Hiatal hernias are usually treated only when there are symptoms. When GERD is present, the following measures may help:
For people who are obese, losing weight may relieve symptoms.
Avoid foods that can relax the muscle that controls the opening between the esophagus and the stomach including:
- Fatty foods
- Alcoholic beverages
Avoid foods and beverages that can irritate the internal lining of the esophagus, such as:
- 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
If you smoke, stop. Smoking weakens the lower esophageal sphincter, a muscle that controls the opening between the esophagus and the stomach.
Reduce Pressure on Your Abdomen
- Wear clothes and belts that are loose around your waist
- Avoid stooping or bending after meals, which puts increased pressure on the abdomen
Elevating the head of the bed on 6-inch blocks or sleeping on a specially designed wedge reduces heartburn. This position helps prevent stomach contents from refluxing backward into the esophagus.
Antacids can neutralize acid and temporarily relieve heartburn.
For chronic reflux and heartburn, several types of medications may be prescribed to reduce acid in the stomach. These include:
Surgery may be needed if:
- You have severe GERD symptoms that do not respond to other treatments.
- The hernia is at risk for twisting, which could cut off the blood supply to part of the stomach and cause that part to die.
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition. Copyright © 2019 EBSCO Publishing All rights reserved.