What's a Hiatal Hernia?
An A Houston Reader's Guide To Be Friendly
Welcome to Gastrodoxs! Do you live in Houston, and have heartburn, chest pain or difficulty swallowing? You're not alone.
Many people wonder "What's a hiatal hernia?"In this hiatal hernia guide we're going to tell you in layman's language. You'll know what does a hiatal hernia are, that hiatal hernia impacts digestion, what causes it and how to treat it. You'll also hear from Dr. Bharat Pothuri, our digestive health expert in the local area and find helpful links from trusted sources, like Mayo Clinic, and the NIH.
Section 1: What is a Hiatal Hernia?
A hiatal hernia occurs when the upper part of your stomach pushes through that opening in your diaphragm (called your hiatus). Your diaphragm is a muscle that separates the chest from your belly. The esophagus (food pipe) goes through the hiatus and connect to your stomach.
Two Types of Hiatal Hernias:
- Hiatum sliding hiatal (most common)
- Paraesophageal hernia or "rolling"
What's a Sliding Hiaatal Hernia?
A sliding hiatal hernia occurs when the upper part of the gastrointestinal tract has slid and both the stomach and lower part of the esophagus have slid down (slipped) into the chest.
"In sliding hernias", says Dr. Pothuri, "the area where the esophagus joints the stomach suddenly moves above the diaphragm. This is often what causes reflux and heartburn to occur".
Section 2: Symptoms and Causes
It helps to have the help right at the earliest, you know the signs.
Common Symptoms:
- Heartburn or acid reflux
- Chest discomfort
- Feeling full quickly
- Trouble swallowing
- Belching, hiccups, or bloating
What Causes It?
- Diaphragm Muscles, Being Older And Getting Weaker
- Injury or trauma
- Abdominal pressure, caused by straining, coughing or vomiting
- Lifting heavy items incorrectly
- Obesity or pregnancy
"As we get older we can have weakening of tissues", explains Dr. Pothuri. That makes it easier for the stomach to slip upwards.
Section 3: How It Affects Digestion
A hiatal hernia changes the way that food and acid passes through your body.
Digestive Effects:
- Acid reflux Stomach Acid backs back up
- Esophagus inflammation From being constantly exposed to acids
- Slow emptying - Food stays for too long in the stomach
- Swallowing problems Passage becoming narrower so it is difficult to eat
When the stomach moves," says Dr. Pothuri, "it reduces the strength of the barrier to keep the acid in the place where it needs to be. That leads to irritation.
Section 4: How It's Diagnosed
Your doctor also may suggest that you have these tests to confirm that you have a hiatal hernia:
- Upper endoscopy (EGD) A small camera for checking your esophagus and stomach
- Barium swallow X-ray You drink liquid that tastes and smells like chalk to cause your digestive tract to show up
- Esophageal manometry Tests pressure and strength of your esophagus muscles
- 24-hour pH test Measures acid level in your esophagus
These tests give us an indication of the size and type of hernia and the extent of the reflux damage present.
Section 5: Symptoms of Hiatal Hernia and their Treatment
Lifestyle Tips:
- Eat small meals more often
- Avoid spicy food, fatty or acidic food
- Don't lay down for 2-3 hrs. after meals
- Raise the head of your bed
- Lose weight if needed
- Wear loose fitting clothes around the waist
Medications:
- Antacids (like Tums or Rolaids) to counter (neutralize) acid
- H2 blockers (ranitidine, famotidine) to reduce the acid
- Proton pump inhibitors (Omeprazole, Lansoprazole) To increased acid control
When Surgery Is Needed:
- Nissen fundoplication Wraps top of the stomach around esophagus
- LINX device Magnetic ring that is put around lower esophagus to stop reflux
"A majority of the people feel better with simple changes," says Dr. Pothuri. "We really look only at surgery when other treatments are not working."
Section 6: Table Sliding v/s para oesophageal hernias
| Feature | Sliding Hiatal Hernia | Paraesophageal Hernia |
| Position | Stomach and esophagus slip up against side of esophagus | Stomach rolls over beside esophagus |
| How Common | Very common (90% of cases) | Less common (10%) |
| Symptoms | Heartburn (reflux) | Chest pain(pressure), fullness |
| Risk of Complication | Low | Higher(may hamper the flow of blood) |
| Treatment | Medications, diet | Surgery is often required |
Section 7: How To Keep A Check On The Flare Ups
Daily habits to help reduce your symptoms:
- Avoid lifting heavy things
- Eat slow and take your time chewing your food
- Keep a diary of the foods which trigger your symptoms
- Be active with exercise - mild exercises
- Practice deep breathing or other ways of curbing stress
Section 8: Living with a Hiatal Hernia in Houston
Houston's weather and food can be tough on people with reflux. Here are local tips:
- Eat at restaurants that disser a milder food
- Order off tomato/less spicy meals
- Need help? Dr. Pothuri at Gastrodoxs special expertise care
- Join real-life support groups in the area, or on the web for lifestyle tips
Section 9: Expert Advice from Dr. Pothuri
"Hiatal hernias are very common says Dr. Pothuri. These are things that often cause reflux and chest discomfort, but we do have a lot of people who have mild cases of that. Real changes in diet and habits at the earliest possible time really can help. If you're not relieved of your symptoms visit with a GI doctor. We have lots of ways to help.
Final Thoughts
We hope this guide helped you understand what a hiatus hernia is, the effects it can have on your digestive health and essentially what to do next. If you're in Houston, and if you need help with hiatal hernia symptoms, then call Dr. Bharat Pothuri, and the team at Gastrodoxs. You do not have to live with discomfort get relief is not in your face.
