the first being in the femoral canal, and the second passing through a defect in the superficial fascia and appearing immediately beneath the skin.
epigastric hernia: hernia through the linea alba above the umbilicus.
Littre's hernia: hernia involving a Meckel's diverticulum
lumbar hernia: hernia in the lumbar region, contains following entities:
Petit's hernia - hernia through Petit's triangle (inferior lumbar triangle)
Grynfeltt's hernia - hernia through Grynfeltt-Lesshaft triangle (superior lumbar triangle)
obturator hernia: hernia through obturator canal
pantaloon hernia: a combined direct and indirect hernia, when the hernial sac protrudes on either side of the inferior epigastric vessels
perineal hernia: A perineal hernia protrudes through the muscles and fascia of the perineal floor. It may be primary but usually, is acquired following perineal prostatectomy, abdominoperineal resection of the rectum, or pelvic exenteration.
properitoneal hernia: rare hernia located directly above the peritoneum, for example, when part of an inguinal hernia projects from the deep inguinal ring to the preperitoneal space.
Richter's hernia: strangulated hernia involving only one sidewall of the bowel, which can result in bowel perforation through ischaemia without causing bowel obstruction or any of its warning signs.
sliding hernia: occurs when an organ drags along part of the peritoneum, or, in other words, the organ is part of the hernia sac. The colon and the urinary bladder are often involved. The term also frequently refers to sliding hernias of the stomach.
sciatic hernia: this hernia in the greater sciatic foramen most commonly presents as an uncomfortable mass in the gluteal area. Bowel obstruction can occur, and it is a rare cause of sciatic neuralgia.
Spigelian hernia, also known as spontaneous lateral ventral hernia

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hiatal hernia : Individual hernias

2006-07-17T23:28:00.000-07:00

Disc herniation
In this condition, the central weak part of the intervertebral disc (nucleus pulposus, which helps absorb shocks to our spine) herniates through the fibrous band (annulus fibrosus) by which it is normally bound. This usually occurs low in the back at the lumbar level (=lumbar disc hernia), and can cause back pain which may radiate downwards. When the sciatic nerve is involved, this may cause sciatic pain.

Inguinal hernia
Diagram of an indirect, scrotal inguinal hernia ( median view from the left).By far the most common hernias (up to 75% of all abdominal hernias) are the so-called inguinal hernias. For a thorough understanding of inguinal hernias, much insight is needed in the anatomy of the inguinal canal. Inguinal hernias are further divided into the more common indirect inguinal hernia (2/3, depicted here), in which the inguinal canal is entered via a congenital weakness at its entrance (the internal inguinal ring), and the "direct" type (1/3), where the hernia contents push through a weak spot in the back wall of the inguinal canal. Inguinal hernias are more common in men than women while femoral hernias are more common in women.

Femoral hernia
Femoral hernias occur just below the inguinal ligament, when abdominal contents pass into the weak area at the posterior wall of the femoral canal. They can be hard to distinguish from the inguinal type (especially when ascending cephalad): however, they generally appear more rounded, and, in contrast to inguinal hernias, there is a strong female preponderance in femoral hernias. The incidence of strangulation in femoral hernias is high. Repair techniques are similar for femoral and inguinal hernia.

Umbilical hernia
Umbilical hernias are especially common in infants of African descent, and occur more in boys. They involve protrusion of intraabdominal contents through a weakness at the site of passage of the umbilical cord through the abdominal wall. These hernias often resolve spontaneously. Umbilical hernias in adults are largely acquired, and are more frequent in obese or pregnant women. Abnormal decussation of fibers at the linea alba may contribute.

Incisional hernia
An incisional hernia occurs when the defect is the result of an incompletely healed surgical wound. When these occur in median laparotomy incisions in the linea alba, they are termed ventral hernias. These can be the most frustrating and difficult to treat, as the repair utilizes already attenuated tissue.

Diaphragmatic hernia
Diagram of a hiatus hernia (coronal section, viewed from the front).Higher in the abdomen, an (internal) "diaphragmatic hernia" results when part of the stomach or intestine protrudes into the chest cavity through a defect in the diaphragm.

A hiatus hernia is a particular variant of this type, in which the normal passageway through which the esophagus meets the stomach (esophageal hiatus) serves as a functional "defect", allowing part of the stomach to (periodically) "herniate" into the chest. Hiatus hernias may be either "sliding," in which the gastroesophageal junction itself slides through the defect into the chest, or non-sliding (also known as para-esophageal), in which case the junction remains fixed while another portion of the stomach moves up through the defect. Non-sliding or para-esophageal hernias can be dangerous as they may allow the stomach to rotate and obstruct. Repair is usually advised.

Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc.http://sometimeweesha.blogspot.com/

hiatal hernia : Anemia - iron deficiency

2006-07-13T03:27:00.000-07:00

Anemia is a condition where red blood cells are not providing adequate oxygen to body tissues. There are many types and causes of anemia. Iron deficiency anemia is a decrease in the number of red cells in the blood caused by too little iron. (See also Iron-deficiency anemia - children.)

Causes, incidence, and risk factors

Iron deficiency anemia is the most common form of anemia. Approximately 20% of women, 50% of pregnant women, and 3% of men are iron deficient. Iron is an essential component of hemoglobin, the oxygen-carrying pigment in the blood. Iron is normally obtained through the food in your diet and by recycling iron from old red blood cells. Without it, the blood cannot carry oxygen effectively -- and oxygen is needed for the normal functioning of every cell in the body.

The causes of iron deficiency are too little iron in the diet, poor absorption of iron by the body, and loss of blood (including from heavy menstrual bleeding). It can also be related to lead poisoning in children.

Anemia develops slowly after the normal stores of iron have been depleted in the body and in the bone marrow. Women, in general, have smaller stores of iron than men and have increased loss through menstruation, placing them at higher risk for anemia than men.

In men and postmenopausal women, anemia is usually caused by gastrointestinal blood loss associated with ulcers, the use of aspirin or nonsteroidal anti-inflammatory medications (NSAIDS), or certain types of cancer (esophagus, stomach, colon).

High-risk groups include:

Women of child-bearing age who have blood loss through menstruation
Pregnant or lactating women who have an increased requirement for iron
Infants, children, and adolescents in rapid growth phases
People with a poor dietary intake of iron
Risk factors related to blood loss are peptic ulcer disease, long term aspirin use, and colon cancer.

Symptoms
Pale skin color
Fatigue
Irritability
Weakness
Shortness of breath
Sore tongue
Brittle nails
Unusual food cravings (called pica)
Decreased appetite (especially in children)
Headache - frontal
Blue tinge to sclerae (whites of eyes)
Note: There may be no symptoms if anemia is mild.
hiatal hernia

Copyright U.S. National Library of Medicine,

hiatal hernia : MESH IMPLANT TIMESH

2006-07-13T03:09:00.000-07:00

REVOLUTION IN MODERN HERNIA SURGERY
Titanium and synthetics are two materials that have been used with great success in implant medicine for decades and enjoy an excellent reputation. The applications and properties of the two materials are very different. Titanium is used primarily because of its excellent body acceptance. Hernia mesh consists of synthetic material, which is an indispensable component of modern hernia surgery due to its flexibility.

GfE Medzintechnik has now succeeded in combining both properties - excellent biocompatibility and the highest level of flexibility.

Properties

TiMESH offers excellent biological and body acceptance
TiMESH consists of one monofile thread with a mesh size of more than 1 mm. It easily integrates into the body.
TiMESH extralight weighs only 16 g/m2 and is the lightest hernia mesh on the market - TiMESH light weighs only 35 g/m2
TiMESHimplants can be implanted just like all other hernia mesh; surgeons do not need to change their operating techniques
Perfect handling and excellent modeling capabilities due to the high wettability (hydrophilic) and anti-static properties of the titanium layer.
The titanium layer of TiMESH is so thin (approx. 30 nanometers) that it is as flexible as the synthetic material
The titanium layer of TiMESH is solidly connected with the synthetic material; they form a compound material

http://www.gfe.com/opencms2/opencms/en_gfe-medical.de/Netzimplantat_TIMESH.html

hiatal hernia : Complications

2006-07-10T22:59:00.000-07:00

Some large hiatal hernias create friction that causes lesions in the upper stomach. If severe, these lesions can bleed and lead to iron deficiency anemia from chronic blood loss.

Other hernias become so large that one-third or more of the stomach protrudes through the diaphragm, putting extra pressure on the diaphragm or lungs. And occasionally, the part of the stomach that protrudes into the chest cavity becomes twisted or cuts off blood flow to the rest of the stomach, producing severe chest pain and difficulty swallowing. If this occurs, see your doctor without delay. You may require immediate surgical repair of the hernia.

