- Regurgitation of food
- Difficulty in swallowing
- Chest or abdominal pain
- Feeling especially full after meals
A hiatus hernia occurs when weakened muscle tissue allows the stomach to bulge up through your diaphragm. The pressure on the stomach and age-related changes in the diaphragm may contribute to the formation of a hiatus hernia.
Tests and diagnosis :
- An esophagogram (barium swallow). During this procedure, patient drinks a chalky liquid containing barium that coats the upper digestive tract. This provides a clear silhouette of the esophagus, stomach and the upper part of the small intestine (duodenum) on an X-ray.
- Endoscopy. During an endoscopy exam, the doctor passes a thin, flexible tube equipped with a light and video camera (endoscope) down the throat of the patient and into the esophagus and stomach to check for inflammation.
- Manometry. During this test, a thin, pressure-sensitive tube (catheter) is passed through the nose, down through the esophagus and into the stomach. The catheter then measures pressure and movement inside the esophagus.
Treatments and drugs :
Most people with a hiatus hernia don't experience any signs or symptoms and won't need treatment. If one experiences signs and symptoms, such as recurrent heartburn and acid reflux, he/she may require treatment, which can include medications or surgery.
Medications for heartburn :
If patient experience heartburn and acid reflux, the doctor may recommend medications, such as Antacids that neutralize stomach acid, medications to reduce acid production, or medications that block acid production and heal the esophagus.
Surgery to repair a hiatus hernia :
Selfcare and home remedies :
- Eat several smaller meals throughout the day rather than a few large meals.
- Avoid foods that trigger heartburn, such as chocolate, onions, spicy foods, citrus fruits and tomato-based foods.
- Avoid alcohol.
- Eat at least two to three hours before bedtime.
- Lose weight if you're overweight or obese.
- Stop smoking.
- Elevate the head of your bed 6 inches (about 15 centimeters).