Materiały źródłowe

• #1 Hiatal Hernia: What It Is, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia

  A hiatal hernia happens when the top of your stomach bulges through an opening in your diaphragm. Treatment is available for hiatal hernias that cause symptoms. […] Healthcare providers call this opening the esophageal hiatus, which is where the term, hiatal hernia, or hiatus hernia, comes from. […] Hiatal hernias are common, especially as you get older. […] Many people never have symptoms of hiatal hernias. But among those who do, the most common symptoms are related to chronic acid reflux (gastroesophageal reflux disease, or GERD). […] If your hiatal hernia never causes any symptoms, you might not need to treat it. But if it does, you can expect those symptoms to continue and possibly worsen. […] Your healthcare provider will thoroughly evaluate the nature of your hernia, your reflux and your symptoms to help determine the best long-term treatment approach for you.

• #2 Hiatal hernia – Symptoms and causes – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/symptoms-causes/syc-20373379

  A hiatal hernia occurs when the upper part of the stomach bulges through the diaphragm into the chest cavity. […] A small hiatal hernia usually doesn’t cause problems. You may never know you have one unless your healthcare team discovers it when checking for another condition. […] But a large hiatal hernia can allow food and acid to back up into your esophagus. This can cause heartburn. Self-care measures or medicines can usually relieve these symptoms. A very large hiatal hernia might need surgery. […] Make an appointment with your doctor or other healthcare professional if you have any lasting symptoms that worry you. […] Hiatal hernia care at Mayo Clinic.

• #3 Hiatal Hernia | Nurse Key

  https://nursekey.com/hiatal-hernia/

  Hiatal Hernia A hiatal hernia (hiatus hernia) occurs when a defect in the diaphragm permits a portion of the stomach to enter the chest. […] Hiatal hernias are typically asymptomatic. […] Because most hiatal hernias are asymptomatic, they are typically discovered as a secondary finding of barium swallow studies or tests conducted following the discovery of occult blood. […] Hiatal hernias especially paraesophageal hernias are more prevalent in females than in males. […] When a sliding hernia causes symptoms, the patient typically complains of heartburn, indicating an incompetent LES and gastroesophageal reflux. […] The patient history usually reveals that heartburn occurs from 1 to 4 hours after eating and is aggravated by reclining, belching, or conditions that increase intraabdominal pressure.

• #4 Nursing Care Plan for Hiatal Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-hiatal-hernia/

  Hiatal hernia is a common condition that requires careful nursing care to ensure optimal patient outcomes. As a nurse, understanding the specific nursing interventions and nursing care plans for hiatal hernia is essential. This blog post aims to provide a comprehensive guide on nursing assessment, diagnosis, planning, and complication management for patients with hiatal hernia. […] The primary goal of nursing care for hiatal hernia is to alleviate symptoms, promote healing, and prevent complications. By implementing a well-designed nursing care plan, nurses can provide holistic care that addresses the patients physical, emotional, and educational needs. […] Thorough nursing assessment is crucial for developing an effective care plan for patients with hiatal hernias. […] Develop nursing diagnoses that will guide your care plan based on the nursing assessment findings.

• #5 Hiatal Hernia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562200/

  Greater proficiency equips learners to collaborate effectively within an interprofessional team caring for patients with hiatal hernias, enhancing outcomes. […] The management of hiatal hernias depends on the type of hernia and the severity of the symptoms. […] The initial treatment given to a patient presenting with typical GERD symptoms in an outpatient setting includes a double dose of a proton pump inhibitor (PPI), which can be both therapeutic and diagnostic in that persistent symptoms often require a more extensive evaluation. […] The indications for surgical therapy have changed since the advent of PPIs. […] Individuals with evidence of severe esophageal injury, such as an ulcer, stricture, or Barrett mucosa, should be considered for surgical treatment. […] Current recommendations are for operative repair of all symptomatic paraesophageal hernias and completely asymptomatic large hernias in patients younger than 60 and otherwise healthy. […] Managing hiatal hernias and reflux requires an interprofessional team approach. […] The team should include primary care clinicians, radiologists, gastroenterologists, and surgeons.