The most common complication of hiatal hernia is probably gastroesophageal reflux disease (GERD). At one time it was thought that hiatal hernias caused most cases of GERD. Now doctors believe that only larger hiatal hernias play a role. Recurrent GERD itself can lead to complications, including:

Difficulty swallowing. Stomach acid backing up into your esophagus can cause inflammation and scarring. This narrows your esophagus, making it hard for you to swallow.
Barrett's esophagus. Occasionally, people with gastroesophageal reflux develop Barrett's esophagus from repeated, long-term exposure to stomach acid. In this condition, cells similar to those in the stomach lining develop in the lower esophagus. If you have Barrett's esophagus, you're at increased risk of developing esophageal cancer. A doctor who specializes in stomach and intestinal problems (gastroenterologist) can advise you how best to manage the condition to lessen this risk.
Esophageal cancer. Most people with Barrett's esophagus don't develop esophageal cancer, but for those who do, the prognosis is often poor. An esophageal tumor makes swallowing increasingly difficult and for some people, eventually impossible.

© 1998-2006 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved.

hiatal hernia : Self-care

2006-07-10T22:52:00.000-07:00

A variety of lifestyle changes can help ease the gastroesophageal reflux that may accompany a hiatal hernia. Some or all of the following measures may help:

Eat small meals. Large meals can distend your stomach, pushing it into your chest.
Avoid problem foods and alcohol. Try to avoid alcohol, caffeinated drinks, chocolate, onions, spicy foods, spearmint and peppermint — all of which increase production of stomach acid and relax the lower esophageal sphincter. Even decaffeinated coffee can be irritating to an inflamed esophageal lining. Also try to limit citrus fruits and tomato-based foods. They're acidic and can irritate an inflamed esophagus.
Limit fatty foods. Fatty foods relax the lower esophageal sphincter and slow stomach emptying, which increases the amount of time that acid can back up into your esophagus.
Sit up after you eat. Wait at least three hours before going to bed or taking a nap. By then, most of the food in your stomach will have emptied into your small intestine, so it can't flow back into your esophagus. Eating a bedtime snack stimulates acid formation and further aggravates acid reflux.
Don't exercise immediately after eating. Try to wait at least two to three hours before you engage in any strenuous activity. Low-key exercise, such as walking, is fine.
Lose weight. If you're overweight, slimming down helps reduce the pressure on your stomach. This may well be the most important thing you can do to relieve your symptoms.
Stop smoking. Smoking increases acid reflux and dries your saliva. Saliva helps protect your esophagus from stomach acid.
Avoid certain medications, if possible. Medications to avoid include calcium channel blockers, such as diltiazem; the antibiotic tetracycline; nonsteroidal anti-inflammatory drugs, such as aspirin, ibuprofen and naproxen sodium; quinidine; theophylline; sedatives and tranquilizers; and alendronate. If you take any of these medications and suffer from heartburn, talk to your doctor. You may be able to take other drugs instead.
Elevate the head of your bed. If you elevate the head of your bed 6 to 9 inches, gravity will help prevent stomach acid from moving up into your esophagus as you sleep. Using a foam wedge to raise your mattress also may help. Don't try to use pillows, which tend to increase pressure on your abdomen.
Avoid tightfitting clothes. They put pressure on your stomach.
Take time to relax. When you're under stress, digestion slows, which makes GERD symptoms worse. Relaxation techniques such as deep breathing, meditation or yoga may help reduce acid reflux

© 1998-2006 Mayo Foundation for Medical Education and Research (MFMER). All rights reserved.

hiatal hernia : Upper GI Series

2006-07-06T00:34:00.000-07:00

The upper gastrointestinal (GI) series uses x rays to diagnose problems in the esophagus, stomach, and duodenum (first part of the small intestine). It may also be used to examine the small intestine. The upper GI series can show a blockage, abnormal growth, ulcer, or a problem with the way an organ is working.

During the procedure, you will drink barium, a thick, white, milkshake-like liquid. Barium coats the inside lining of the esophagus, stomach, and duodenum, and makes them show up more clearly on x rays. The radiologist can also see ulcers, scar tissue, abnormal growths, hernias, or areas where something is blocking the normal path of food through the digestive system. Using a machine called a fluoroscope, the radiologist is also able to watch your digestive system work as the barium moves through it. This part of the procedure shows any problems in how the digestive system functions, for example, whether the muscles that control swallowing are working properly. As the barium moves into the small intestine, the radiologist can take x rays of it as well.

An upper GI series takes 1 to 2 hours. X rays of the small intestine may take 3 to 5 hours. It is not uncomfortable. The barium may cause constipation and white-colored stool for a few days after the procedure.

Preparation
Your stomach and small intestine must be empty for the procedure to be accurate, so the night before you will not be able to eat or drink anything after midnight. Your physician may give you other specific instructions.

National Digestive Diseases Information Clearinghouse

hiatal hernia : Upper Endoscopy

2006-07-06T00:23:00.000-07:00

Upper endoscopy enables the physician to look inside the esophagus, stomach, and duodenum (first part of the small intestine). The procedure might be used to discover the reason for swallowing difficulties, nausea, vomiting, reflux, bleeding, indigestion, abdominal pain, or chest pain. Upper endoscopy is also called EGD, which stands for esophagogastroduodenoscopy (eh-SAH-fuh-goh-GAS-troh-doo-AH-duh-NAH-skuh-pee).

For the procedure you will swallow a thin, flexible, lighted tube called an endoscope (EN-doh-skope). Right before the procedure the physician will spray your throat with a numbing agent that may help prevent gagging. You may also receive pain medicine and a sedative to help you relax during the exam. The endoscope transmits an image of the inside of the esophagus, stomach, and duodenum, so the physician can carefully examine the lining of these organs. The scope also blows air into the stomach; this expands the folds of tissue and makes it easier for the physician to examine the stomach.

The physician can see abnormalities, like inflammation or bleeding, through the endoscope that don't show up well on x rays. The physician can also insert instruments into the scope to treat bleeding abnormalities or remove samples of tissue (biopsy) for further tests.

Possible complications of upper endoscopy include bleeding and puncture of the stomach lining. However, such complications are rare. Most people will probably have nothing more than a mild sore throat after the procedure.

The procedure takes 20 to 30 minutes. Because you will be sedated, you will need to rest at the endoscopy facility for 1 to 2 hours until the medication wears off.

Preparation
Your stomach and duodenum must be empty for the procedure to be thorough and safe, so you will not be able to eat or drink anything for at least 6 hours beforehand. Also, you must arrange for someone to take you home—you will not be allowed to drive because of the sedatives. Your physician may give you other special instructions.

Upper endoscopy enables the physician to look inside the esophagus, stomach, and duodenum (first part of the small intestine). The procedure might be used to discover the reason for swallowing difficulties, nausea, vomiting, reflux, bleeding, indigestion, abdominal pain, or chest pain. Upper endoscopy is also called EGD, which stands for esophagogastroduodenoscopy (eh-SAH-fuh-goh-GAS-troh-doo-AH-duh-NAH-skuh-pee).

For the procedure you will swallow a thin, flexible, lighted tube called an endoscope (EN-doh-skope). Right before the procedure the physician will spray your throat with a numbing agent that may help prevent gagging. You may also receive pain medicine and a sedative to help you relax during the exam. The endoscope transmits an image of the inside of the esophagus, stomach, and duodenum, so the physician can carefully examine the lining of these organs. The scope also blows air into the stomach; this expands the folds of tissue and makes it easier for the physician to examine the stomach.

The physician can see abnormalities, like inflammation or bleeding, through the endoscope that don't show up well on x rays. The physician can also insert instruments into the scope to treat bleeding abnormalities or remove samples of tissue (biopsy) for further tests.

Possible complications of upper endoscopy include bleeding and puncture of the stomach lining. However, such complications are rare. Most people will probably have nothing more than a mild sore throat after the procedure.

The procedure takes 20 to 30 minutes. Because you will be sedated, you will need to rest at the endoscopy facility for 1 to 2 hours until the medication wears off.

Preparation
Your stomach and duodenum must be empty for the procedure to be thorough and safe, so you will not be able to eat or drink anything for at least 6 hours beforehand. Also, you must arrange for someone to take you home—you will not be allowed to drive because of the sedatives. Your physician may give you other special instructions.
hiatal hernia
National Digestive Diseases Information Clearinghouse

hiatal hernia : INTRODUCTION

2006-07-03T20:59:00.000-07:00

Background: A hiatal hernia occurs when a portion of the stomach prolapses through the diaphragmatic esophageal hiatus. Although the existence of hiatal hernia has been described in earlier medical literature, it has come under scrutiny only in the last century or so because of its association with gastroesophageal reflux disease (GERD) and its complications. By far, most hiatal hernias are asymptomatic and are discovered incidentally. On rare occasion, a life-threatening complication, such as gastric volvulus or strangulation, may present acutely.

