A hiatal hernia is a condition in which the upper part of the stomach bulges through an opening in the diaphragm. The diaphragm is the muscle wall that separates the stomach from the chest. The diaphragm helps keep acid from coming up into the esophagus. When you have a hiatal hernia, it's easier for the acid to come up. The leaking of acid from the stomach into the esophagus is called gastroesophageal reflux (GERD). GERD may cause symptoms such as heartburn, problems swallowing, a dry cough and bad breath.
Hiatal hernias are common, especially in people over age 50. If you are symptoms of heatal hernias it is adviseable to reduce the portion of your food and also to take your food three hours before going to bed as this lessen reflux by allowing the acid in the stomach to decrease and the stomach to partially empty. Stop smoking and drinking alcohol. Hiatal hernia did not required treatment unless it is complication by Gerd.
Thursday, June 21, 2007
Wednesday, May 09, 2007
Hiatal hernia can be effectively cured by chaning our lifestyle
If you have been diagnosed with a hiatal hernia or finding that you have hiatal hernia symptoms it is best important to see your doctor or healthcare to determine the best treatment for you. Hiatal hernia is cause as our supportive and surrounding tissues is weakening due to advancing age, smoking and obeesity.
The symptoms of hiatal hernia are mostly heartburn, chest pain and difficulty in swallowing. These symptoms occur not as a direct result of the hiatal hernia itself but as a result of what the hernia allows…the backflow of food and stomach acid into the esophagus. Many people report an increase in symptoms when lifting heavy objects, lying down, leaning forward or straining. Hiatal hernia affects both sexes equally. Although it can occur at any age, the disorder has the highest incidence in elderly people. Hiatal hernia is also common in overweight people and in people who frequently sustain intense physical effort such as weight lifting.
Hiatal hernia can be effectively cured by chaning our lifestyle. The diet we daily take, avoid spispy and oily food, reduce or stop smoking and drinking hard liquors. Avoid heavy exercise such as weight lifting.
The symptoms of hiatal hernia are mostly heartburn, chest pain and difficulty in swallowing. These symptoms occur not as a direct result of the hiatal hernia itself but as a result of what the hernia allows…the backflow of food and stomach acid into the esophagus. Many people report an increase in symptoms when lifting heavy objects, lying down, leaning forward or straining. Hiatal hernia affects both sexes equally. Although it can occur at any age, the disorder has the highest incidence in elderly people. Hiatal hernia is also common in overweight people and in people who frequently sustain intense physical effort such as weight lifting.
Hiatal hernia can be effectively cured by chaning our lifestyle. The diet we daily take, avoid spispy and oily food, reduce or stop smoking and drinking hard liquors. Avoid heavy exercise such as weight lifting.
Tuesday, April 03, 2007
Hiatal hernia sometimes show no systoms
Hiatal hernia appears in the upper parts of the abdomen. A simple definition of hernia is that it is a disease that appears when a certain part of the body loses its resistance. If the muscles get weak and the abdominal pressure increases, eventually the hiatus will stretch so much that the upper part of the stomach will pass through it thus causing the hiatal hernia. Hiatal hernia doesn't cause any symptoms or trouble in the body, so in most cases people already suffer with the disease and don't even know about it until their are diagonise by the doctor.
There are two ways of repairing hiatal hernia. The first one is used for the simple hernias and is called herniorraphy. This procedure will make possible the return of the intestines to their proper place and a strengthening of the abdominal wall. For larger hernias hernioplasty is used. This procedure includes the usage of a plastic or steel mesh that is added to the abdominal wall. Best advise if you are suffering from hiatal hernia try to lose some weight and not to wear tight clothes.
There are two ways of repairing hiatal hernia. The first one is used for the simple hernias and is called herniorraphy. This procedure will make possible the return of the intestines to their proper place and a strengthening of the abdominal wall. For larger hernias hernioplasty is used. This procedure includes the usage of a plastic or steel mesh that is added to the abdominal wall. Best advise if you are suffering from hiatal hernia try to lose some weight and not to wear tight clothes.