• #6 Hiatal Hernia Repair – Hernia Care | UCLA Health

  https://www.uclahealth.org/medical-services/surgery/hernia-care/hernia-repair/hiatal-hernia-repair

  A hiatal hernia is different from other abdominal hernias in that the abdominal contents protrude into the chest cavity rather than to the outside world. […] Hiatal hernias are very common, especially in people over 50 years old. Symptoms may include reflux, chest pain, heartburn, or difficulty swallowing. […] The goals of treatment of hiatal hernias are to relieve symptoms and prevent complications. Reflux is often controlled effectively with medications that neutralize stomach acidity, decrease acid production, or strengthen the lower esophageal sphincter. If conservative measures fail to control the symptoms or if complications such as pulmonary (lung) aspiration, iron deficiency anemia (slow bleeding due to a large hernia), or strangulation of the hernia occur, surgical repair is indicated. Typically, this type of hernia is optimally repaired using laparoscopic techniques. We have extensive advanced laparoscopic expertise in all variations of hiatal hernias and will individualize treatment in conjunction with our expert team of gastroenterologists, radiologists, and pulmonologists.

• #7 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  This Hiatal Hernia care plan aims to educate nursing professionals on managing patients with a hiatal hernia. It will cover understanding the condition, identifying symptoms, and implementing appropriate interventions to ensure patient comfort and prevent complications […] Patient reports reduced symptoms of heartburn, regurgitation, or dysphagia. […] Effective management of lifestyle factors contributing to symptom exacerbation. […] Assess for Symptoms of Gastroesophageal Reflux Disease (GERD): Regularly assess the patient for symptoms such as heartburn, acid regurgitation, and chest pain. Rationale: Hiatal hernias are often associated with GERD, and recognizing these symptoms can aid in effective management of the condition. […] Educate the patient about lifestyle modifications, including dietary changes (avoiding large meals, spicy foods, caffeine, and alcohol), weight loss if overweight, and avoiding lying down immediately after meals. Rationale: These changes can reduce the frequency and severity of symptoms by decreasing abdominal pressure and preventing reflux.

• #8 Hiatial Hernia – Keck Medicine of USC

  https://www.keckmedicine.org/conditions/hiatial-hernia/

  Our specialists deliver focused care and innovative treatment options for managing hiatal hernias and improving your quality of life. […] Compassionate, Personalized Care for Hiatal Hernia […] Because hiatal hernia symptoms are similar to many other esophageal conditions, accurate evaluation is critical to ensure proper treatment. That is why it is important to seek care from a health care expert experienced in the complex diagnosis and treatment of esophageal disorders and other related conditions. […] Our doctors are leaders in research, providing you with compassionate care and access to advanced treatment therapies and the latest breakthroughs in surgical care. […] We serve as a referral center for complex gastroenterology and GI surgery issues that are not treated often in local hospitals. […] 97% of our procedures are performed with minimally invasive techniques.

• #9 01.03 Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/gi-01-03-hiatal-hernia

  Protrusion of stomach through the diaphragm into thorax. […] Caused by weakening of muscles in the diaphragm. […] Diagnosis: Barium swallow x-ray shows reflux into esophagus. […] Assessment: Heartburn, Regurgitation, Dysphagia, Hiccups, Belching, Fullness, Bowel sounds over chest. […] Therapeutic Management: Similar to GERD, Avoid medications that delay gastric emptying (anticholinergics), Antacids, H2 Receptor Antagonists, or PPIs if experiencing reflux, Weight loss can naturally improve hiatal hernia, Surgical Repair. […] Nursing Concepts: Comfort, Nutrition. […] Patient Education: Follow dietary instructions, Take medications as prescribed. […] Managing Hiatal hernias is very similar to GERD. […] We avoid anticholinergics because they slow down gastric motility and we want things moving forward.

