3 Methods Of Treatment Of Hiatal Hernia

When you swallow, food enters the stomach through the esophagus. The esophagus will carry food through a hole called a hiatus in the stomach. A hiatal hernia occurs when the upper part of the abdomen pushes into this hole and into the esophagus. Mild hernias generally do not cause many problems, and they may not be felt. However, a more severe hernia can push food and stomach acid into the esophagus, causing a burning sensation in the chest, itching, difficulty swallowing, or chest pain. [1] X Trusted Source Mayo Clinic Go to resources If you have been diagnosed with a hiatus hernia, there are many options for its treatment.

Diagnosing Hiatus Hernia

3 Cara untuk Merawat Hiatal Hernia

Ask your doctor about an esophageal exam. If you experience a burning sensation in your chest, burp, difficulty swallowing, or chest pain that may be caused by a hiatal hernia, ask your doctor to check it. To confirm the symptoms are actually caused by a hiatal hernia, and not just acid reflux, the doctor needs to look inside the abdomen. The doctor may perform an esophageal exam. In this test, you should drink a thick solution that contains barium. This solution will envelop the upper gastrointestinal tract in the body. Next, take an X-ray, and due to the presence of barium, the resulting pictures of the esophagus and stomach will be clearer.

In a hiatal hernia, there will be enlargement at the junction between the esophagus and the stomach.

3 Cara untuk Merawat Hiatal Hernia

Have an endoscopy. The doctor may also perform an endoscopic examination. In this examination, a small cable equipped with a camera and light (endoscope) is inserted into the esophagus into the esophagus and stomach. This tool will check for inflammation or abnormal tissue changes that indicate that the stomach is pushing towards the esophagus.

3 Cara untuk Merawat Hiatal Hernia

Get a blood test. To check for complications from a hiatal hernia, your doctor may check your blood. Acid reflux and symptomatic hiatal hernias can cause bleeding if the tissue becomes inflamed or irritated, and even rupture a blood vessel. Excessive bleeding can lead to anemia and low red blood cell counts. The doctor will take a small blood sample and send it to a laboratory to determine the number of red blood cells.

Lifestyle Changes

3 Cara untuk Merawat Hiatal Hernia

Quit smoking. A hiatal hernia can cause symptoms of acid reflux, so the first step in its treatment is to prevent acid reflux, reduce stomach acid production, and increase esophageal excretion. This can be done by reducing risk factors and lifestyle changes. Smoking can make your hiatal hernia symptoms worse. Research shows that smoking relaxes the sphincter , the group of muscles that surrounds the lower end of the esophagus, so the stomach can push into it. Sphincter pressure is useful to prevent stomach contents from rising back.

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Quitting smoking can be difficult. So talk to your friends, family, and doctor if you are seriously considering it. They can provide motivation and direction on treatment options to help you, such as medications, nicotine patches, nicotine gum, and other healthier options.

3 Cara untuk Merawat Hiatal Hernia

Avoid certain foods. Certain foods can cause stomach irritation and increase stomach acid production. Over time, this will affect the sphincter and lead to acid reflux and hernias. To prevent and control your symptoms, avoid or limit your intake of the following foods:

chocolate

Onions and garlic

Spicy food

Fatty foods such as fried foods

Orange fruit

Eating tomatoes

Alak

Peppermint or spearmint

Carbonated beverages such as soda

Dairy products such as milk and ice cream

coffee

3 Cara untuk Merawat Hiatal Hernia

Eat healthier foods. Aside from avoiding certain foods, there are also foods that can help you control the symptoms of hiatal hernia. Try to include healthier options for the stomach, such as lean meat, skinless chicken, low -fat red meat, ground turkey instead of ground beef, and fish. Low-fat cuts of beef include sampil, gandik, or hasluar. Low-fat pork chops include deep hash. You can also improve your diet by:

Bake or burn your food instead of frying it.

Remove the fat layer from the meat while cooking.

Try to avoid using spicy spices in cooking.

Eat low -fat dairy products, such as low -fat yogurt instead of ice cream.

Steaming vegetables with water instead of broth.

Limit the use of butter, oil, and cream sauces. Use cooking spray instead of lard when frying.

Choose low -fat or fat -free foods, rather than fatty foods.

3 Cara untuk Merawat Hiatal Hernia

Consider the influence of other diets. You need to consider a few other diet-related things while trying to treat a hiatal hernia. Read the ingredients or ingredient list when you buy groceries. If you are unsure whether a food product is triggering your symptoms, consider it before eating and compare your condition after eating. Also, try to eat smaller portions throughout the day, instead of eating large portions. That way, your stomach will digest more easily and won’t release more stomach acid as if you’re eating large portions.

