Hiatal hernia: what treatment?
Besides the
existence of signs or complications of hiatus hernia requires no medical
treatment.
Dietary measures
The mainstay of
treatment of hiatal hernia is based on respect for lifestyle and dietary rules:
Supply
Split meals and
eat small amounts every time. Take small snacks to 10 hours and 16 hours.
The amount of
food for lunch must be reduced.
Stop
smoking, alcohol and any irritating diet.
Ensure
food intake regularly (at the same time) and avoid feeling hungry too long.
Take time to eat
quietly and slowly chew and chew food with their teeth before swallowing.
Do not drink too
much liquid during the meal.
Posture
Do not lie down
immediately after eating and avoid leaning forward especially after the meal:
wait at least 2 to 3 hours. It is also advisable to raise the upper body (about
10 cm) during sleep.
Avoid wearing
tight clothing (belt, tall ...)
Weight Limit
weight because being overweight increases the pressure in the stomach.
Avoid drugs
drugs that promote reflux and irritation of the mucous membranes (such as
aspirin and nonsteroidal anti-inflammatory)
Rest and
exercise
Ability to
manage stress and take time to rest. Being calm and ensure a soothing and
restful sleep.
Do not hesitate
to take advantage of relaxing massages and hot baths to relax.
Perform regular
(but low intensity) exercise to relieve tension and stress.
In case of
crisis: pain relief with antacids or gastric dressings.
Medical
treatment
The drugs are
used to fight against the pain. Their prescription will therefore be made to
the application. Do not resort to self-medication!
Inhibitors of
proton pump
Mode of Action
Against the reflux of gastric contents into the esophagus. Generally well
tolerated.
SecondairesDiarrhées
effects, headache, flatulence, rash, dizziness
Antacids
(aluminum salts, calcium, magnesium) ingested between meals
Mode of action
against the acidity and gastric secretion, against painful crises. Gastric
dressings
Side effects
diarrhea or constipation, nausea
Surgical
treatment: when to operate?
Surgery is done
primarily when the signs become severe, interfere and affect the patient's
quality of life.
The surgery is
to restore the cardia in place and tighten the hiatal opening. Sometimes the
surgeon decides the introduction of a surgical device or prosthesis for fixing.
Surgery is
indicated in most cases of hiatal hernia by rolling or when drug treatments are
not enough.
SHARE THIS POST