Hiatal hernia sometimes never cause systoms
Hiatal hernia appears in the upper parts of the abdomen. A simple definition of hernia is that it is a disease that appears when a certain part of the body loses its resistance. If the muscles get weak and the abdominal pressure increases, eventually the hiatus will stretch so much that the upper part of the stomach will pass through it thus causing the hiatal hernia. Hiatal hernia doesn't cause any symptoms or trouble in the body, so in most cases people already suffer with the disease and don't even know about it until their are diagonise by the doctor.
There are two ways of repairing hiatal hernia. The first one is used for the simple hernias and is called herniorraphy. This procedure will make possible the return of the intestines to their proper place and a strengthening of the abdominal wall. For larger hernias hernioplasty is used. This procedure includes the usage of a plastic or steel mesh that is added to the abdominal wall. Best advise if you are suffering from hiatal hernia try to lose some weight and not to wear tight clothes.
There are two ways of repairing hiatal hernia. The first one is used for the simple hernias and is called herniorraphy. This procedure will make possible the return of the intestines to their proper place and a strengthening of the abdominal wall. For larger hernias hernioplasty is used. This procedure includes the usage of a plastic or steel mesh that is added to the abdominal wall. Best advise if you are suffering from hiatal hernia try to lose some weight and not to wear tight clothes.
Monday, February 12, 2007
Hiatal hernia may be the cause of our diets
Most people who suffer hiatal hernia has no symptoms. Hiatal hernia may be cause by previous surgery, aging, obesity or pregnancy. People with symptoms are heartburn or chest pain due to the gastric from our stomach being pushed up into the esophagus. Results to abdominal uncomfortable and regular belching.
Methods to avoid getting hiatal hernia is to avoid spicies, acidic and oily foods.
Alcohol and tobacco is bad for health and at the same time is parts of the causes of hiatal hernia. Try to chew your food to tiny piece before swallowing and eating more high fiber diet to protect from hiatal hernia.
Methods to avoid getting hiatal hernia is to avoid spicies, acidic and oily foods.
Alcohol and tobacco is bad for health and at the same time is parts of the causes of hiatal hernia. Try to chew your food to tiny piece before swallowing and eating more high fiber diet to protect from hiatal hernia.
Monday, January 08, 2007
Hernia is not a serious illness
Hernia is not a serious illness, but if do not go for early checked up or treated it can lead to serious complications and pain. Hernia can appear in different parts of the body, but the most common place where it is encountered is the abdomen.
The upper stomach and the end of the esophagus slip up through the hiatus because it has become weakened and this is how hiatal hernia appears and is called a sliding hiatal hernia. Most of the hiatal hernias that people suffer are sliding hiatal hernias, but other people might suffer from a different form hernia, called paraesophageal hernia, which is slightly more dangerous because the stomach can get strangled.
The upper stomach and the end of the esophagus slip up through the hiatus because it has become weakened and this is how hiatal hernia appears and is called a sliding hiatal hernia. Most of the hiatal hernias that people suffer are sliding hiatal hernias, but other people might suffer from a different form hernia, called paraesophageal hernia, which is slightly more dangerous because the stomach can get strangled.
Sunday, December 17, 2006
hiatal hernia contributes to the acid reflux
Some people with acid reflux have hiatal hernias and some do not. Hiatal hernias are not a pre-requisite for acid reflux, but a large amount of people with acid reflux DO have hiatal hernias. A hiatal hernia disrupts the location of the LES but due to the hiatal hernia the LES is pushed up and lies in the chest. This is a problem because the diaphragm is a large part of helping the LES to prevent reflux. Now the pressure of both the LES and diaphragm are not working as a strong unit. The hiatal hernia contributes to the reflux because of the decreased pressure.
Acid reflux can also be caused by a hiatal hernia due to the hernial sac. The location of the sac is near the esophagus. Acid gets trapped in the sac. Because the sac is so close to the esophagus, when the LES relaxes, it is easy to reflux.