• #10 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  This Hiatal Hernia care plan aims to educate nursing professionals on managing patients with a hiatal hernia. It will cover understanding the condition, identifying symptoms, and implementing appropriate interventions to ensure patient comfort and prevent complications […] Patient reports reduced symptoms of heartburn, regurgitation, or dysphagia. […] Effective management of lifestyle factors contributing to symptom exacerbation. […] Assess for Symptoms of Gastroesophageal Reflux Disease (GERD): Regularly assess the patient for symptoms such as heartburn, acid regurgitation, and chest pain. Rationale: Hiatal hernias are often associated with GERD, and recognizing these symptoms can aid in effective management of the condition. […] Educate the patient about lifestyle modifications, including dietary changes (avoiding large meals, spicy foods, caffeine, and alcohol), weight loss if overweight, and avoiding lying down immediately after meals. Rationale: These changes can reduce the frequency and severity of symptoms by decreasing abdominal pressure and preventing reflux.

• #11 Hiatal Hernia Symptoms + 5 Hiatal Hernia Natural Remedies – Dr. Axe

  https://draxe.com/health/hiatal-hernia/

  More severe symptoms can include: Bloody vomiting, Belching, gassiness, burping and flatulence after meals, Difficulty swallowing, Unexpected weight loss, Discomfort that worsens when bending over or laying down, Chronic coughing or throat irritation. […] Hiatal hernias occur when muscles surrounding the hiatus opening become weak and stop functioning properly. […] Risk factors associated with hiatal hernias include: High levels of inflammation, Eating a poor diet, Obesity or being overweight, Pregnancy, Chronic or strong coughing, Constipation, Genetic factors, Vomiting, Lifting heavy objects, Injury to the diaphragm or abdomen, Older age, Recovering from surgery of the abdomen. […] For decades researchers believed that GERD and hiatal hernias were practically the same thing. […] Not every person who has a hiatal hernia needs treatment, especially since most don’t experience symptoms or pain.

• #12

  https://www.advocatehealth.com/health-services/digestive-health-center/conditions-we-treat/hiatal-hernia

  Hiatal hernia is a condition where part of your stomach bulges upward through muscles that divide the chest and the abdomen (belly). Some people dont have symptoms, while some people do. Were here to help you manage symptoms and provide the treatment you need. […] Many people who have a hiatal hernia dont learn about it unless they have screening tests done because of concerns about their heart, lungs, or other body parts in that area. Others have a variety of symptoms including trouble swallowing, belching, chest pain, heartburn or fatigue. […] Several actions may help lessen the symptoms of a hiatal hernia. You can avoid substances that trigger symptoms for you. The following things are common triggers for hiatal hernia symptoms: Alcohol, Caffeine, Chocolate, Fatty foods, Peppermint, Tobacco.

• #13 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  Advise the patient to elevate the head of the bed by 6-8 inches and to avoid bending or stooping positions. Rationale: Elevating the head of the bed reduces the risk of acid reflux during sleep, and avoiding bending can prevent the increase in intra-abdominal pressure that can exacerbate symptoms. […] Monitor for signs of complications, such as gastrointestinal bleeding (indicated by black or tarry stools), severe pain, or vomiting. Rationale: Early identification and intervention for complications can prevent deterioration of the patient’s condition and prompt appropriate medical interventions. […] Encourage the patient to maintain regular follow-up appointments with their healthcare provider. Rationale: Regular monitoring allows for adjustments in treatment and early identification of potential complications.

• #14 Hiatal Hernia Nursing Care Plan

  https://rnspeak.com/hiatal-hernia-nursing-care-plan-risk-for-aspiration/

  Hiatal hernia results from the translocation of intra-abdominal contents from their usual position into the thorax. The symptomatology can range from just chest pain in the less severe types to respiratory and hemodynamic compromise resulting from strangulation in the advanced hernias. The acid may also cause ulcerations within the stomach that can bleed and lead to acute anemia and pain. […] A hiatal hernia may be responsible for intermittent bleeding from associated esophagitis, and erosions (Cameron ulcers), or a discrete esophageal ulcer, leading to iron-deficiency anemia. […] The client will be free of signs of bleeding in GI aspirate or stools, with stabilization of hemoglobin and hematocrit. […] Administer intravenous fluids or volume expanders, as indicated. Fluid replacement with isotonic crystalloid solutions depends on the degree of hypovolemia and duration of bleeding. The majority of gastric bleeding can be managed without transfusion of blood products. […] Administer medications as indicated. Sedatives and antianxiety agents may be used on occasion to reduce anxiety and promote rest, particularly in a client with an ulcer.

