According to every hiatal hernia doctor, hiatal hernias are a relatively common ailment that affects a significant number of individuals. Characterized by the protrusion of the upper part of the stomach into the chest cavity through the diaphragm, it can cause discomfort and various symptoms. However, fear not, for there are effective treatments available that can alleviate the symptoms and provide relief. From lifestyle modifications to medication options and surgical interventions, this article aims to explore the different avenues that patients can take to effectively manage hiatal hernia and regain their quality of life.
Here Are Some Suggestions From Hiatal Hernia Doctors
Medication
Antacids
Antacids are commonly used to relieve the symptoms of hiatal hernia, such as heartburn and acid reflux. These medications work by neutralizing the excess stomach acid, providing temporary relief. Antacids are available over-the-counter and are generally safe to use. However, it is important to follow the recommended dosage and consult with a healthcare professional if symptoms persist.
H2 Blockers
H2 blockers, also known as histamine-2 receptor antagonists, are another type of medication commonly used to treat symptoms of hiatal hernia. These medications work by reducing the production of stomach acid, thus providing relief from heartburn and esophageal reflux. H2 blockers are available both over-the-counter and in prescription strength. It is recommended to consult with a healthcare professional before starting H2 blockers, especially if you have any underlying medical conditions or are taking other medications.
Proton Pump Inhibitors
Proton pump inhibitors (PPIs) are a more potent type of medication commonly used to treat hiatal hernia symptoms. They work by reducing the production of stomach acid to provide long-lasting relief from acid reflux and heartburn. PPIs are usually taken once a day before breakfast and can be obtained with a prescription from a healthcare professional. It is important to use PPIs as directed and consult with a healthcare professional if any side effects occur.
Lifestyle Changes
Diet Modifications
Making changes to your diet can help manage the symptoms of hiatal hernia. Avoiding trigger foods such as acidic or spicy foods, caffeine, alcohol, and fatty foods can reduce the incidence of acid reflux. Incorporating more fiber-rich foods, lean proteins, and smaller, more frequent meals can also help regulate digestion and prevent discomfort.
Weight Management
Maintaining a healthy weight is important in managing hiatal hernia symptoms. Excess weight can put additional pressure on the stomach and contribute to acid reflux. Incorporating regular physical activity and following a balanced diet can help achieve and maintain a healthy weight, reducing the severity and frequency of symptoms.
Smoking Cessation
Smoking can worsen symptoms of hiatal hernia by irritating the lining of the esophagus and increasing stomach acid production. Quitting smoking is beneficial not only for overall health but also for managing hiatal hernia symptoms. Consult with a healthcare professional for guidance and support in quitting smoking.
Dietary Supplements
Ginger
Ginger has been used for centuries as a natural remedy for digestive disorders, including acid reflux. It is believed to have anti-inflammatory and soothing properties that can help reduce the discomfort associated with hiatal hernia. Ginger can be consumed as a tea, added to meals, or taken as a supplement. However, it is important to consult with a healthcare professional before starting any new supplements, especially if you are taking other medications.
Marshmallow Root
Marshmallow root is an herb that has been traditionally used to soothe and protect the lining of the esophagus and stomach. It forms a protective layer and reduces irritation, providing relief from acid reflux symptoms. Marshmallow root can be consumed as a tea or taken as a supplement. It is important to consult with a healthcare professional before using marshmallow root, especially if you have any underlying medical conditions.
Slippery Elm
Slippery elm is another herbal remedy that can help manage the symptoms of hiatal hernia. It forms a gel-like substance when mixed with water, which coats and soothes the irritated tissues of the esophagus and stomach. Slippery elm can be consumed as a tea, mixed with water, or taken as a supplement. As with any dietary supplement, it is important to consult with a healthcare professional before use.
Acupuncture
Traditional Chinese Medicine Approach
Acupuncture, an ancient practice originating from Traditional Chinese Medicine, can be used to manage the symptoms of hiatal hernia. According to Chinese medicine, hiatal hernia is seen as a disruption in the flow of energy, or qi, in the body. Acupuncture involves the insertion of thin needles into specific points on the body to restore the balance of qi and promote healing.
Stimulating Specific Points
During acupuncture sessions, specific points on the body, such as near the diaphragm or along the meridians related to digestion, may be targeted to alleviate symptoms of hiatal hernia. These points are believed to influence the functioning of the digestive system and promote relaxation. Acupuncture is typically performed by a licensed acupuncturist and may be used in combination with other therapies for comprehensive treatment.
Chiropractic Care
Spinal Manipulation
Chiropractic care can help alleviate the symptoms of hiatal hernia by focusing on the alignment and mobility of the spine. Spinal manipulation, also known as chiropractic adjustment, involves applying controlled force to specific joints or vertebrae to improve their alignment and restore normal movement. By addressing any misalignments or restrictions in the spine, chiropractors aim to relieve pressure on the stomach, reducing acid reflux.
Soft Tissue Therapy
In addition to spinal manipulation, chiropractors may use soft tissue therapy techniques to address hiatal hernia symptoms. This may include massage, stretching, or other manual therapies to alleviate muscle tension, improve circulation, and enhance the overall function of the digestive system. Chiropractic care can be a non-invasive and drug-free approach to managing hiatal hernia symptoms.
