HIATUS HERNIA - types, causes, symptoms & Diet Management

A hiatal hernia is when stomach bulges up into chest through an opening in diaphragm, the muscle that separates the two areas.
The opening is called the hiatus, so this condition is called a hiatus hernia.
A hiatal hernia is when your stomach bulges up into your chest through an opening in your diaphragm.
Hiatal hernias happen more often in women, people who are overweight, and people older than 50.
Most people don’t notice symptoms of a hiatal hernia and don’t need treatment.
Doctors don’t know why most hiatal hernias happen, but some factors can increase your risk.
Most hiatal hernias aren't serious but some are.
Treatment for your hiatal hernia depends on your overall condition and the type of hiatal hernia you have.
Hiatal hernia surgery has a 90% success rate.

1. HIATUS HERNIA
Mrs. R.Subha,
Assistant Professor,
Department of Home Science

2. Hiatus Hernia
•GERD refers to regurgitation of acidic stomach
contents into the Oesophagus.
•Long/ Short term complications arise due to
GERD –increase the frequency/ severity of
this disease.
•Complications of clinical relevance is HIATUS
HERNIA.

3. •A hiatal hernia is when stomach bulges up into
chest through an opening in diaphragm, the
muscle that separates the two areas.
•The opening is called the hiatus, so this
condition is called a hiatus hernia.

4. Types
•Sliding Hiatal Hernias
•Paraesophageal Hiatal Hernias

5. Type I -Sliding Hiatal Hernias
–esophagus(foodpipe)usuallygoesthroughthehiatus
andattachestostomach.
–Butinaslidinghiatalhernia,stomachandthelower
partofesophagusslideupintochestthrough
thediaphragm.
–About95%ofallhiatalherniasarethistype.

6. Type II -Paraesophageal Hiatal Hernias
•more dangerous than sliding hiatal hernias -
esophagus and stomach stay where they should be,
but part of stomach squeezes through the hiatus to
sit next to your esophagus.
•stomach can become squeezed and lose its blood
supply.
•Doctor might call this a strangulated hernia.

8. DIGESTION PROCESS
https://www.youtube.com/watch?v=_T_vmcLyTzI

9. CAUSES
Increased pressure within theabdomencaused
by:
•Heavy lifting or bending over
•Frequent or hardcoughing
•Hard sneezing
•Violent vomiting
•Straining duringdefecation
•Obesityand age-related changes to the
diaphragm are also general risk factors.

10. SYMPTOMS
•Discomfort after heavy meal
•Difficulty in breathing while lying down and
bending over
•Sensation of heartburn and food sticking
•Chronic reflux of acid into the oesophagus,
causing injury and bleeding
•Anaemia/low RBC count
•Belching and hiccups

11. DIETARY RECOMMENDATION
•Eat smaller meals
•Reduce weight
•Avoid lying down immediately after meals
•Use antacids to relieve burning sensation
•Large/ sliding hernia may require surgical
treatment

12. CONCLUSION
•Incidenceofhiatalherniasincreaseswithage;
approximately60%ofindividualsaged50or
olderhaveahiatalhernia
•HiatalherniasaremostcommoninNorth
AmericaandWesternEuropeandrareinrural
Africancommunities.
•Somehaveproposedthatinsufficientdietary
fiberandtheuseofahighsittingpositionfor
defecationmayincreasetherisk

13. REFERENCES
•https://en.wikipedia.org/wiki/Hiatal_hernia
•https://www.webmd.com/digestive-
disorders/hiatal-hernia
•Ignou, MFN –005, Clinical and Therapeutic
Nutrition