Pathophysiology: The esophagus passes through the diaphragmatic hiatus in the crural part of the diaphragm to reach the stomach. The diaphragmatic hiatus itself is approximately 2 cm in length and chiefly consists of musculotendinous slips of the right and left diaphragmatic crura arising from either side of the spine and passing around the esophagus before inserting into the central tendon of the diaphragm. The size of the hiatus is not fixed, but narrows whenever intra-abdominal pressure rises, such as when lifting weights or coughing.

The lower esophageal sphincter (LES) is an area of smooth muscle approximately 2.5-4.5 cm in length. The upper part of the sphincter normally lies within the diaphragmatic hiatus, while the lower section normally is intra-abdominal. At this level, the visceral peritoneum and the phrenoesophageal ligament cover the esophagus. The phrenoesophageal ligament is a fibrous layer of connective tissue arising from the crura, and it maintains the LES within the abdominal cavity. The A-ring is an indentation sometimes seen on barium studies, and it marks the upper part of the LES. Just below this is a slightly dilated part of the esophagus, forming the vestibule. A second ring, the B-ring, may be seen just distal to the vestibule, and it approximates the Z-line or squamocolumnar junction. The presence of a B-ring confirms the diagnosis of a hiatal hernia. Occasionally, the B-ring also is called the Schatzki ring.

Any sudden increase in intra-abdominal pressure also acts on the portion of the LES below the diaphragm to increase the sphincter pressure. An acute angle, the angle of His, is formed between the cardia of the stomach and the distal esophagus and functions as a flap at the gastroesophageal junction and helps prevent reflux of gastric contents into the esophagus (see Image 1). The gastroesophageal junction acts as a barrier to prevent reflux of contents from the stomach into the esophagus by a combination of mechanisms forming the antireflux barrier. The components of this barrier include the diaphragmatic crura, the LES baseline pressure and intra-abdominal segment, and the angle of His.

Frequency:

In the US: Hiatal hernias are more common in Western countries. The frequency of hiatus hernia increases with age, from 10% in patients younger than 40 years to 70% in patients older than 70 years.
Internationally: Burkitt et al suggest that the Western, fiber-depleted diet leads to a state of chronic constipation and straining during bowel movement, which could explain the higher incidence of this condition in Western countries.
Mortality/Morbidity: Paraesophageal hernias generally tend to enlarge with time, and sometimes the entire stomach is found within the chest. The risk of these hernias becoming incarcerated, leading to strangulation or perforation, is approximately 5%. This complication is potentially lethal, and surgical intervention is necessary. Because of the high mortality associated with this condition, elective repair often is advised wherever a paraesophageal hernia is found.

Sex: Hiatal hernias are more common in women than in men. This might relate to the intra-abdominal forces exerted in pregnancy.

Age: Muscle weakening and loss of elasticity as people age is thought to predispose to hiatus hernia, based on the increasing prevalence in older people. With decreasing tissue elasticity, the gastric cardia may not return to its normal position below the diaphragmatic hiatus following a normal swallow. Loss of muscle tone around the diaphragmatic opening also may make it more patulous.

by Waqar A Qureshi, MD,

hiatal hernia : Heartburn

2006-07-03T20:47:00.000-07:00

Heartburn is a painful burning sensation in the esophagus, just below or behind the breastbone. The pain often rises in your chest and may radiate to your neck or throat.

Common Causes

Almost everyone has occasional heartburn. If you have frequent, ongoing heartburn, you may have gastroesophageal reflux disease (GERD).

Normally, when food or liquid enters your stomach, a band of muscle at the end of your esophagus (called the lower esophageal sphincter or LES) closes off the esophagus. If this muscle fails to close tightly enough, stomach contents can back up (reflux) into the esophagus. This partially digested material is usually acidic and can irritate the esophagus, causing heartburn and other symptoms.

Heartburn is more likely to occur if you have a hiatal hernia, which is when the top part of the stomach protrudes upward into the chest cavity. This weakens the LES and makes it easier for acid to reflux from the stomach into the esophagus.

Heartburn can be brought on or worsened by pregnancy and by many different medications.

Such drugs include:

Calcium channel blockers for high blood pressure
Progestin for abnormal menstrual bleeding or birth control
Anticholinergics (e.g., for sea sickness)
Certain bronchodilators for asthma
Tricyclic antidepressants
Dopamine for Parkinson's disease
Sedatives for insomnia or anxiety
Beta blockers for high blood pressure or heart disease
If you suspect that one of your medications may be causing heartburn, talk to your doctor. NEVER change or stop medication you take regularly without talking to your doctor.

http://www.nlm.nih.gov/medlineplus/ency/article/003114.htm

hiatal hernia : When is surgery necessary?

2006-07-01T03:28:00.000-07:00

If the hiatal hernia is in danger of becoming constricted or strangulated (so that the blood supply is cut off), surgery may be needed to reduce the size of the hernia.

In addition, people with a hiatal hernia who also have severe, chronic esophageal reflux may need surgery to correct the problem if their symptoms are not relieved through other medical treatments. If left untreated, chronic gastroesophageal reflux can cause complications such as esophagitis (inflammation), esophageal ulcers, bleeding or scarring of the esophagus.

During surgery, gastroesophageal reflux is corrected by creating an improved valve mechanism at the bottom of the esophagus.

Pre-surgical evaluation
The pre-surgical evaluation lasts about one day and is scheduled a few weeks before your surgery date.
During the evaluation, you will:

• Have a complete physical examination

• Have several tests to make sure you are physically ready for the surgery. Depending on your age and general health, the tests may include a chest X-ray, blood test, electrocardiogram (EKG) or other tests as ordered.

• Meet with several health care providers, including the surgeon, who will ask you questions about your condition and your health history

• Meet with an anesthesiologist (a physician who specializes in sedation and pain relief), who will discuss the type of pain medication (anesthesia) you will be given during surgery. You will also discuss the type of pain control after surgery.

• Have the opportunity to ask questions about the procedure

The day of surgery
• Do not eat or drink anything after midnight the evening before surgery
• Please do not bring valuables such as jewelry or credit cards

• Plan to arrive to the hospital at least two hours before your surgery time. Register at the admitting desk in the main lobby on the first floor of the H building.

• After registering, you will be taken to the TCI Center (“To Come In”). One family member or friend may come with you at this time. Others can join you once you are ready for surgery.

• In the TCI Center, you will be asked to change into a hospital gown and get into bed. You will be given a bag for your clothing; the person with you will be asked to take your personal belongings.

• An intravenous tube (IV) will be placed in your arm to deliver fluids and medication

• You will be asked to remove contact lenses and dentures

• A nurse may give you medication through your IV to help you relax

• Your family will wait in the family lounge; they will receive periodic reports about your progress throughout the surgery

• Once the surgeon is ready for you, you will be taken to the operating room

During the surgery
• An anesthesiologist will inject medication into your IV that will put you to sleep

• After you are asleep, the nurses will clean your abdomen with antibacterial soap and cover you with sterile drapes

• A six-inch vertical incision is made from the sternum to the navel. Frequently, surgical staples are used to hold the wound together.

• To correct GERD, the surgeon wraps the upper part of the stomach (called the fundus) around the lower portion of the esophagus. This creates a permanently tight sphincter so that food will not reflux back into the esophagus.

• Finally, your surgeon will check that there are no areas of bleeding, rinse out the abdominal cavity and then close the incision.

After the surgery
When you wake up from surgery you will be in a recovery room called the Post Anesthesia Care Unit (PACU). You will have an oxygen mask covering your nose and mouth. This mask delivers a cool mist of oxygen which helps eliminate the remaining anesthesia from your system and soothes your throat.
Your throat may be sore from the breathing tube that was present during your surgery; this soreness usually subsides after one or two days.

Once you are more alert, the nurse in PACU will switch your oxygen delivery device to a nasal cannula, a small plastic tube that hooks over your ears and lies beneath your nose. Your nurse will frequently check your blood oxygen level. Depending on the percentage of oxygen measured in your blood, you may need to keep the oxygen in place after you are transferred to your hospital room.

Recovering from surgery
Once you have recovered from anesthesia, you will be transferred to your hospital room. After your surgery, the nurses will measure your “intake and output” – they will document all the fluids that enter your body and measure and collect any urine or fluids you produce, including those from tubes or drains placed during surgery. A tube that is passed from your nostril into your stomach (a nasogastric tube) during surgery will remain for several days.

