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
Tuesday, August 29, 2006
hiatal hernia : Epidemiology
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
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?
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
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
Wednesday, August 23, 2006
hiatal hernia : Causing Strain on Bowel or Kidneys
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
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
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
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
Tuesday, August 15, 2006
hiatal hernia : Heart Burn and Indigestion
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
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
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
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
Tuesday, August 08, 2006
hiatal hernia : Ways to Reduce Heartburn
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
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
Monday, August 07, 2006
hiatal hernia : Diet For Heartburn
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
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
Wednesday, August 02, 2006
hiatal hernia : What Are The Symptoms And How Does It Cause GERD?
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
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?
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
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
Sunday, July 30, 2006
hiatal hernia : Natural Treatment Options for Prostate Bph
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
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
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
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
Thursday, July 27, 2006
hiatal hernia : hitting the head on the nail
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
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
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
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
Wednesday, July 26, 2006
hiatal hernia : A New Approach in the Medical Treatment for Morgagni
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
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
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
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
Monday, July 24, 2006
hiatal hernia : Adjustable Beds - More Popular Than Ever
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.
Michael Russell Your Independent guide to Adjustable Beds
Article Source: http://EzineArticles.com/?expert=Michael_Russell
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.
Michael Russell Your Independent guide to Adjustable Beds
Article Source: http://EzineArticles.com/?expert=Michael_Russell
hiatal hernia : Heart Burn and Indigestion
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.
For more information about burn heart, indigestion and other digestive problems, visit www.digestive-disorders-guide.com.
Patsy Hamilton writes informational articles concerning heart burn and other digestive disorders for the Digestive Disorders Guide. Visit us at http://www.digestive-disorders-guide.com
Article Source: http://EzineArticles.com/?expert=Patsy_Hamilton
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.
For more information about burn heart, indigestion and other digestive problems, visit www.digestive-disorders-guide.com.
Patsy Hamilton writes informational articles concerning heart burn and other digestive disorders for the Digestive Disorders Guide. Visit us at http://www.digestive-disorders-guide.com
Article Source: http://EzineArticles.com/?expert=Patsy_Hamilton
Monday, July 17, 2006
hiatal hernia : Other types of hernia
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
Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc.
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
Wikipedia® is a registered trademark of the Wikimedia Foundation, Inc.
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