• #15 Nursing Care Plan for Hiatal Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-hiatal-hernia/

  Hiatal hernia is a common condition that requires careful nursing care to ensure optimal patient outcomes. As a nurse, understanding the specific nursing interventions and nursing care plans for hiatal hernia is essential. This blog post aims to provide a comprehensive guide on nursing assessment, diagnosis, planning, and complication management for patients with hiatal hernia. […] The primary goal of nursing care for hiatal hernia is to alleviate symptoms, promote healing, and prevent complications. By implementing a well-designed nursing care plan, nurses can provide holistic care that addresses the patients physical, emotional, and educational needs. […] Thorough nursing assessment is crucial for developing an effective care plan for patients with hiatal hernias. […] Develop nursing diagnoses that will guide your care plan based on the nursing assessment findings.

• #16 Hiatal Hernia.pptx

  https://www.slideshare.net/slideshow/hiatal-herniapptx/257865461

  I) Nursing Diagnosis Acute Pain May be related to Surgical repair Possibly evidenced by Change in facial expression in the child Irritability in infant Verbalization of pain Guarding behavior Crying, Moaning Refusal to move Desired Outcomes The client will express feelings of comfort and reduce pain as described using a pain scale. […] II) Nursing Diagnosis Deficient Knowledge May be related to Lack of knowledge about postoperative care Possibly evidenced by Request for information about activity allowed, wound care, diet, bathing, and comfort measures Desired Outcomes Parents will obtain knowledge about postoperative care.

• #17 Hiatal Hernia Nursing Care Plan – Risk For Aspiration | PDF | Gastroesophageal Reflux Disease | Vomiting

  https://www.scribd.com/doc/278704181/Hiatal-Hernia-Nursing-Care-Plan-Risk-for-Aspiration

  The client is at risk for aspiration due to gastric reflux. The short term goal is for the client to understand how to prevent aspiration after 2 hours of nursing interventions. […] The long term goal is for the client to fully understand and implement ways to prevent reflux and aspiration after 8 hours of interventions. Nursing interventions include assessing eating habits, monitoring weight, offering dietary changes, elevating the head of the bed, administering antacids, and providing education on eating smaller meals, fluids, posture, and avoiding tight clothing.

• #18 Nursing Care Plan for Hiatal Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-hiatal-hernia/

  Design a comprehensive nursing care plan that addresses the identified nursing diagnoses. […] Prompt recognition and management of complications are vital in hiatal hernia. […] With a well-developed nursing care plan, nurses can play a vital role in promoting the well-being of patients with hiatal hernias. By conducting a thorough nursing assessment, identifying appropriate nursing diagnoses, planning interventions, and effectively managing potential complications, nurses can enhance patient outcomes and contribute to their overall recovery and quality of life.

• #19 Nursing Care Plan for Hernia — JIET Hospital

  https://www.jiethospital.com/blog/nursing-care-plan-for-hernia

  A hernia occurs when an organ (fatty tissue) squeezes through a weak spot in the surrounding muscle and connective tissue. Common types of hernias include inguinal, femoral, umbilical, and hiatal hernias. Effective nursing care for hernia patients involves comprehensive assessment, precise diagnosis, and meticulous planning to ensure optimal recovery and prevent complications. […] The primary goals of nursing care for hernia patients include: […] Alleviating Pain and discomfort. […] Preventing complications such as strangulation or bowel obstruction. […] Educating patients about lifestyle modifications and preventive measures. […] Regularly evaluate the patients progress toward achieving the set goals. Assess pain levels, monitor for any signs of complications, and ensure the patient understands and adheres to the prescribed care plan. Adjust the care plan as needed based on the patients condition and response to treatment. […] At JIET Hospital in Jodhpur, Rajasthan, our skilled nursing team is committed to providing comprehensive care for hernia patients.