Diet
You will begin to drink clear liquids once your bowel function returns. Once you have passed gas (flatus) from the rectal area or have had a bowel movement, you will gradually be able to eat more solid foods (within 3 to 4 days after surgery).

Activity
You will be encouraged to get out of bed, starting the first day after surgery. The more you move, the less chance for complications such as pneumonia or blood clots in the veins in your legs.

Your recovery at home
Normally, you will be discharged from the hospital 5 to 6 days after surgery, after a barium swallow test confirms that the surgical site is healing correctly.

Activity
For six weeks after surgery do not lift or push anything over 5 pounds. Avoid activities that increase abdominal pressure, especially sit-ups. For 8 to 12 weeks after surgery, continue to avoid strenuous activities. However, you are encouraged to gradually increase your activity level. Walking is great exercise! Walking will help your general recovery by strengthening your muscles, keeping your blood circulating to prevent blood clots and helping your lungs remain clear.

Diet
A registered dietitian will visit you on your day of discharge to review your dietary instructions. You will be following a soft diet; follow this diet until your next appointment. Also avoid caffeine, carbonated beverages and citrus drinks.
Incision Care
You may notice some minor swelling around the incision; this is normal. However, call your health care provider if you have a fever, excessive swelling, redness, bleeding or increasing pain.

Follow-up appointment
A follow-up appointment will be scheduled about one week after your surgery. You will have a chest X-ray and your surgeon will assess the wound site and your recovery. The surgeon will provide guidelines about your activity and diet at this time.

© Cleveland Clinic 2001

hiatal hernia : What can be done to avoid a hiatus hernia

2006-07-01T03:15:00.000-07:00

Whilst there is nothing that one can do to prevent the occurrence of a hiatus hernia, there are three ways of dealing with the symptoms.

Lifestyle.
There are certain things one can do, some obvious and some less so. If one can identify, for example, that certain foods aggravate the condition whilst others do not, then simple avoidance of those foods is an easy way of avoiding discomfort.
Further, it is clear that to eat a heavy meal and promptly go and bend over digging the garden is not sensible if it is known to cause problems. Again, this is an example where one can spare one's self the symptoms by simple adjustment to the timing and choices of these activities. However, for some patients, even drinking a glass of water before lying down can cause hours of discomfort.

The answer here may, again, be to avoid eating or drinking for an appropriate amount of time before lying down. There are also certain adjustments one can make to one's bed in order to change the angle. This can also assist in reducing the occurrences of reflux.

The advantage of the 'lifestyle' approach is, mainly, that you might avoid medical or surgical intervention altogether and be able to live with the condition without suffering the symptoms. The disadvantages are that it may not be possible to find a 'lifestyle' that deals with the symptoms and also the inconvenience caused may be intolerable.

Some 'tips' are given later in this page, but read on first.

Medicine.
There are several different medicines available to deal with the symptoms of hiatus hernia. They work in different ways, but are normally of an antacid type, and some work better on certain patients and others better on other patients. You should ask your doctor to suggest one or other type and, if that does not help, he may suggest a different one.
The advantage of the medicinal approach is that, in certain cases, this allows the patient to avoid all symptoms without too much inconvenience. The disadvantage is that it may not be desirable to take medicine for the rest of one's life.
Some TIPS.
There are several foods and other matters that are commonly associated with aggravating the symptoms. Before considering medicines or surgery, it is often worthwhile making changes to avoid such things as:
Hot foods and drinks
Spicy foods
Acidic foods
Foods which are difficult to digest
Smoking
Alcohol
Being overweight

What to do NEXT.

We advise people who contact us from all over the world that the best course of treatment is to have the endoscopy and x-ray tests and then have the surgery (if that is what is required) performed locally. Your own family physician should be able to recommend you to a specialist in this field of hernia work who is expert in modern techniques. Unlike for abdominal wall hernias, (where it might be well worth your while to come to us from any part of the world for our specialised approach) modern and successful hiatus hernia surgery is available in most places today, so unless you are in London it will be worthwhile looking locally.

http://www.hernia.org/hiatus.html

hiatal hernia : The use of surgical mesh to repair hernias

2006-06-25T23:06:00.000-07:00

Is gaining in popularity with surgeons. Most meshes currently on the market are made from synthetic materials such as polypropylene, polyester, silicone or polytetrafluoroethylene (PTFE), commonly known by the DuPont brand name Teflon®. While these meshes have good strength characteristics, they remain in the body as permanent implants and sometimes can cause adverse reactions when the surrounding tissue identifies these materials as foreign bodies.

In order to avoid adverse reactions to synthetic materials, some surgeons prefer to use meshes made of biomaterials which are gradually resorbed by the body over time and are then eliminated through biological processes. Since these meshes are not permanent implants, they generally only offer temporary repair of abdominal wall defects and additional surgical procedures are sometimes required to replace the absorbed mesh.

An alternative to synthetic and absorbable mesh is human tissue. There are a handful of companies that are now marketing processed, freeze-dried human dermis for soft tissue repair and augmentation. This material is implanted using the same technique as other meshes and provides for revascularization, cellular ingrowth and "remodeling" into the patients tissue. While this option generally provides a permanent repair with few adverse reactions, the processing and distribution of human tissue is not regulated by the Food and Drug Administration (FDA) as are most other products that are implanted in the human body. In fact, there have been a number of recent cases of serious infections and even deaths resulting from the implantation of human cadaveric tissue during surgical procedures.

New technologies have recently been developed to solve the problems associated with the use of synthetic substances, absorbable materials and human tissue in hernia repair procedures. Scientists in Europe have been conducting research and development into alternatives to these products over the past two decades and have made major breakthroughs in this area over the past several years. New ways of collecting and processing natural materials have led to a series of products that offer the strength of synthetic compounds, the biocompatibility of biomaterials and the regenerative properties of human tissue.

What material can offer all of the benefits of the previously mentioned products without the corresponding disadvantages? Porcine dermal collagen has an architectural structure very close to human tissue, and is therefore readily recognized as friendly by the human body. A leading medical technology company in Europe has developed a patented process by which a sheet of porcine dermis is converted into a safe and effective surgical implant for soft tissue repair and augmentation. The process, which takes several weeks to complete, removes all non collageneous material from the sheet except elastin, and stabilizes the material through a cross-linking process. The result is an acellular, non reconstituted, non allergenic membrane which has excellent strength characteristics, is completely biocompatible and provides a permanent solution for the repair of abdominal wall defects. Since the material itself is a byproduct of the meat packaging industry, it is more readily available than human tissue. In addition, the harvesting and processing of the material is strictly regulated by local government, as well as international directives and quality standards.

This collagen surgical implant has been used in Europe for these types of procedures for several years and there is strong clinical evidence of the safety and effectiveness of the product. In fact, the implant has been approved for sale in the U.S. by the FDA and there have not been any adverse reactions reported after several thousand implantations in Europe. Not only is it safe, since the structure of the collagen is so similar to human tissue, once it is implanted the sheet provides the basis for cellular ingrowth and revascularization. This results in a permanent fix in even the most difficult cases. In addition to the positive clinical outcomes, surgeons like the fact that they do not need to change their surgical technique to use this product. They can use the same exact same steps they would use for synthetic or absorbable surgical mesh in both open and laparoscopic procedures.

Only physicians can properly diagnose and appropriately treat hernias. However, patients have the right to actively participate in decisions that affect their health or quality of life. Information about the various treatment options that are currently available can play an important part in the discussions between patients and their physicians regarding the best surgical treatment option for them.

by Joseph R. Lopez

hiatal hernia : New Surgical Treatment

2006-06-25T23:02:00.000-07:00

Hernia repair is one of the most commonly performed surgical procedures worldwide. In fact, there are over 600,000 hernia repair surgeries performed each year in the U.S. alone. A hernia is a weakness or defect in the abdominal muscles which can result in the protrusion of tissue through an opening in the outer layers of the abdominal wall. Hernias can develop at any part of the abdominal wall, but generally occur in areas that have a natural tendency to be weak. These areas include the groin (inguinal hernias), umbilicus (umbilical hernias), hiatus (hiatal hernias) and incisions from previous surgeries (incisional or ventral hernias). While hernias generally do not pose serious long-term health problems, they can cause severe pain and discomfort for those suffering from this condition.

Hernias may be present from birth, or can be caused by strain on the abdominal muscles. In either case, hernias do not go away by themselves and depending on the degree of bulging or pain, generally require a surgical procedure to be repaired. Hernia repairs are usually done on an elective basis, which means that the patient and physician decide whether or when the procedure should be performed. Emergency procedures are only done for strangulated hernias, which are hernias that have become pinched to the point that the blood supply is cut off. These hernias require immediate medical attention since they can become infected and lead to a life threatening condition very quickly.