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.
Monday, November 13, 2006
Hiatal hernia can cause acid reflux
Hiatal hernia can cause acid reflux in adults and is becoming common in the world of today. Eating spicy food may cause acid reflux and can also manifest itself as heartburn.
Looking after your diet intake is one best approaches of preventing acid reflux. avoild food that likly to cause acid reflux are spicy food, fatty fried food, coffee, chocolate onion and garlic.
Change your life style on your diet and drink and live a healhty life.
Looking after your diet intake is one best approaches of preventing acid reflux. avoild food that likly to cause acid reflux are spicy food, fatty fried food, coffee, chocolate onion and garlic.
Change your life style on your diet and drink and live a healhty life.
Tuesday, October 17, 2006
Smoking can lead to heartburn
People who experience chronic symptoms of burn heart indigestion have other more serious diseases which may not be relieved by changes in eating habits or lifestyle. These include acid reflux disease, hiatal hernia and diseases of the esophagus. In addition, any non-burning chest pain, pressure, heaviness or nausea associated with chest pain could be related to the heart, rather than the throat and stomach. It is important to err on the side of caution whenever chest pain is involved. It could be simple burn heart indigestion or something much more serious.
Tomatoes and citrus fruits are foods that cause heartburn in some people. These highly acidic foods can lead to excess stomach acid and may cause heartburn. The causes of heartburn vary from individual to individual. Some people are not bothered by tomatoes or oranges, but may be bothered by fried or spicy foods. It is sometimes necessary to keep a food diary to isolate the foods that cause heartburn in your own diet. You may notice that you only experience heartburn after eating Mexican or Italian foods.
Smoking can lead to heartburn. And, there are other more serious medical conditions that are causes of heartburn, particularly heartburn that is experienced frequently. Hiatal hernia is one example of a medical condition that often presents with frequent heartburn. If you experience heartburn once or more per week, you should have your symptoms evaluated by your physician to rule out the presence of another health problem.
It may not be necessary to remove all of the foods that cause heartburn from your diet. It may simply be a matter of eating less of them or eating them less often.
Tomatoes and citrus fruits are foods that cause heartburn in some people. These highly acidic foods can lead to excess stomach acid and may cause heartburn. The causes of heartburn vary from individual to individual. Some people are not bothered by tomatoes or oranges, but may be bothered by fried or spicy foods. It is sometimes necessary to keep a food diary to isolate the foods that cause heartburn in your own diet. You may notice that you only experience heartburn after eating Mexican or Italian foods.
Smoking can lead to heartburn. And, there are other more serious medical conditions that are causes of heartburn, particularly heartburn that is experienced frequently. Hiatal hernia is one example of a medical condition that often presents with frequent heartburn. If you experience heartburn once or more per week, you should have your symptoms evaluated by your physician to rule out the presence of another health problem.
It may not be necessary to remove all of the foods that cause heartburn from your diet. It may simply be a matter of eating less of them or eating them less often.
Thursday, October 05, 2006
Hiatal hernias people of all ages
Hiatal hernias may develop in people of all ages and both sexes, although it is considered to be a condition of middle age. In fact, the majority of otherwise normal people past the age of 50 have small hiatal hernias.
Hernia can be of the following types: Indirect, Direct, Inguinal, Obturator, Spigelian, Umbilical, Incisional and Femoral. Hernia can be caused by many factors. The main ones are obesity, coughing, weight lifting exercises, lung ailments, exertion of pressure on the abdomen during pregnancy and the presence of hernia in the umbilical cord which may then pass on to the baby.
Hernia can occur if anyone keeps on putting too much of strain on the bowel or the kidneys during bowel movement or urination during Straining during a bowel movement or urination. Moreover, hernia may take place if there is too much of fluid in the cavity that makes up the abdomen.
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.
