Hiatal Hernia 

WHAT YOU SHOULD KNOW

A hiatal (hi-A-tul) hernia occurs when a part of the stomach slides above the diaphragm (DIE-uh-fram), the thin muscle separating the stomach from the chest. This is a common problem and most people are not bothered by it. Your hernia may allow stomach acid to flow back into your esophagus (ee-sof-uh-gus), the tube that connects the mouth to the stomach. With time, the stomach acid may irritate your esophagus and cause problems. If this happens, you may need surgery to repair the hernia.

Causes

You can be born with a hiatal hernia or develop one when you are older. A trauma or surgery can cause the problem too.

Signs/Symptoms

The most common symptom is burning in your chest (heartburn), especially at night when you are lying down. Other possible signs include burping and trouble swallowing.

Care

Usually, treatment at home is all that's needed. Surgery is required only if your symptoms get worse.

WHAT YOU SHOULD KNOW

• You may use an over-the-counter antacid. Follow the directions on the label.
• Eat 6 small meals instead of 3 big meals. This keeps your stomach from getting too full. Eat slowly. Don't lie down for 2 or 3 hours after eating. Don't eat or drink anything 1 to 2 hours before going to bed.
• Avoid alcohol, caffeine beverages (colas, coffee, cocoa, tea), fatty foods, citrus fruits and other foods and drinks that seem to increase heartburn.
• To help prevent heartburn at night, place 4- to 6-inch blocks under the head of your bed. This will keep your head and esophagus higher than your stomach. If you can't use blocks, sleep with several pillows under your head and shoulders.
• Avoid bending over, especially after eating. Also avoid straining during bowel movements or when urinating or lifting things.
• Don't wear clothing that constricts the chest or stomach.
• Don't smoke. Smoking often causes the stomach to make more acid.
• If you are overweight, lose weight. Ask your doctor for a weight loss plan.

Call Your Doctor If...

• Your symptoms don't improve in a few days, or they get worse.
• You develop a high temperature.

Seek Care Immediately If...

• You vomit blood or have recurrent vomiting.
• You develop severe chest pain along with nausea, sweating, or shortness of breath.

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