Surgery
Nissen Fundoplication
Nissen fundoplication is a surgical procedure used to treat severe cases of hiatal hernia, particularly when lifestyle changes and medication do not provide adequate relief. During the procedure, the upper part of the stomach is wrapped around the lower esophagus to strengthen the lower esophageal sphincter. This helps prevent acid reflux and reduces the herniation. Nissen fundoplication is usually performed using minimally invasive techniques, such as laparoscopy, which involve smaller incisions and faster recovery times.
Laparoscopic Repair
Laparoscopic repair is another minimally invasive surgical option for hiatal hernia treatment. This procedure involves using small instruments and a laparoscope (a thin, flexible tube with a camera) inserted through several small incisions to repair the hernia. The herniated tissue is pushed back into place, and the opening in the diaphragm is closed. Laparoscopic repair offers the benefits of reduced scarring, shorter recovery time, and less post-operative pain.
Endoluminal Techniques
Endoluminal techniques are newer surgical procedures that can be used to treat hiatal hernia. These techniques involve using an endoscope, a flexible tube with a light and camera, inserted through the mouth and into the esophagus. Special instruments are then used to repair the hernia from the inside, without making any external incisions. Endoluminal techniques are less invasive and may be suitable for certain patients who are not candidates for traditional surgery.
Physical Therapy
Postural Exercises
Physical therapy can be an effective non-surgical approach to managing hiatal hernia symptoms by improving posture and muscle balance. Postural exercises aim to correct alignment and strengthen the muscles that support the spine and diaphragm. These exercises can help reduce the pressure on the stomach and minimize acid reflux episodes.
Breathing Techniques
Certain breathing techniques, such as diaphragmatic breathing, can be taught by a physical therapist to help manage hiatal hernia symptoms. Diaphragmatic breathing involves breathing deeply into the stomach, using the diaphragm instead of shallow chest breathing. This technique can promote relaxation, improve digestion, and reduce the frequency and severity of acid reflux.
Muscle Strengthening
Physical therapy may also include exercises to strengthen the muscles of the abdomen, back, and pelvic floor. Strengthening these muscles can improve overall core stability, which in turn can support proper alignment, reduce strain on the diaphragm, and minimize hiatal hernia symptoms. A physical therapist can design a personalized exercise program based on individual needs and goals.
Deep Breathing and Relaxation Techniques
Diaphragmatic Breathing
Deep breathing exercises that focus on diaphragmatic breathing can be helpful in managing hiatal hernia symptoms. Practicing diaphragmatic breathing involves inhaling deeply through the nose, filling the lower abdomen with air, and then exhaling slowly through the mouth. This technique can promote relaxation, reduce muscle tension, and improve overall digestion.
Progressive Muscle Relaxation
Progressive muscle relaxation is a technique that involves systematically tensing and then relaxing different muscle groups to induce a state of deep relaxation. By releasing muscle tension, this technique can alleviate the discomfort associated with hiatal hernia symptoms. Progressive muscle relaxation can be learned through guided sessions, audio recordings, or with the help of a healthcare professional.
Meditation
Meditation is a practice that involves focusing the mind and entering a state of deep relaxation and awareness. Regular meditation can help reduce stress, promote emotional well-being, and improve overall health. By managing stress levels, meditation can indirectly contribute to the management of hiatal hernia symptoms.
Elevation of the Head While Sleeping
Using a Bolster or Wedge Pillow
Elevating the head while sleeping can help prevent stomach acid from flowing back into the esophagus, reducing acid reflux symptoms. Placing a bolster or wedge pillow under the head and shoulders can provide the necessary elevation and support. It is important to ensure that the upper body is adequately elevated without causing discomfort or strain.
Adjusting Bed Height
Alternatively, adjusting the height of the bed itself can also create a gentle incline that helps keep stomach acid down. Raising the head end of the bed by six to eight inches can be achieved by using bed risers or placing blocks under the bed frame. This method of elevation promotes better sleep quality and reduces symptoms of acid reflux.
Yoga and Stretching Exercises
Cobra Pose
Cobra pose, also known as Bhujangasana, is a yoga posture that helps stretch and strengthen the spine, abdominal muscles, and diaphragm. Performing this pose can help improve posture, promote digestion, and alleviate hiatal hernia symptoms. It involves lying on the stomach, placing the palms near the shoulders, and lifting the torso while keeping the lower body on the ground.
Cat-Cow Stretch
The cat-cow stretch is another yoga exercise that can benefit individuals with hiatal hernia. This gentle stretching sequence involves moving between a rounded back (cat) and an arched back (cow) position while on all fours. The cat-cow stretch helps to mobilize the spine, stretch the abdominal region, and promote proper alignment, reducing symptoms of hiatal hernia.
Bridge Pose
Bridge pose, or Setu Bandhasana, is a yoga posture that helps strengthen the abdominal muscles, stretch the chest, and open the hips. Engaging in this pose can help improve posture and digestion while reducing symptoms of hiatal hernia. Bridge pose is performed by lying on the back, bending the knees, and lifting the hips off the ground while keeping the feet grounded.
By combining different approaches such as medication, lifestyle changes, dietary supplements, alternative therapies, and specific exercises, individuals with hiatal hernia can find relief from symptoms and manage the condition effectively. It is important to consult with a healthcare professional to determine the most appropriate treatment plan based on individual needs and medical history. With proper care and management, individuals with hiatal hernia can lead a comfortable and fulfilling life.
This article is offered as educational only. Always talk with a doctor before making any decisions.