Hernias are typically repaired through a surgical procedure called herniorrhaphy, in which the surgeon repairs the hole in the abdominal wall by sewing surrounding muscle together or by placing a patch called "mesh" over the defect. Most surgeons make an incision at the site of the hernia in order to gain access to the defect, although some surgeons prefer to do these procedures laparoscopically.

During a laparoscopic hernia repair, the surgeon makes very small incisions to pass through specialized instruments and an endoscope, a device that allows the surgeon to see the abdominal area without opening the patient up. Laparoscopic hernia repair generally results in less postoperative pain and recovery time than open surgery. There is still a great deal of controversy over the long-term benefits of laparoscopic hernia repair, however, and it is by no means an option for every patient.

by Joseph R. Lopez

hiatal hernia : Are there different types of hiatal hernias?

2006-06-21T23:41:00.000-07:00

Hiatal hernias are categorized as being either sliding or para-esophageal. Sliding hiatal hernias are those in which the junction of the esophagus and stomach, referred to as the gastro-esophageal junction, and part of the stomach protrude into the chest. The junction may reside permanently in the chest, but often it juts into the chest only during a swallow. This occurs because with each swallow the muscle of the esophagus contracts causing the esophagus to shorten and to pull up the stomach. When the swallow is finished, the herniated part of the stomach falls back into the abdomen. Para-esophageal hernias are hernias in which the gastro-esophageal junction stays where it belongs (attached at the level of the diaphragm), but part of the stomach passes or bulges into the chest beside the esophagus. The para- esophageal hernias themselves remain in the chest at all times and are not affected by swallows.

A para-esophageal hiatal hernia that is large, particularly if it compresses the adjacent esophagus, may impede the passage of food into the stomach and cause food to stick in the esophagus after it is swallowed. Ulcers also may form in the herniated stomach due to the trauma caused by food that is stuck or acid from the stomach. Fortunately, large para-esophageal hernias are uncommon

?996-2006 MedicineNet, Inc. All rights reserved.

hiatal hernia : Hitus hernia and acid reflux problem

2006-06-21T23:35:00.000-07:00

I am glad to note that ruth45 has recommended that you use the remedy that I believe I first suggested on this and another forum for acidity in the stomach which is usually accompanied by a feeling of fullness and puffiness which is most uncomfortable if as you state, this has resulted in Hiatus Hernia.

This condition usually arises as direct result of a hyperacidic condition in your stomach over a long period and your doctors would have first prescribed antacids which are usually tablets of aluminium hydroxide which neutralize the acid in the stomach. I note that you have recently been prescribed Nexium but this and the other drugs that you have used over the years cannot cure you and will only serve to palliate your ailment temporarily.

Over a period of years if this ailment is not rectified, the acid eats through the pyloric valve located at the botttom of the aesophagus and thereby makes a bad situation infinitely worse by pushing the acid up to your throat with as you would have realized, painful results.

Nat Phos 6x works in a different way by promoting peristalysis in the stomach and thereby helps the stomach to digest and propel the food out of the stomach thereby preventing the formation of acid.

If you decide to use Nat Phos 6x you must stop all other drugs. The dose is 2 tablets taken after lunch and 2 after dinner. I believe that you should find relief within 15 minutes after your meal when that uncomfortable feeling vanishes. You should carry a supply on your person if you are dine out to take within about 10 minutes after a meal.

There are a few points that you should observe to overcome your ailment.
Do not eat large meals as these contribute to acidity, gastric reflux and Hiatus Hernia. Avoid drinking water after a meal and only sip it for about 2 hours after a meal. Sit up erect on a chair after a meal for at least an hour preferably 2 hours and do not go to bed during this period till you feel that your food is all digested.

From Joe De Livera

hiatal hernia : Screening and diagnosis

2006-06-16T09:02:00.000-07:00

Your doctor may discover a hiatal hernia while trying to determine the cause of heartburn or chest or upper abdominal pain. In that case, it's likely to be found during one of the following procedures:

Barium X-ray. During this diagnostic test, you'll drink a chalky liquid containing barium that coats your upper digestive tract. This provides a clear silhouette of your esophagus, stomach and the upper part of your small intestine (duodenum) on an X-ray. A barium X-ray may help reveal whether the contents of your stomach are backing up into your esophagus.
Endoscopy. In this test your doctor passes a thin, flexible tube equipped with a fiber-optic light and video camera system (endoscope) down your throat and into your esophagus and stomach to check for inflammation. This not only can help detect a hiatal hernia, but also is the most sensitive way to check for damage to your esophagus from acid reflux.

http://www.blogger.com/post-create.g?blogID=26246314

hiatal hernia : Digestive Disorders

2006-06-16T08:56:00.000-07:00

What is a hiatal hernia?
A hernia is a protrusion of part of an organ through the muscle wall that surrounds it. 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 stomach from the chest. A hiatal hernia results in retention of acid and other contents above this opening. These acids and other substances can easily back up (reflux) into the esophagus.

Many people age 50 and over have small hiatal hernias; however, hiatal hernias may affect people of all ages.

What causes hiatal hernia?
Suggested causes of hiatal hernia include the following:
coughing
vomiting
straining
sudden physical exertion
Obesity and pregnancy can also contribute to this disorder.

Treatment for hiatal hernia:
Specific treatment for hiatal hernia will be determined by your physician based on:
your age, overall health, and medical history
extent of the condition
your tolerance for specific medications, procedures, or therapies
expectations for the course of the condition
your opinion or preference
Although hiatal hernias usually do not require treatment, treatment may be necessary if the hernia is:

in danger of becoming strangulated (twisted in a way that cuts off blood supply).
complicated by severe gastroesophageal reflux disease (GERD).
complicated by esophagitis (inflammation of the esophagus).
Surgery may be needed in these cases to reduce the size of the hernia, or to prevent strangulation.

© 1998 – 2006 by the Rector & Visitors of the University of Virginia

hiatal hernia : Hiatal Hernia

2006-06-09T22:35:00.000-07:00

Any time an internal body part pushes into an area where it doesn't belong, it's called a hernia.

The hiatus is an opening in the diaphragm -- the muscular wall separating the chest cavity from the abdomen. Normally, the esophagus (food pipe) goes through the hiatus and attaches to the stomach. In a hiatal hernia (also called hiatus hernia) the stomach bulges up into the chest through that opening.

There are two main types of hiatal hernias: sliding and paraesophageal (next to the esophagus).
In a sliding hiatal hernia, the stomach and the section of the esophagus that joins the stomach slide up into the chest through the hiatus. This is the more common type of hernia.

The paraesophageal hernia is less common, but is more cause for concern. The esophagus and stomach stay in their normal locations, but part of the stomach squeezes through the hiatus, landing it next to the esophagus. Although you can have this type of hernia without any symptoms, the danger is that the stomach can become "strangled," or have its blood supply shut off.

Often, people with hiatal hernia also have heartburn or GERD. Although there appears to be a link, one condition does not seem to cause the other, because many people have a hiatal hernia without having GERD, and others have GERD without having a hiatal hernia.

People with a hiatal hernia may experience chest pain that can easily be confused with the pain of a heart attack. That's why it's so important to undergo testing and get properly diagnosed.

©2005-2006 WebMD, Inc. All rights reserved.

hiatal hernia : What causes GERD?

2006-06-09T22:25:00.000-07:00

No one knows why people get GERD. A hiatal hernia may contribute. A hiatal hernia occurs when the upper part of the stomach is above the diaphragm, the muscle wall that separates the stomach from the chest. The diaphragm helps the LES keep acid from coming up into the esophagus. When a hiatal hernia is present, it is easier for the acid to come up. In this way, a hiatal hernia can cause reflux. A hiatal hernia can happen in people of any age; many otherwise healthy people over 50 have a small one.

Other factors that may contribute to GERD include

alcohol use
overweight
pregnancy
smoking
Also, certain foods can be associated with reflux events, including

citrus fruits
chocolate
drinks with caffeine
fatty and fried foods
garlic and onions
mint flavorings
spicy foods
tomato-based foods, like spaghetti sauce, chili, and pizza

http://digestive.niddk.nih.gov/ddiseases/pubs/gerd/

hiatal hernia ; Causes hiatal hernia

2006-06-05T02:20:00.000-07:00

Your chest cavity and abdomen are separated by your diaphragm — a large dome-shaped muscle that's responsible for a good part of normal breathing. Your esophagus passes into your stomach through an opening in the diaphragm. Hiatal hernias occur when the muscle tissue surrounding this opening becomes weak and the upper part of your stomach bulges through the diaphragm into your chest cavity. Anything that puts intense pressure on your abdomen — including persistent or severe coughing or vomiting, pregnancy, straining while going to the bathroom, or lifting heavy objects — can contribute to hiatal hernias.

