Doctor insights on:
Diet For Hiatal Hernia Sufferers
Internal: A hiatal hernia is an internal condition where the upper portion of the stomach pushes through a weakness in the diaphragm muscle, and pushes up into the chest cavity. There are 2 main types of these hiatal hernias. Diagnose by x-ray or endoscopy. Medications to treat heartburn symptoms or surgical repair of the hernia can be treatment options. ...Read more
Refers to all the physical matter humans (like all living creatures) must take in on a recurring basis; only partially for energy. Like all life on planet humans are open systems which keep tearing down their structure & require intake of atoms/molecules from which to rebuild their structure. Intestinal lining cells replaced ~every 3 days. CaPO4 in bones ~every 6 years, ...Read more
Chewing food slowly:
If you have fod allergies, I would consider a "food diary" and note if certain foods cause your symptoms (bloating, reflux of sour liquids, foods that stick and then cause exces saliva). You might experience pain with swallowing.
I would chew your food well and to slow down. Enjoy the food and try to not talk too much while eating. ...Read more
None for hernia: A hiatal hernia is an anatomic abnormality where the opening in the diaphragm stretches out larger than normal, an the stomach physically gets sucked up in to the chest. Only the large ones are potentially dangerous. There is a lot of information about diets for gerd on the web, and at your primary care doctors office. ...Read more
As tolerated: It's unclear why you would have a tif procedure and a hiatal hernia repair instead of the standard fundoplication and hernia repair, but either way, your diet should be as tolerated. If the food or beverage are difficult to swallow, or make gerd symtoms worse, avoid that in the future. ...Read more
I am 40 just had a baby 5 months ago have a hiatal hernia and really bad acid reflux what would be a good diet to lose work?
Reflux diet: Typical foods that are known to lower the pressure in the valve between the esophagus and stomach causing more reflux are citrus, caffeine, chocolate, red sauce, an red wine/alcohol. Weight loss is more of a calorie intake issue. Hiatal hernia is no problem unless it is large. Hope this helps! ...Read more
Find out why this is: Work w/ an integrative doctor to find out why your body is responding like this. Try an elimination diet for a month, add back foods one at a time, one per week, keep a food and symptom diary. Many people are intolerant of gluten and dairy or something else and can feel much better when they identify what foods and stressors trigger attacks. Dgl (deglycyrrhizinated licorice) can help gasrtitis. ...Read more
I have a hiatal hernia. If I don't stick to a diet since I have bad acid reflux what will happen? Will I have to see my GI every year for a check up?
Check up: You should check up yearly. Your doctor will monitor your progress. If you have good control then perhaps no changes will be needed. As you age having a doctor who knows you well and can offer good advice is priceless. They can save you an operation or recommend an operation and save your life. That is what they try to do every day. ...Read more
If I get hiatal hernia repair and also want gastric sleeve surgery... does insurance ever let you forego the 6 months of dr-supervised diet?
Drs have done 4 endoscopies, I don't have hiatal hernia, if I don't take Nexium (esomeprazole) daily I feel horrible, I diet, what's wrong? Are there any surgerys to fix acid reflux?
Not normal.: C.difficile enterocolitis is a possibility. Often peri-operative antibiotics adversely affect the bacterial content of the colon resulting in an overgrowth of a bug called clostridium difficile. This causes inflammationc of the colon lining with resultant severe diarrhea. Stool culture is needed to make confirm the diagnosis. But if diagnostic tests are positive, vancomycin and/or Flagyl is used. ...Read more
I've been diagnosed with hiatal hernia, diffuse erosive gastritis, and h pylori infection. Are there other remedies aside fron the meds and diet?
Meds are better:
The conditions you describe are serious. Diet and over the counter meds may help some. However, the prescription medications - antibiotics and acid lowering mediations are safe and effective. They will help you and have very low side effects. Serious complications can occur from what you have. I'd recommend seeing a doctor again and do take the medications.
Feel better. Peter wilk, md. ...Read more
I am 34 and have a hiatal hernia. I drink alcohol occasionally. I watch my diet and exercise gas and bloating have increased. Why? Soothing remedies?