Tuesday, September 26, 2006
Hiatal hernia common in overweight people
Most hernias occur in the abdominal area. Hiatal hernia appears in the upper parts of the abdomen, at the diaphragm. A simple definition of hernia is that it is a disease that appears when a certain part of the body loses its resistance, because it gets old in most cases, and another part of the body that is in contact with the first one slips through a small hole that appears in the first part. Depending on the body parts involved in this hernia can be divided into more types.
Hiatal hernia affects both sexes equally. Although it can occur at any age, the disorder has the highest incidence in elderly people. Hiatal hernia is also common in overweight people and in people who frequently sustain intense physical effort like weight lifting.
Uncomplicated hiatal hernia can be effectively cured by making lifestyle improvements. An appropriate diet and a healthy eating schedule have proved to be very effective ways of correcting hiatal hernia. Also, people who suffer from hiatal hernia are recommended to avoid weight lifting and straining in order to prevent complications.
Some people who suffer from hiatal hernia usually don’t have any symptoms at all. However, hiatal hernia can generate symptoms such as heartburn, abdominal pain and discomfort and nausea. Most people affected by hiatal hernia suffer from heartburn, which usually intensifies after meals. This common symptom of hiatal hernia occurs due to reflux of the stomach content inside the esophagus.
Hiatal hernia affects both sexes equally. Although it can occur at any age, the disorder has the highest incidence in elderly people. Hiatal hernia is also common in overweight people and in people who frequently sustain intense physical effort like weight lifting.
Uncomplicated hiatal hernia can be effectively cured by making lifestyle improvements. An appropriate diet and a healthy eating schedule have proved to be very effective ways of correcting hiatal hernia. Also, people who suffer from hiatal hernia are recommended to avoid weight lifting and straining in order to prevent complications.
Some people who suffer from hiatal hernia usually don’t have any symptoms at all. However, hiatal hernia can generate symptoms such as heartburn, abdominal pain and discomfort and nausea. Most people affected by hiatal hernia suffer from heartburn, which usually intensifies after meals. This common symptom of hiatal hernia occurs due to reflux of the stomach content inside the esophagus.
Friday, September 15, 2006
Children suffer from acid reflux
When you suspects that a child is afflicted with acid reflux, should have the child seen by his or her pediatrician. After examining the child and evaluating the symptoms, the doctor may run tests to diagnose whether acid reflux is present. Often, the doctor will begin treatment before testing for acid reflux.
Acid reflux is a condition normally associated with adults. Sadly, many children also suffer the effects of acid reflux.
Though quite common in children, most people are not aware of it's occurrence. In most cases, the process of gastro-esophageal reflux occurs quickly, the acid comes up into the esophagus and then rapidly goes back down into the stomach. In this case, the esophagus suffers no damage. However, if the stomach acid stays in the esophagus, it damages the esophagus lining. This process causes a number of symptoms such as a chronic cough, or a hoarse voice. More serious symptoms can include difficulty in swallowing, wheezing, and chronic pneumonia.
Hiatal hernia are also at a greater risk of developing acid reflux than those person who are not.
Acid reflux in children may manifest in frequent spitting, throwing up repeatedly, coughing and other respiratory problems. Children suffering from acid reflux may also experience weight loss.
Acid reflux is a condition normally associated with adults. Sadly, many children also suffer the effects of acid reflux.
Though quite common in children, most people are not aware of it's occurrence. In most cases, the process of gastro-esophageal reflux occurs quickly, the acid comes up into the esophagus and then rapidly goes back down into the stomach. In this case, the esophagus suffers no damage. However, if the stomach acid stays in the esophagus, it damages the esophagus lining. This process causes a number of symptoms such as a chronic cough, or a hoarse voice. More serious symptoms can include difficulty in swallowing, wheezing, and chronic pneumonia.
Hiatal hernia are also at a greater risk of developing acid reflux than those person who are not.
Acid reflux in children may manifest in frequent spitting, throwing up repeatedly, coughing and other respiratory problems. Children suffering from acid reflux may also experience weight loss.