Don’t eat too fast, as the effect is similar to eating large portions.

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3 Cara untuk Merawat Hiatal Hernia

Reduce the pressure in your stomach. Increased abdominal pressure can increase pressure in the sphincter , resulting in acid reflux or hernia. To reduce abdominal pressure, try not to force during bowel movements. If you have constipation or have difficulty with bowel movements, add fiber -rich foods such as fruits and cereals to your diet. Try not to lift heavy objects as this will put pressure on your abdomen and worsen your symptoms or cause a hernia.

Also try not to lie on your back or side after eating. When your stomach is full, lying down will only increase the pressure in that area.

3 Cara untuk Merawat Hiatal Hernia

Lose weight. Being overweight or obese can cause problems associated with hiatal hernia. Research shows that being overweight is a risk factor for a hiatal hernia. Try to walk about 30 minutes after eating to help with digestion and lose weight. Research shows that walking 30 minutes after eating will reduce more weight in a month than walking 1 hour after eating.

Gradually increase the intensity of your exercise. Perform cardio exercises such as running, jogging , jumping, and cycling to help burn more fat and calories.

If you exercise as well as change your diet to help cure your hernia, you are more likely to lose weight.

Drug Use

3 Cara untuk Merawat Hiatal Hernia

Use over-the-counter medications. There are a variety of medications you can use to help treat the symptoms of hiatal hernia, such as Promag, Mylanta, and Magasida that can be used before, during, or after meals to neutralize the acid in stomach. These drugs are available in the form of tablets, chewable tablets, or suspensions. You can also take H-2 receptor blocking drugs such as Zantac and Pepcid, which block receptors in the stomach and decrease acid production. The time it takes for this medicine to take effect is 30-90 minutes and can take up to 24 hours. You are advised to drink it before breakfast in the morning.

The mechanism of action of proton pump inhibitors such as Nexium and Prilosec is similar to that of H2 receptor blockers, primarily by blocking the acid -producing glands in the stomach. Take this medicine 30 minutes before breakfast in the morning.

All of the above medication options can be purchased without a prescription. Whatever medication you choose, remember to always follow the instructions for use on the packaging.

If symptoms persist, contact a doctor. Higher doses of prescription medications may be needed to relieve your symptoms.

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3 Cara untuk Merawat Hiatal Hernia

Understand the need for surgery. Although most patients with hiatus hernia can manage it through medications and lifestyle changes, there are some cases that require surgery. If complications occur from acid reflux, such as bleeding, ulcers, or complications in the airways, such as asthma, aspiration pneumonia, or chronic cough due to hiatal hernia, your doctor may recommend surgery.

A confined hernia is a hernia that causes the stomach to push to the side of the esophagus and not into it. Some patients with this hernia experience disturbances in abdominal movement or blood flow, resulting in perforation and tissue death. Boring causes a high mortality rate. To prevent this, surgeons will usually recommend surgery after the diagnosis is made.

3 Cara untuk Merawat Hiatal Hernia

Ask your doctor about the type of surgery. To treat a hiatal hernia, there are three types of surgery that may be needed. One of these is nissen fundoplication. In this method, the top of the hull is sewn 360 degrees. A hiatus passing through the esophagus will also be addressed. You may also need to have Belsey fundoplication, which is a 270-degree suture to the top of the abdomen to reduce flatulence and difficulty swallowing.

You may also need to have hill repair surgery . In this method, the upper part of the stomach before the esophagus is pulled back into the stomach, so that the antireflux mechanism is strengthened. Then, some surgeons tie the abdomen to prevent it from being pushed up again.

The choice of action is determined by the expertise and comfort of the surgeon performing it.

3 Cara untuk Merawat Hiatal Hernia

Learn more about surgery. The most common surgical procedure used to treat hiatal hernia is laparoscopy. The surgeon will use a camera cable to view the hernia and other cables to perform the operation. This procedure leaves fewer scars, and better results, as well as a faster recovery period than regular gastric surgery. The surgeon will make 3-5 small incisions in your abdomen. A thin camera wire called a laparoscope is inserted through one of these incisions, while surgical equipment is inserted through another.

The laparoscope is connected to a video monitor in the operating room. The surgeon will treat the stomach problem while watching the condition on the monitor.

This operation is performed on the patient under general anesthesia, so you can ‘t sleep and feel no pain. This operation usually takes 2-3 hours.

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