Living with a hiatal hernia is no easy feat. It often means that you have to re-organise your lifestyle and habits in order to accommodate the disease; but living with a hiatus hernia should not take over your life. Living with ‘Gastroesophageal Reflux Disease’ or ‘GERD’ may require some adjustments at first but with some sensible planning; you can manage the hiatal hernia very effectively, if you are prepared to follow a few rules.
Hiatal Hernia | An accurate diagnosis
There’s no point in guessing – the only way to find out whether you have a hiatal hernia is to see a doctor. The doctor will in turn give you a referral for an ‘Endoscopy’. This procedure is usually done under general anaesthetic and is an exploratory examination of your digestive tract from the mouth. The probe has a small camera attached to its tip, allowing the Gastroenterologist to see exactly what is happening inside your stomach and to make an accurate diagnosis. From there, a treatment plan is designed for you to enable you to live with a hiatal hernia.
Hiatal Hernia | Effective treatments
If you’ve been recently diagnosed with a hiatal hernia, here are some great ways to successfully manage your condition on a daily basis. If you’ve been living with GERD for a while, the following tips are great refresher ideas to better control the pain and heartburn associated with living with a hiatal hernia.
A hiatal hernia is a condition you may have to live with for many years, so it is best to be organised and to be consistent with your treatment from early on.
- Pain management
The pain of hernias can vary from being mild and occasional to being severe and intense all the time. Depending on the gravity of your hiatal hernia, you may be required to take prescription medications to alleviate the symptoms. These medications must be taken regularly and as prescribed. If you miss a tablet, the burning can cause great discomfort. So make sure that you always keep a couple of spare tablets with you, just in case.
Altering your lifestyle
- Food
The prospect of living with a hiatal hernia can be daunting. It can seem like the hernia is controlling you at times, and taking all the fun from life. For example, there are many foods you will have to do without for a while. Spicy food is definitely off the menu – at least until the hiatal hernia is under control.
Acidic food stuffs such as citrus fruits, tomatoes, chillies and other foods are proven to exacerbate the condition and increase the acid reflux. You may need to do a bit of research into which foods will agree and disagree with you.
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- Alcohol
Keep wine and other alcoholic beverages to a bare minimum. Over-indulging will irritate your hiatal hernia and the pain will not be worth it. Alcohol can be very acidic and can worsen the heartburn. Fizzy drinks should be avoided. Carbonated drinks create a lot of gas which when expelled by belching, causes an acidic reflux into the oesophagus.
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- Smoking
Smoking is not good for anybody, but for people living with a hiatal hernia, the chances of health complications are greatly increased. Smoking can aggravate the hernia to such a point, that it becomes ulcerated.
An ulcer is basically an open wound which can continue to enlarge, causing a great deal of problems and pain. Internal bleeding is a very real threat with a stomach ulcer and some ulcers bleed so severely, that sufferers require a blood transfusion to save their lives.
Once a hiatal hernia is ulcerated, it is very difficult to treat and heal. The heartburn is much more intense and long-lasting. Smoking will hinder the recovery process and it is in your best interest to quit smoking.
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- Sleeping
Many hiatal hernia sufferers dread going to sleep at night because of the burning sensation when they lie horizontally. You may find it much more comfortable to sleep propped up by pillows. This allows the gastric juices to settle and allows the hiatal hernia a few hours to repair itself. Doing this every night can make a big difference.
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- Antacids
Antacids are a hiatal hernia sufferer’s best friend. They come in liquid form or tablets/lozenges and are available from many shops. They are an indispensable quick-fix treatment and eases the heartburn fairly rapidly. Keep a few packets around the house, the office, the car, jackets etc… for when you need quick relief from the pain.
Hiatal Hernia | Finding alternatives
It’s important to be realistic about your condition and keep your hiatal hernia under control. This does not mean that you should live a limited life. Finding practical alternatives to the foods you can no longer eat is one the best way to treat a hiatal hernia. Write a list of everything you can eat and keep it handy, make a copy and keep it in your bag or car. It will be useful when you are shopping for food.
Hiatal hernias are very common and can occur in anybody from a newborn infant to the elderly; and many people cope with it very well.
Finding alternatives to regular habits is the key to living a full and enjoyable lifestyle whilst living with a hiatal hernia.

