How Does Hiatus Hernia Affect Digestion and Daily Activities?

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A hiatus hernia is a condition in which part of the stomach pushes up through the diaphragm into the chest cavity. This often causes significant discomfort and impacts digestion and daily activities. Understanding these effects can be crucial for those considering hiatus hernia surgery in Delhi.

Hiatus Hernia

Impact on Digestion

1. Acid Reflux and Heartburn:

  • The most common symptom associated with hiatus hernia is acid reflux, where stomach acid flows back into the oesophagus. This occurs because the hernia weakens the oesophagal sphincter, the muscle that usually prevents stomach contents from moving upward. Sufferers frequently experience heartburn, a burning sensation in the chest aggravated by lying down or bending over.

2. Difficulty Swallowing (Dysphagia):

  • As the hernia enlarges, it can constrict the oesophagus, making the passage of food and liquids more difficult. This can lead to a sensation of food being stuck in the throat and can affect nutritional intake.

3. Increased Burping and Bloating:

  • Hiatus hernia can disrupt the natural mechanisms that release gas from the stomach. This often results in uncomfortable bloating and frequent belching.

4. Changes in Bowel Movements:

  • Gastroesophageal reflux disease (GERD), commonly associated with hiatus hernias, can sometimes lead to either constipation or diarrhoea.

Effect on Daily Activities

1. Pain and Discomfort:

  • The physical discomfort from heartburn and acid reflux can limit activities, particularly those that involve bending over or physical exertion, which can exacerbate symptoms.

2. Sleep Disturbances:

  • Nighttime reflux is common in people with a hiatus hernia, as lying down can worsen the reflux and lead to significant sleep disruption. This can result in chronic fatigue and affect mental alertness during the day.

3. Eating Habits:

  • The discomfort associated with eating can lead individuals to alter their eating habits, sometimes leading to unhealthy weight loss or malnutrition. People may start avoiding foods that trigger reflux symptoms, such as spicy foods, tomatoes, chocolate, and caffeinated beverages.

4. Impact on Social Life and Wellbeing:

  • The symptoms of a hiatus hernia can affect social interactions and activities. People may avoid social dining situations to prevent or feel anxious about unexpected symptoms.

Management and Treatment

Lifestyle Modifications:

  • Adjustments such as eating smaller, more frequent meals, avoiding late-night meals, elevating the head while sleeping, and maintaining a healthy weight can significantly alleviate symptoms.

Medications:

  • Over-the-counter antacids, H2 blockers, or proton pump inhibitors can help manage symptoms by reducing stomach acid levels.

Conclusion

Hiatus hernia can profoundly impact digestion and daily activities, making management and treatment crucial. Lifestyle changes and medications are first-line treatments, but surgical intervention might be necessary for persistent symptoms that significantly impair quality of life. Consulting with a specialist in hiatus hernia surgery in Delhi can provide you with tailored advice and treatment options to manage this condition effectively.

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