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(reply to jessica_122009)

Dear Jessica,

Hiatal hernias are usually treated only when there are symptoms. When GERD is present, the following measures may help:

Weight Loss

For people who are obese, losing weight may relieve symptoms.

Dietary Changes

Avoid foods that can relax the muscle that controls the opening between the esophagus and the stomach including:

  • Chocolate
  • Peppermint
  • Fatty foods
  • Coffee
  • Alcoholic beverages


Avoid foods and beverages that can irritate the internal lining of the esophagus, such as:

  • Caffeine
  • Citrus fruits and juices
  • Tomato products
  • Hot peppers
  • Carbonated beverages


To minimize acid reflux:

  • Consume smaller meals 4 to 6 times a day versus three large meals
  • Avoid drinking large amounts of fluids with meals
  • Do not eat within 2 to 3 hours of bedtime


Hope this helps,


December 17, 2011 - 2:13pm


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