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
Sunday, June 25, 2006
hiatal hernia : New Surgical Treatment
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
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
Wednesday, June 21, 2006
hiatal hernia : Are there different types of hiatal hernias?
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.
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
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
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
Friday, June 16, 2006
hiatal hernia : Screening and diagnosis
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
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
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
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
Friday, June 09, 2006
hiatal hernia : Hiatal Hernia
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.
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?
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/
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/
Monday, June 05, 2006
hiatal hernia ; Causes hiatal hernia
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
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
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
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
Friday, June 02, 2006
hiatal hernia : Definition
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
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,
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...
I want to help you end the suffering, the painful burning feeling in your chest, just behind your breastbone after eating, the burning sensation in your throat. I want to help stop your chest pains, your difficulty swallowing, and your sleepless nights because I've been there before...
And there's really no good reason you should be taking drugs, when you can be cured using a natural remedy!
by And there's really no good reason you should be taking drugs, when you can be cured using a natural remedy!
by Carl Forman , New Jersey
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...
I want to help you end the suffering, the painful burning feeling in your chest, just behind your breastbone after eating, the burning sensation in your throat. I want to help stop your chest pains, your difficulty swallowing, and your sleepless nights because I've been there before...
And there's really no good reason you should be taking drugs, when you can be cured using a natural remedy!
by And there's really no good reason you should be taking drugs, when you can be cured using a natural remedy!
by Carl Forman , New Jersey
Tuesday, May 30, 2006
hiatal hernia : What can you tell me about hiatal hernia?
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.
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
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
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
Monday, May 29, 2006
hiatal hernia : hiatal hernia
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.
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.
Thursday, May 18, 2006
Sinful Salmon Chowder
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
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
Sunday, May 14, 2006
Make Your AMD-Powered PC the Centerpiece of Your Home Stereo System
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.
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.
Monday, May 08, 2006
ROULETTE EQUIPMENT
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
gaming@casinocom.com
Doc Chey's, the Ultimate Asian Noodle Diner
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.
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.
Tuesday, May 02, 2006
She Saves Shell Life by the Seashore
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
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
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