Hiatus Hernia can be defined as displacement of a portion of the stomach through the opening in the diaphragm through which the oesophagus passes from the chest to the abdominal cavity.
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What are the types of hiatus hernia ?
There are 2 main types of hiatus hernia.
1. Sliding hiatus hernia :- It occur when the junction of the oesophagus and stomach, and part of the stomach protrude into the chest, when swallowing.
2. Rolling hiatus hernia :- This is sometimes called a para-oesophageal hiatus hernia by doctors. In this case, part of the stomach bulges into the chest out of the weakest part of the diaphragm, which is the oesophageal opening. The junction of the oesophagus and stomach stays down within the abdomen, and the top part of the stomach (the fundus) bulges up into the chest cavity. This type of hernia normally remains in one place, sitting next to the oesophagus, and does not move in or out when you swallow.
What are the Symptoms of Hiatus Hernia ?
Hiatus Hernia is characterised by pain in certain areas. The most common areas are behind the breast bone at the nipple level and lower, at the end of the breast one. Pain may also occur on the left chest and this is often mistaken for angina. Other symptom of Hiatus Hernia are heartburn, especially after a meal, a feeling of fullness and bloated ness, flatulence and discomfort on swallowing.
What causes a hiatus hernia?
Hiatus hernias can occur when there is weakening of the muscle tissue around the gap where the oesophagus passes through the diaphragm or where this gap is otherwise stretched. A number of factors appear to contribute to hiatus hernias developing including:
1. Hereditary factors
4. Sudden, hard physical exertion, such as lifting
5. A birth defect
6. Trauma or surgery to the abdominal area.
Hernias can be treated by using a few procedures. It is a lot easier to cure hernias in the initial stages than in the later stages. Smaller hernias are treated by holding them by tapes and bandages and also by certain medications and change in diet. Herniorrhaphy, a surgical method of removing hernia is supposed to be the best way of treating hernias. Laparoscopic hernia repair is a new method that is used to treat inguinal hernias and also if the hernias is recurring.
It is recommended to quit smoking because it increases acid reflux and decreases saliva production. Saliva helps protect the throat from stomach acid.
Avoid Caffeine and Alcohol
Caffeine increases the production of stomach acid. Also, avoiding caffeine can help a person get to sleep easier and get better quality rest. Avoiding caffeine may also relieve nervousness and mental stress. Alcohol both irritates the stomach and causes increased acid production.
A balanced diet can have a serious and fast effect on a hiatal hernia. First, a balanced diet helps with weight loss, and being overweight is one of the most significant causes of acid reflux. Avoiding fatty foods helps with weight loss, and it also helps in the short-term. Fatty foods take longer to digest and allow acid to sit in the stomach longer. Removing fatty foods from the diet results in less acid with less time in the stomach.
Eating More Small Meals and Fewer Large Meals
A person that eats six little meals instead of three big meals is just as satisfied and free of hunger, but doesn’t get full or bloated, which causes the stomach to expand into the chest.
Wear Loose Fitting Clothes
Tight clothes put pressure on the abdomen and can cause the stomach to push up into the chest.
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