A hiatal hernia occurs when a portion of your stomach pushes through the small hole that is meant for your esophagus, or food tube. Running with a hiatal hernia may cause no problems or it may be very uncomfortable, especially if you experience acid reflux and heartburn. If you have been diagnosed with a hiatal hernia, talk to your doctor about your running regimen.
Symptoms
A small hiatal hernia usually doesn't cause problems and you might not even be aware that you have a hernia unless it is discovered by your doctor during another examination. A large hiatal hernia can cause heartburn, belching, chest pain and nausea. This is because food and stomach acid backs up into your esophagus. If you experience bothersome digestive symptoms during a run or at any other time, make an appointment to see your doctor.
Diagnosis and Treatments
If you have acid reflux that is making it difficult for you to run, your doctor might evaluate you for a hiatal hernia. Diagnosis requires an x-ray of your upper digestive tract or the use of a scope that allows the doctor see inside your digestive tract. A hiatal hernia doesn't usually require surgery unless it is very severe. Your doctor typically recommends antacids to control acid reflux and heartburn. Before you run, taking an antacid might prevent acid reflux.
Benefits of Running
Exercise is part of a healthy lifestyle and is beneficial for many adverse conditions, including hiatal hernias. Obesity is a risk factor for developing a hiatal hernia, according to MayoClinic.com. An aerobic exercise like running helps you reduce and maintain your weight, which might help control the bothersome acid reflux that occurs when you have a hiatal hernia. Another benefit of running is that it can reduce the stress in your daily life, possibly easing acid reflux.
Running Precautions and Guidelines
While running is beneficial when you have a hiatal hernia, it is also a vigorous exercise most likely to bring on acid reflux due to body jostling, according to a study published in the "Journal of the American Medical Association." To minimize acid reflux when you run, eat small meals before you exercise and avoid chocolate, citrus, peppermint, coffee, carbonated drinks and fatty and fried foods. Wear loose fitting clothing and avoid exercises before and after your run that put pressure on your abdomen, like sit-ups or abdominal crunches.
