When a portion of the stomach comes up through the diaphragm, a hiatal hernia may occur. The hiatus is the small open portion where the esophagus travels through to the stomach. According to MayoClinic, most people do not know when they have a hiatal hernia because symptoms are rare. Symptoms of a larger hernia include heartburn, chest pain, belching and nausea. MedlinePlus states the goal of treatment is to prevent symptoms and complications from occurring.
Step 1
Decrease symptoms by taking medications. Begin with over-the-counter antacids and acid blockers. Common medications include calcium carbonate or magnesium carbonate. Examples of commonly known brands include Tums or Mylanta. Discuss taking stronger prescription drugs with your doctor.
Step 2
Lose weight, suggests MayoClinic.com. The decreased pressure of excess weight will reduce symptoms of a hiatal hernia. Participate in daily physical activity. Join a the local gym or find a walking partner. Avoid eating greasy, fatty foods.
Step 3
Reduce acid reflux associated with the hiatal hernia. Stop eating three to four hours before bedtime, advises the Cleveland Clinic. Eat meals in small proportions throughout the day. Avoid large meals. Sit up after a meal instead of lying down. Elevate the head of the bed by about six inches with wood blocks, suggests MayoClinc.com. Using pillows will not provide enough support while sleeping to decrease acid reflux.
Step 4
Opt for invasive surgery if medications or home remedies do not heal the hiatal hernia. According to the University of Maryland Medical Center, some patients choose surgery because they do not want to rely on medications to control the complications. Other patients must have surgery to prevent further complications such as ulcers. Discuss different options with your medical doctor. Surgery may involve removing the hernia sac or tightening the hiatus.
Tips and Warnings
- Wearing loose clothing may also increase comfort and prevent acid reflux. Avoid lying down for three hours after a meal.
- If you have been using antacids for two weeks or more seek medical attention. Working with a gastroenterologist is suggested by the National Digestive Diseases Information Clearinghouse. Complications of a hiatal hernia include aspiration, gastric strangulation as well as slow bleeding or anemia.
Things You'll Need
- Over-the-counter or prescription antacids and acid blockers
- Wood blocks or wedges
References
- MedlinePlus: Hiatal Hernia
- MayoClinic: Hiatal Hernia
- University of Maryland Medical Center: General Surgery
- University of Maryland Medical Center: Anti-flux surgery
- National Digestive Diseases Information Clearinghouse: Heartburn, Gastroesophageal Reflux (GER), and Gastroesophageal Reflux Disease (GERD)
