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Hiatus hernia
Discussion in 'All Categories' started by Kaushal - Dec 23rd, 2023 7:30 pm.
I am suffering from hiatus hernia. What are the potential complications if hiatus hernia is left untreated
re: Hiatus hernia by Dr. B. S. Bhalla - Dec 23rd, 2023 7:45 pm
Dr. B. S. Bhalla
Dr. B. S. Bhalla
Hiatus hernia occurs when a portion of the stomach pushes through the diaphragm into the chest cavity. If left untreated, it may lead to various complications, including:

Gastroesophageal Reflux Disease (GERD): Hiatus hernia is often associated with GERD, a condition where stomach acid regularly flows back into the esophagus. Over time, this can lead to irritation and inflammation of the esophagus, causing heartburn and potentially more serious complications.

Esophagitis: Continuous exposure to stomach acid can lead to inflammation of the esophagus (esophagitis), which can cause pain, difficulty swallowing, and in severe cases, bleeding.

Barrett's Esophagus: In some cases, long-term irritation of the esophagus can lead to Barrett's esophagus, a condition where the normal esophageal lining is replaced by tissue similar to that found in the intestine. Barrett's esophagus is considered a precancerous condition.

Strictures: Chronic irritation and inflammation can lead to the formation of scar tissue, causing narrowing (strictures) of the esophagus. This can result in difficulty swallowing.

Respiratory Issues: Hiatus hernia may cause stomach acid to enter the lungs, leading to respiratory problems such as chronic cough, wheezing, or aspiration pneumonia.

Bleeding: Severe cases of esophagitis or complications like ulcers can result in bleeding, leading to anemia or, in rare cases, a life-threatening situation.
re: Hiatus hernia by Santu - Jan 27th, 2024 8:53 am
I am suffering from hiatus hernia. Are there any lifestyle changes or dietary adjustments that may help manage my condition?
re: Hiatus hernia by Dr. Bishal - Jan 27th, 2024 9:10 am
Dr. Bishal
Dr. Bishal
Hiatus hernia occurs when part of the stomach pushes through the diaphragm into the chest cavity. While lifestyle changes and dietary adjustments may not cure hiatus hernia, they can help manage symptoms. Here are some suggestions:

Dietary modifications:

Smaller, more frequent meals: Eating smaller meals throughout the day rather than three large meals may help reduce pressure on the stomach.
Avoid trigger foods: Identify and avoid foods that can trigger symptoms, such as spicy foods, fatty foods, chocolate, caffeine, and acidic foods.
Limit alcohol and carbonated beverages: These can contribute to acid reflux and irritation of the esophagus.
Avoid lying down after meals: Wait at least 2-3 hours after eating before lying down or going to bed.
Posture and body mechanics:

Maintain an upright posture: Sit or stand up straight to reduce pressure on the stomach.
Elevate the head of your bed: If you experience symptoms at night, raising the head of your bed by 6 to 8 inches may help prevent stomach acid from flowing into the esophagus.
Weight management:

Maintain a healthy weight: Excess weight can contribute to the development and exacerbation of hiatus hernia symptoms.
Quit smoking:

Smoking can contribute to acid reflux and may worsen symptoms, so quitting smoking is advisable.
Stay hydrated:

Drink plenty of water throughout the day, but try to avoid consuming large amounts of fluid during meals.

Over-the-counter antacids or medications that reduce stomach acid production may provide relief. However, it's crucial to consult with your healthcare provider before starting any medication.
Regular exercise:

Engage in regular, moderate exercise. However, avoid intense physical activity immediately after meals.
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