Sunday, September 10, 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.
by 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.
by Michael Russell
hiatal hernia : Change Your Lifestyle and Control Hiatal Hernia
Hiatal hernia (often referred to as hiatus hernia) is the protrusion (or hernia) of the upper part of the stomach into the thorax through a tear or weakness in the diaphragm
Hiatal hernias may develop in people of all ages and both sexes, although it is considered to be a condition of middle age. In fact, the majority of otherwise normal people past the age of 50 have small hiatal hernias.
Lifestyle adjustments to control a hiatal hernia
If you're overweight, losing weight alone may relieve your symptoms.
If you smoke, quit.
Do not wear tight clothes around your chest or abdomen (belly). They put pressure on your stomach.
Elevate the head of your bed 6 inches by placing blocks under the bed frame. Gravity will help prevent stomach acid from moving up into your esophagus as you sleep. Using a foam wedge to raise your mattress also may help. Don't try to use pillows, which tend to increase pressure on your abdomen.
It is important to avoid large meals. Eating small, frequent, bland meals to keep pressure on the esophageal sphincter.
Do not eat for at least 2 hours before going to sleep.
Avoid spicy and acidic foods.
Do not bend over or lie down after eating.
By Uthkusa Gamanayake
Hiatal hernias may develop in people of all ages and both sexes, although it is considered to be a condition of middle age. In fact, the majority of otherwise normal people past the age of 50 have small hiatal hernias.
Lifestyle adjustments to control a hiatal hernia
If you're overweight, losing weight alone may relieve your symptoms.
If you smoke, quit.
Do not wear tight clothes around your chest or abdomen (belly). They put pressure on your stomach.
Elevate the head of your bed 6 inches by placing blocks under the bed frame. Gravity will help prevent stomach acid from moving up into your esophagus as you sleep. Using a foam wedge to raise your mattress also may help. Don't try to use pillows, which tend to increase pressure on your abdomen.
It is important to avoid large meals. Eating small, frequent, bland meals to keep pressure on the esophageal sphincter.
Do not eat for at least 2 hours before going to sleep.
Avoid spicy and acidic foods.
Do not bend over or lie down after eating.
By Uthkusa Gamanayake
Tuesday, August 29, 2006
hiatal hernia : Associated Diseases
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
Barrett’s oesophagus - 96% of Barrett’s oesophagus patients have a hiatus hernia3
Oesophageal adenocarcinoma - increase in risk x6 with hiatus hernia but no reflux and x8 if reflux as well.4
Management
Non-Drug Patients with hiatus hernia should be advised to avoid any factors likely to increase intra-abdominal pressure e.g. tight clothing, corsets.
Nocturnal symptoms may be helped by elevating the head of the bed to reduce postural reflux.
Weight loss should be advised in obese patients and patients who smoke and /or drink should be encouraged to stop.
Drugs Symptomatic relief may be gained by the use of alginates +/- use of proton pump inhibitors, although patients with hiatus hernia may require larger doses for symptom control.
Surgical The presence of a hiatus hernia is a marker for severe GORD .Patients with a hiatus hernia tend to have more severe symptoms and a poorer response to treatment, but it’s presence per se does not alter management strategies.
Indications for surgery in patients with severe GORD include:-
Patients who are unable to comply with therapeutic regimes
Patients who require high doses of drugs
Patients who wish to avoid lifelong medical treatment
The surgical procedure most commonly used involves mobilising the oesophagus in the thorax, bringing it down to restore the intra-abdominal portion and repairing the deficit (modified Nissen procedure).
Oesophageal lengthening combined with fundoplication may be performed during laparoscopic surgery.
Several novel endoscopic techniques have been used in the treatment of GORD with some success, but the results do not separate out patients with hiatus hernia.
Prognosis The majority of patients will gain symptomatic relief from medical or surgical intervention, although a few will go on to develop Barrett’s oesophagus or oesophageal adenocarcinoma.
© EMIS and Patient Information Publications 1997-2006
hiatal hernia : Epidemiology
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
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