See your doctor: Increased gas and bloating are symptoms of malabsorption, generally. This can be multifactorial, i.e. Related to diet, stomach, gallbladder or pancreatic disease, or a host of other issues. Sometimes over the counter products containing mylicon can be of some help, but I would recommend a thorough evaluation with your primary doctor and perhaps upper endoscopy (egd). ...Read more
I have hiatal hernia/gerd (good diet +nexium 40mg).Was cleared by 2 cardiologists (ecg, echo...), but every night I get tight chest/breathing diff. Why?
Hole in diaphragm: The diaphragm is the muscle that separates the chest- from the abdominal cavity. Many structures have to go thru the diaphragm in order to enter into the abdominal cavity, including the esophagus, the aorta, and the vena cava. The hiatus is the hole in the diaphragm thru which the esophagus passes. This can enlarge, allowing the stomach to "yo-yo" up into the chest: this is called a hiatal hernia. ...Read more
Stretched diaphragm: There is normally a hole in the diaphragm through which passes the esophagus. The diaphragm separates the abdominal and chest cavities, and the chest cavity is like a vacuum. When the normal opening stretches out and becomes large enough, the stomach gets "sucked" into the chest slowly. Why some get this and others don't is largely a mystery. ...Read more
Unknown: The hiatus is the normal hole in the diaphragm muscle thru which the esophagus passes to go from the chest to the abdominal cavity. A hiatal hernia is an enlargement of this opening thru which the stomach can slip up into the chest. This is found in 15% of people & rarely causes symptoms. It is unclear if this develops before birth and/or develops in response to elevated abdominal pressure. ...Read more
Laparoscopic Surgery: A hiatal hernia is an enlargement of the normal hole in the diaphragm muscle thru which the esophagus passes to enter into the abdomen. A hiatal hernia may lead to gerd by virtue of the stomach yo-yo-ing up thru the hiatus into the chest. Surgical repair involves three key steps: return the stomach to the abdominal cavity, tighten the hole in the diaphragm, and create a new valve to rx reflux. ...Read more
X-RAY, Endoscopy, etc: A hiatal hernia is an enlargement of the hole in the diaphragm thru which the esophagus passes to enter the abdominal cavity. This commonly leads to the stomach "yo-yo-ing" up into the chest, which may cause gerd (reflux). This can be seen by ct scan and by upper endoscopy. ...Read more
C Gastroenterologist: If you are like most people, you are using "hiatal hernia" to mean gastroesophageal reflux disease (gerd). Proven rx include dietary changes, avoidance of caffeine, tobacco, and alcohol, wt loss, and acid-lowering meds. If your symptoms are bad at night, putting the head of the bed up on blocks helps, as does eating dinner early. If symptoms persist, it's best to see a GI dr (gastroenterologist). ...Read more
Hiatal hernia: Most commonly patients with hiatal hernias will experience symptoms of reflux such as heartburn and regurgitation if they have any symptoms at all. The vast majority of hiatal hernias encountered are small asymptomatic hernias that require no intervention. Only those hernias that are symptomatic should be treated. If surgery is required, it usually can be done laparoscopically. ...Read more
Doctor evaluation: The best "tests" are an evaluation and answering questions of possible symptoms by your doctor, such as food reflux into the throat, heartburn, feeling of food sticking when swallowed. Simple chest x-ray can be done, sometimes a ct scan, and likely best is a referral to a gastroenterologist for possible endoscopy procedure. ...Read more
Surgical repair: Not all hiatal hernias need to be repaired. The common type I hernia causes gerd, and is usually treated medically, but sometimes requires surgery because medecial therapy doesn't work. Type ii hernias usually require surgery if symptoms are present, because there is no effective medical therapy. Hiatal hernias are repaired laparoscopically, so most people tolerate surgery very well. ...Read more
Indirectly, at best.: A hiatal hernia, by definition, is an enlarged opening in the diaphragm muscle that separates the chest from abdominal cavity. It is often used interchangeably with gerd; while often both present, they are distinctly separate diseases. Exercise may indirectly help gerd by leading to weight loss but it will not improve the anatomical abnormality of a hiatal hernia. ...Read more