A hiatal hernia in turn can cause or contribute to gastroesophageal reflux.
This happens when a hernia slightly displaces the lower esophageal sphincter, a circular band of muscle around the bottom of the esophagus.

Ordinarily, the diaphragm is aligned with the lower esophageal sphincter, which relaxes to allow food and liquid to flow into your stomach when you swallow. The diaphragm supports and puts pressure on the sphincter to keep it closed when you're not swallowing. But a hiatal hernia raises the sphincter above the diaphragm, reducing pressure on the valve. This causes the sphincter muscle to open at the wrong time, allowing stomach acid to flow up into the esophagus.

A hiatal hernia can also cause heartburn if the herniated portion of your stomach becomes a reservoir for gastric acid, which can then easily travel up your esophagus.
When to seek medical advice
Many people discover they have hiatal hernias when they see their doctors about heartburn. Most cases of heartburn are mild and temporary. But if your symptoms are severe, occur often, or are accompanied by coughing, wheezing, asthma, a sore throat, difficulty swallowing or chest pain, talk to your doctor.

If you know you have a large hiatal hernia and experience severe chest pain, difficulty breathing or trouble swallowing, seek medical care immediately.

http://www.mayoclinic.com/health/hiatal-hernia/DS00099/DSECTION=4

hiatal hernia : Hiatal hernia Overview

2006-06-05T02:13:00.000-07:00

Hernias occur when one part of the body protrudes through a gap or opening into another part. And although a hernia can theoretically develop almost anywhere, most are in the abdominal area. This includes hiatal hernias — also known as diaphragmatic hernias — which form at the opening in your diaphragm where your food pipe joins your stomach.

Most small hiatal hernias don't cause any problems, and you may never know you have a hiatal hernia 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 and chest pain. Self-care measures or medications can usually alleviate these symptoms, although very large hiatal hernias sometimes need surgical repair

Signs and symptoms
Most small hiatal hernias cause no problems. But larger hernias may cause heartburn, belching or chest pain when stomach acids back up into your food pipe (esophagus). These signs and symptoms tend to become worse when you lean forward, strain, lift heavy objects or lie down, and they can also worsen during pregnancy.

In rare cases, the part of your stomach that protrudes into your chest cavity may become twisted (strangulated) or have its blood supply cut off, leading to:

Severe chest pain
Difficulty swallowing (dysphagia)
Obstruction of your esophagus

Signs and symptoms
Most small hiatal hernias cause no problems. But larger hernias may cause heartburn, belching or chest pain when stomach acids back up into your food pipe (esophagus). These signs and symptoms tend to become worse when you lean forward, strain, lift heavy objects or lie down, and they can also worsen during pregnancy.

In rare cases, the part of your stomach that protrudes into your chest cavity may become twisted (strangulated) or have its blood supply cut off, leading to:

Severe chest pain
Difficulty swallowing (dysphagia)
Obstruction of your esophagus

http://www.mayoclinic.com/health/hiatal-hernia/DS00099/DSECTION=2

hiatal hernia : Definition

2006-06-02T05:15:00.000-07:00

Hiatal hernia is a condition in which a portion of the stomach protrudes upward into the chest through an opening in the diaphragm. The diaphragm is the sheet of muscle used in breathing that separates the chest from the abdomen.

Causes, incidence, and risk factors Return to top

The cause is unknown, but hiatal hernias may be the result of a weakening of the supporting tissue. Increasing age, obesity, and smoking are known risk factors in adults.

Children with this condition usually have it from birth (congenital). It is usually associated with gastroesophageal reflux in infants.

Hiatal hernias are very common, especially in people over 50 years old. This condition may cause regurgitation of gastric acid from the stomach into the esophagus.

Symptoms Return to top

Heartburn, worse when bending over or lying down
Swallowing difficulty
Chest pain
Belching
A hiatal hernia by itself rarely causes symptoms -- pain and discomfort are usually due to the reflux of gastric acid, air, or bile. This happens more easily in the presence of hiatal hernia.

Signs and tests Return to top

Barium swallow x-ray
Esophagogastroduodenoscopy (EGD)
Treatment Return to top

The goals of treatment are to relieve symptoms and prevent complications.

Reducing regurgitation of stomach contents into the esophagus (gastroesophageal reflux) will relieve pain symptoms. Medications that neutralize stomach acidity, decrease acid production, or strengthen the lower esophageal sphincter may be prescribed.

Other measures to reduce symptoms include:

Avoiding large or heavy meals
Not lying down or bending over immediately after a meal
Weight reduction and smoking cessation
Failure to control the symptoms by general or medical measures, or the onset of complications may require surgical repair of the hernia.

Medical Encyclopedia

hiatal hernia : NO LONGER SUFFER from Acid Reflux, Heartburn, Hiatal Hernia, Gastritis,

2006-06-02T04:59:00.000-07:00

You see, in 1976, I almost died during stomach surgery for some bleeding ulcers. The doctors operated on my stomach, but while in surgery, they connected a bile duct to my stomach, instead of my small intestine... which caused bile to creep up into my esophagus.

After surgery, I couldn't sleep on my right side without bile (bile is very acidic) building up... and the only way I could get rid of it was by vomiting.

For almost a year, I had to vomit about three or four times every day. It was disgusting, and I knew I couldn't go on like this forever - the acid was killing me!

I pretty much tried everything to overcome my reflux nightmare.

I tried using 13 pillows. Then I bought one of those "hospital beds" that adjust so your head is propped up all the time.

Then, a miracle happened.

One night, I really slept good. I didn't have any reflux! But I couldn't figure out... why!

So I back-tracked, and the only thing I could remember doing before going to bed was eating an apple! So, I started doing some experiments with different brands of apples... and discovered...

There was one specific brand of apple that helped me completely wipe out my reflux!

I started taking apples with me everywhere I went. And I found out I didn't need to eat an entire apple... just one slice would do the trick.

So, with the apple, I had a reflux remedy (hence, the name of my website)... but not a full-fledged cure (since I still needed to take apples with me everywhere I went).

About a year ago, my son & I decided we wanted to share this remedy with people on the internet, so we setup this website and wrote a report. That report is called the Heartburn & Acid Reflux Remedy Report.

At first, the report contained just my "apple remedy"... but now, after doing a lot more research, and getting a TON of feedback from other reflux sufferers,

I have released an entirely new & improved version of our report... that has more than just a remedy, but a cure!

That's right, our new report explains how you can cure your acid reflux, heartburn, bile reflux, esophageal reflux, and even hiatal hernia, using one of three different safe, natural remedies that we have discovered.

These three natural remedies have been proven to work thousands of times by our customers... quickly (within minutes), safely (no side effects), and without drugs!

We have taken the all of our research and put it into a report that you can order and read on your computer just minutes from right now...

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hiatal hernia : What can you tell me about hiatal hernia?

2006-05-30T01:11:00.000-07:00

Q: What can you tell me about hiatal hernia?

A: The diaphragm is a muscular sheet that separates the chest cavity (containing the heart, lungs, esophagus and other organs) from the abdominal cavity (containing the stomach, large and small intestine and other organs). A hiatal hernia refers to the abnormal passage of a portion of the stomach upward into the chest through a hiatus (opening) in the diaphragm.

The vast majority (about 90 percent) of hiatal hernias are of the so-called "sliding" type, in which a portion of the stomach passes upward into the chest through an opening that the esophagus normally passes through on its downward course to the stomach. A sliding hernia tends to move in and out of the thoracic cavity across the diaphragm, although the diaphragm itself is normal.

Sliding hernias are of particular importance because they are associated with gastroesophageal reflux (the passage of acid- containing stomach contents into the esophagus). This causes a burning sensation in the area of the heart and behind the breastbone (sternum), a feeling commonly referred to as "heartburn." However, not all persons with hiatal hernias have reflux; conversely, not all individuals with reflux have sliding hiatal hernias.

The key to treatment of hiatal hernia is to prevent the reflux of gastric acid contents into the esophagus. In most cases, this can be accomplished medically without the need for surgery.

Reflux of gastric contents into the esophagus is greatly enhanced by increased pressure within the abdomen. Consequently, tight belts, pants, corsets and pantyhose should be avoided; an obese patient is strongly encouraged to lose weight. It is important to avoid large meals, not lie down or bend over immediately after eating and refrain from eating for a few hours before bedtime. A person with symptomatic hiatal hernia should sleep with the head of the bed elevated four to six inches (using a wedge under the mattress), so that the force of gravity helps keep stomach acid away from the hernia.

