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Hiatal hernia

Alternative Names

Hernia - hiatal

Treatment

The goals of treatment are to relieve symptoms and prevent complications.

Reducing the backflow of stomach contents into the esophagus (gastroesophageal reflux) will relieve pain. Medications that neutralize stomach acidity, decrease acid production, or strengthen the lower esophageal sphincter (the muscle that prevents acid from backing up into the esphagus) may be prescribed.

Other measures to reduce symptoms include:

  • Avoiding large or heavy meals
  • Not lying down or bending over immediately after a meal
  • Reducing weight and not smoking

If these measures failure to control the symptoms, or complications appear, surgical repair of the hernia may be necessary.

Outlook (Prognosis)

Most symptoms are alleviated with treatment.

Possible Complications

When to Contact a Medical Professional

Call your provider if symptoms indicate you may have developed a hiatal hernia.

Call your provider if you have a hiatal hernia and symptoms worsen or do not improve with treatment, or if new symptoms develop.

References

Goldman L, Ausiello D.Cecil Textbook of Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier: 2007.

Review Date: 3/8/2008
Reviewed By: Christian Stone, MD, Division of Gastroenterology, Washington University in St. Louis School of Medicine, St. Louis, MO. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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