A hiatal hernia is a condition in which upper part of the stomach pushes upward into the chest, through an opening in the diaphragm. A hiatal hernia is caused by weakening of muscles that surround the hiatus opening. You are more likely to develop a hiatal hernia if you smoke and are obese. The doctor may advise to you to limit or avoid caffeinated beverages if you have a large hiatal hernia with reflux.
Caffeine and Hiatal Hernia
Caffeine is a bitter substance found in coffee, tea, colas, chocolate, energy drinks and soft drinks. It stimulates the central nervous system and makes you more alert. Caffeine also causes increased production of stomach acid, which may worsen hiatal hernia symptoms. You are more likely to have heartburn if your stomach has excess hydrochloric acid. Limit or avoid caffeinated products.
Low-Fat Protein Drinks
Drink low-fat protein drinks instead of caffeinated beverages. Protein helps strengthen muscle tissue surrounding the hiatus opening, which prevents the stomach from bulging up through the diaphragm. Protein also strengthens the weakened esophageal sphincter muscle, which prevents it from opening spontaneously. Protein may also speeds healing of esophageal irritation caused by frequent heartburn.
Whole Grains, Fruits and Vegetables
High-fiber foods such as whole grains, fruits and vegetables help reduce hiatal hernia symptoms. Delayed-stomach emptying can cause increased heartburn. High-fiber foods help the stomach empty faster. Constipation and straining during bowel movement can also worsen hiatal hernia symptoms. Drink plenty of fluids to prevent constipation.
Foods to Avoid
Avoid irritating foods that trigger heartburn, such as spicy foods, citrus fruits, tomato-based foods, onions and peppermint, according to MayoClinic.com. Limit the amount of fatty foods you eat and sit up after you eat. Fatty foods increase stomach acid secretion, which worsens hiatal hernia symptoms. Limit or avoid alcohol. Alcohol can cause further irritation in the stomach and esophagus.