It is best to avoid certain foods (dietary fat, chocolate, peppermint, acidic juices, carbonated beverages and caffeine) as well as tobacco and alcohol.

Antacids (taken in relation to meals and especially at bedtime) are usually quite effective in relieving the symptoms associated with reflux of gastric acid into the esophagus. Drugs that speed up emptying of the stomach or prevent reflux may also be of value.

Some persons with hiatal hernia and reflux have persistent or recurrent symptoms despite adequate medical therapy. In such cases, a surgical procedure may be necessary. The most popular of these is the Nissen fundoplication, in which the surgeon wraps the upper part of the stomach around the esophagus. A success rate of about 95 percent has been reported. Some minor complications such as difficulty swallowing or bloating usually improve over time in most people.

Virgil Williams and Ron Eisenberg are staff physicians at Highland General Hospital in Oakland. Please send questions to them in care of ANG, P.O. Box 10367, Pleasanton, CA 94588. Questions cannot be answered individually; however, some will be discussed in future columns.
Oakland Tribune, Jun 8, 2003
Provided by ProQuest Information and Learning Company. All rights Reserved.

Hiatal Hernia: a leading cause of allergies & chronic illness

2006-05-30T00:54:00.000-07:00

Editor:

In this update to my article on the Hiatal Hernia/Vagus Nerve Disorder Syndrome, (1) I will emphasize two new, related matters. One is a common, but serious additional stomach/esophagus anomaly that may actually be causing some of the problems attributed to the hernia itself. The second matter is a possible causative factor to this whole syndrome that is relatively unknown--the Esophageal Longitudinal Muscle Contraction!

The Lower Esophageal Sphincter, or Schatzki's Ring

As detailed in my earlier article, the Hiatal Hernia Syndrome can (eventually) cause serious illness including respiratory and cardiac symptoms, and appears to be present in most sufferers of food and chemical allergies. (2) But some of these complaints may be caused by the so-called Schatzki's ring, and not the hernia itself. You can have either condition and not the other, or you may have both--as is common. Schatzki's ring is a disorder of the Lower Esophageal Sphincter (LES). The LES acts like a valve between the esophagus and the stomach. Schatzki's ring may be thought of as a hardened, thickened, multi-fold, scar-type tissue. If this ring is present, the LES does not function properly. It may be open when it should be closed--causing reflux (GERD); or it may be closed when it should be open. The latter condition can then lead to food being trapped above the ring. There may be constriction. Trapped food or spasms of the esophagus can then cause serious problems including breathing difficulty (asthma, etc.) and tachycardia and other arrhythmias. The LES (Shatzki's) Ring (as well as an Hiatal Hernia) shows up on X-ray (upper GI series) or during an endoscopy (EGD). Thus it is important to have either test if you have stomach complaints or food or even chemical or electromagnetic sensitivities. As stated in my previous article, once the Vagus nerve is under- or over-excited, the entire body is in great imbalance, and almost any organ can malfunction as many visceral organs are innervated by a branch of the Vagus (Para-sympathetic) Nerve. Also this can make the person sensitive to any environmental factor as well as possibly deplete or weaken the adrenal glands, thyroid or liver.

Some foods are more likely to get trapped (stuck) at the LES Ring, if present. These include breads and fibrous (tough) meats. Dry foods (like bread) can be a problem, but wheat, beef (or other) allergy may also be a factor. (Or this may be a purely mechanical problem, or contain elements of both allergy and mechanical anomalies.) "Steakhouse Syndrome" is the nickname Emergency Room personnel have given this syndrome when people come in with "high" anxiety, or respiratory or cardiac, or cardiac-like symptoms due to trapped food at the Lower Esophageal Sphincter. Steaks and bagels seem to be the worst, but any hard food or even drug or vitamin tablets or capsules can also get stuck! The person likely has some occasional swallowing difficulties. Foods may need to be pureed in advanced cases. Peristalsis is impaired in those with Schatzki's Ring. In the E.R., sometimes an emergency endoscopy and food or tablet removal has to be performed. Endoscopic stretching of the ring is also standardly recommended whenever Schatzki's Ring is found and when the person also has any swallowing difficulty or other complaints described above. This is facilitated by a choice of instruments inserted into the esophagus, including a balloon, telescoping device, or Bougie. Breaking (stretching) the ring is supposed to be a simple, relatively riskless procedure. Many people report great improvement in their health after this. The downside is that many of these people report that it only lasts six months to a year. Some people get it done every year.
Townsend Letter for Doctors and Patients, Jan, 2004 by Steven Rochlitz

hiatal hernia : hiatal hernia

2006-05-29T22:43:00.000-07:00

hiatal hernia Definition

A hiatal hernia is an abnormal protrusion of the stomach up through the diaphragm and into the chest cavity.
Description

A hiatal or diaphragmatic hernia is different from abdominal hernias in that it is not visible on the outside of the body. With a hiatal hernia, the stomach bulges upward through the esophageal hiatus (the hole through which the esophagus passes) of the diaphragm. This type of hernia occurs more often in women than in men, and it is treated differently from other types of hernias.

hiatal hernia Causes & symptoms

A hiatal hernia may be caused by obesity, pregnancy, aging, or previous surgery. About 50% of all people with hiatal hernias do not have any symptoms. For those who do have symptoms, they include heartburn, usually 30-60 minutes after a meal, or mid-chest pain due to gastric acid from the stomach being pushed up into the esophagus. The pain and heartburn are usually worse when lying down. Frequent belching and feelings of abdominal fullness may also occur.

hiatal hernia Diagnosis

The diagnosis for a hiatal hernia is based on a person's reported symptoms. The doctor may then order tests to confirm the diagnosis. If a barium swallow is ordered, the person drinks a chalky white barium solution, which will help any protrusion through the diaphragm to show up on the x ray that follows. Currently, a diagnosis of hiatal hernia is more frequently made by endoscopy. This procedure is done by a gastroenterologist (a specialist in digestive diseases). During an endoscopy the person is given an intravenous sedative and a narrow tube is inserted through the mouth and esophagus, into the stomach where the doctor can visualize the hernia. The procedure takes about 30 minutes and may cause some discomfort, but usually no pain. It is done on an outpatient basis.

hiatal hernia Treatment

Dietary and lifestyle adjustments to control a hiatal hernia include:

* Avoiding reclining after meals.
* Avoiding spicy foods, acidic foods, alcohol, and tobacco.
* Eating small, frequent, bland meals to keep pressure on the esophageal sphincter.
* Eating a high-fiber diet.
* Raising the head of the bed several inches with blocks to help both the quality and quantity of sleep.

Visceral manipulation, done by a trained therapist, can help return the stomach to its proper positioning. Deglycyrrhizinated licorice (DGL), helps balance stomach acid by improving the protective substances that line the stomach and intestines and by improving blood supply to these tissues. DGL does not interrupt the normal function of stomach acid.

hiatal hernia Allopathic treatment

There are several types of medications that help to manage the symptoms of a hiatal hernia. Antacids are used to neutralize gastric acid and decrease heartburn. Drugs that reduce the amount of acid produced in the stomach (H2 blockers) are also used. This class of drugs includes famotidine (sold under the name Pepcid), cimetidine (Tagamet), and ranitidine (Zantac). Omeprazole (Prilosec) is not an H2 blocker, but is another drug that suppresses gastric acid secretion and is used for hiatal hernias. Another option may be metoclopramide (Reglan), a drug that increases the tone of the muscle around the esophagus and causes the stomach to empty more quickly.

hiatal hernia Expected results

Hiatal hernias are treated successfully with medication and diet modifications 85% of the time. The prognosis remains excellent even if surgery is required in adults who are otherwise in good health.

hiatal hernia Prevention

Some hernias can be prevented by maintaining a reasonable weight, avoiding heavy lifting and constipation, and following a moderate exercise program to maintain good abdominal muscle tone.
Gale Encyclopedia of Alternative Medicine. Gale Group, 2001.

Sinful Salmon Chowder

2006-05-18T01:15:00.000-07:00

Total decadence--so intense, so aromatic, so beautiful in the dish--and downright aphrodisiac with all that fennel. Why complicate it with anything more that salad, bread, and a fruit dessert? Thanks to Jerry Newman for the inspiration. Serve hot as a meal to 4 people.
4 Tablespoons butter
1 large onion, cut into a medium dice
1 large fennel bulb, cut into a medium dice
4 garlic cloves, cut into chunks
12 mushrooms, thickly sliced
4 Tablespoons flour
5 cups fish or seafood stock
1 pound salmon fillets, skin removed (with one smooth slice of a boning knife while you're holding one end of the skin) and cut into bite-size pieces
3 cups heavy cream
salt and pepper to taste
2 Tablespoons cognac
Garnish: minced fennel fronds

Melt the butter in a large saucepan over low heat, stir in the onion, fennel, and garlic, cover, and sweat the vegetables for 5 minutes. Turn up the heat to medium and add the mushrooms, frying them for about 5 more minutes. Then reduce the heat and stir in the flour (adding more butter, if necessary, to dissolve the flour); cook for a minute or two to lose the rawness of the flour. Whisk in the stock, let the soup thicken a bit, then add the salmon pieces, cover, and cook for 5 minutes. Stir in the heavy cream and bring just to a boil. Season to taste with salt and butter. Hold on simmer until ready to serve.

When ready to serve, stir in the cognac, ladle into large bowls, garnish with minced fennel fronds, and guiltily carry to table.

ALGERIAN: Jary

Make Your AMD-Powered PC the Centerpiece of Your Home Stereo System

2006-05-14T21:33:00.000-07:00

An AMD-powered system can be the centerpiece of your home stereo system.

Play your CDs and digital music files through headphones, speakers, or your home stereo system. Download and burn to CD or DVD your favorite songs or full albums. Build a high-capacity digital jukebox, complete with creative playlists and exciting party mixes.

How does AMD64 technology make your digital home stereo better?

AMD Cool’n’Quiet™ technology allows an “always on” PC to be friendlier to the living environment, producing less noise and less heat.
Enhanced Virus Protection* offers built-in anti-virus security advantages.
HyperTransport™ technology delivers out-of-the-ordinary system performance for multimedia.

Copyright 2006 Advanced Micro Devices, Inc.

ROULETTE EQUIPMENT

2006-05-08T21:06:00.000-07:00

There are two styles of Roulette Wheels. The "American" wheel which has 36 numbers plus the 0 and the 00. The French or European wheel, has 36 numbers and only a single 0. The latter is found mostly in European and South American casinos and is seldom seen in this The United States. Most players and croupiers believe that the numbers 1 through 35 are arranged on the rim of the wheel in a haphazard manner, except that the red and black numbers alternate. There is nothing haphazard about the arrangement! An attempt has been make to alternate low, high, odd and even numbers, as well as the red and black colors, in such a way that each group of numbers, and each color is spaced out in a mathematically balanced fashion. A perfect mathematical balance is not possible, since the sum of the numbers 1 through 36 is 666, and the 18 odd numbers add to only 342. In order to attain the best possible mathematical balance, roulette manufacturers use the following arrangement: The numbers 0 and 00 are directly opposite each other on the wheel head rim separated on each side by 18 numbers. The 0 pocket is between two black-numbered pockets and the colors alternate in both directions around the wheel, ending in two red pockets, one on each side of the 00. Odd numbers alternate with even numbers. In order to get the best possible distribution of high and low numbers, the sum of each two successive numbers of the same color must equal 37. There are two exceptions, the numbers 9 and 28 and the numbers 10 and 27 which are not the same color, as each pair is made up of a red and black number.

gaming@casinocom.com

Doc Chey's, the Ultimate Asian Noodle Diner

2006-05-08T01:34:00.000-07:00

ORLANDO, FLORIDA—Imagine walking into a dimly lit noodle diner with hip jazz music, flavors of sweet coconut, ginger and garlic drifting in the air and dozens of mini high definition TVs on the walls. No, it's not the set of Star Wars, but Doc Chey's Asian Diner. Doc Chey's Asian Diner opened in Orlando Florida in fall 2005 to the public's delight, introducing Pan-Asian food to the public and bridging culture gaps, one noodle at a time. What is most impressive is not only on the surface but the quality outside mirrors the quality inside each selection on the menu.

The current interest in casual dining is met at Doc Chey's by filling the demand in the Pan-Asian market. I'm an Asian culture explorer of sorts and the favors and style of Doc Chey mirror any cosmopolitan city hip diner. The menu boasts bold traditional favors from China, Japan, and Thailand. The health conscious menu guides you on a taste and sight journey of inviting textures and colorful well seasoned dishes. Salads, soups and entrees such as The Marco Polo harmonize firm shrimp, tomatoes, red peppers, greens, onions, eggplant and udon noodles in a zesty Thai sauce. The dishes are prepared and presented nobly. Calorie counters will be impressed by the selection, taste and health benefits Asian food offers. (This isn't medical advice so please consult your doctor or better yet, bring him/her to the restaurant for their opinion.)

I tried the daily special of Tilapia with Spicy Green Beans and Brown Steamed Rice. The thinly sliced, breaded fish was seasoned lightly and firmly laid on the vegetables, blanketing bright vibrant crisp steamed green beans with fresh minced garlic. The dish looked like a beautiful full moon eclipsing a bright sun. There are selections of green teas available to end the meal in a very satisfying way.

"I like the trendiness of Doc Chey's, the fast service and that it's guilt free healthy eating", said Danny Hernandez, President of A Slice Of New York & Borinquen Restaurant, on Doc Chey's opening day.

Established in 1997, starting as a noodle diner (see history at www.doccheys.com), now it sports seven diners in Atlanta, GA and Asheville, NC. Doc Chey's is a positive force in the restaurant industry that, "affects the quality of life" says COO Dick Rivera of Doc Chey's. Mr. Rivera was COO of Darden Restaurants and of T.G.I .Fridays. Other members of D.C.'s team are CEO/founder Rich Chey and John Metz, Jr. Metz will provide D.C.'s with culinary and operational direction. He is also co-owner of Aqua Blue Restaurant &Bar, Hi Life Kitchen & Cocktails.

Since joining D.C.'s Rivera finds a sense of immediacy in the hands on daily operation at Doc Chey's. He's proud that the customers will be making a good decision in visiting the restaurant. He says also that it seems people are looking for a void in a framented causal dining experience. He doesn't discount his past experience behind the "boardroom table" with the other companies but he is "having the most fun I had in a long time". I'm glad someone is having fun while serving good food.

It's refreshing to see how the ethnically diverse, multi tasking chef and servers and hosts and even the managers seem to flow and harmonize. I strongly encourage you to pick up your favorite chop sticks head to Doc Chey's to sit and relax in a cozy atmosphere of ambient music and good food and be part of something big, at Doc Chey's.

She Saves Shell Life by the Seashore

2006-05-02T22:20:00.000-07:00

Plenty of people fret over the future of the wolf and the tiger. But who speaks out for the univalve and the bivalve? What about the marsh periwinkle? The banded tulip? The Florida fighting conch and the Atlantic moon snail? Who's willing to put themselves on the line for these mysterious little creatures of the murky brine?

Not many.

Scarlet Colley--"the shell lady"--does, though, down on Texas's South Padre Island. And when people don't care to hear what she has to say, her ultra-broad-shouldered husband, George, all six feet, seven inches of him, is standing right there behind her.

"It's sometimes a good thing," drawls one Texas Parks and Wildlife Department official, "that he's there, too." Scarlet's voice isn't loud--but it is insistent.

Down the Gulf Coast, at the supersalty mouth of the Rio Grande, Scarlet and George decided a few years ago to look for an eco-friendly way to earn a living on the water. Since the region's bird-watching ranks among North America's best, the couple soon got themselves a small pontoon boat with comfy seats for only a few clients and a galley as bright and spiffy as a housewife's kitchen. It was a far cry from the shrimpers' boat George had grown up on.

Next, quicker than the blink of an eye, the couple found themselves booked up by clients seeking a low-key, high-quality birding experience. Always out on the boat, Scarlet began to track the comings and goings of the local life forms. Visiting dolphins soon acquired names, compliments of her vivid imagination. Birds with permanent roosts became the couple's rather more distant but equally delightful acquaintances. From time to time, Scarlet would scoop up an injured animal--an endangered brown pelican covered with oil, for example--and carry it to the rehab center at the Gladys Porter Zoo, an hour's drive away, over the bridge and across the causeway, down to Brownsville.

The Colleys also came to know the people who used the bay for recreational and commercial fishing. But eventually Scarlet started to notice something that bothered her. Some of these folks came to the same spot every day with empty five-gallon buckets.

One day, Scarlet looked inside. "They were collecting live shells," Scarlet says. "Not just one or two, but scads at a time." Not being shy, Scarlet asked why one woman needed so many shells.

"I've been doing this for 10 years," the woman said, "and I know there is no law against it."

by Wendy Williams

How to Develop the Self-Confidence"

2006-04-28T00:12:00.000-07:00

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with a Powerful Self-Confidence That Will Allow You
to Achieve Your Dreams and Goals!

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I was just more sure of myself and my abilities, I know I
could be successful?"

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been viewed more favorably than you at work because their
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can’t or won't?

If so, then this is the most important letter you will
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