• #20 Hiatal Hernia Nursing Care Plan – Risk For Aspiration | PDF | Gastroesophageal Reflux Disease | Vomiting

  https://www.scribd.com/doc/278704181/Hiatal-Hernia-Nursing-Care-Plan-Risk-for-Aspiration

  The client is at risk for aspiration due to gastric reflux. The short term goal is for the client to understand how to prevent aspiration after 2 hours of nursing interventions. […] The long term goal is for the client to fully understand and implement ways to prevent reflux and aspiration after 8 hours of interventions. Nursing interventions include assessing eating habits, monitoring weight, offering dietary changes, elevating the head of the bed, administering antacids, and providing education on eating smaller meals, fluids, posture, and avoiding tight clothing.

• #21 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  This Hiatal Hernia care plan aims to educate nursing professionals on managing patients with a hiatal hernia. It will cover understanding the condition, identifying symptoms, and implementing appropriate interventions to ensure patient comfort and prevent complications […] Patient reports reduced symptoms of heartburn, regurgitation, or dysphagia. […] Effective management of lifestyle factors contributing to symptom exacerbation. […] Assess for Symptoms of Gastroesophageal Reflux Disease (GERD): Regularly assess the patient for symptoms such as heartburn, acid regurgitation, and chest pain. Rationale: Hiatal hernias are often associated with GERD, and recognizing these symptoms can aid in effective management of the condition. […] Educate the patient about lifestyle modifications, including dietary changes (avoiding large meals, spicy foods, caffeine, and alcohol), weight loss if overweight, and avoiding lying down immediately after meals. Rationale: These changes can reduce the frequency and severity of symptoms by decreasing abdominal pressure and preventing reflux.

• #22 Hiatal Hernia Nursing Care Plan – Risk For Aspiration | PDF | Gastroesophageal Reflux Disease | Vomiting

  https://www.scribd.com/doc/278704181/Hiatal-Hernia-Nursing-Care-Plan-Risk-for-Aspiration

  The client is at risk for aspiration due to gastric reflux. The short term goal is for the client to understand how to prevent aspiration after 2 hours of nursing interventions. […] The long term goal is for the client to fully understand and implement ways to prevent reflux and aspiration after 8 hours of interventions. Nursing interventions include assessing eating habits, monitoring weight, offering dietary changes, elevating the head of the bed, administering antacids, and providing education on eating smaller meals, fluids, posture, and avoiding tight clothing.

• #23 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  This Hiatal Hernia care plan aims to educate nursing professionals on managing patients with a hiatal hernia. It will cover understanding the condition, identifying symptoms, and implementing appropriate interventions to ensure patient comfort and prevent complications […] Patient reports reduced symptoms of heartburn, regurgitation, or dysphagia. […] Effective management of lifestyle factors contributing to symptom exacerbation. […] Assess for Symptoms of Gastroesophageal Reflux Disease (GERD): Regularly assess the patient for symptoms such as heartburn, acid regurgitation, and chest pain. Rationale: Hiatal hernias are often associated with GERD, and recognizing these symptoms can aid in effective management of the condition. […] Educate the patient about lifestyle modifications, including dietary changes (avoiding large meals, spicy foods, caffeine, and alcohol), weight loss if overweight, and avoiding lying down immediately after meals. Rationale: These changes can reduce the frequency and severity of symptoms by decreasing abdominal pressure and preventing reflux.

• #24 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  This Hiatal Hernia care plan aims to educate nursing professionals on managing patients with a hiatal hernia. It will cover understanding the condition, identifying symptoms, and implementing appropriate interventions to ensure patient comfort and prevent complications […] Patient reports reduced symptoms of heartburn, regurgitation, or dysphagia. […] Effective management of lifestyle factors contributing to symptom exacerbation. […] Assess for Symptoms of Gastroesophageal Reflux Disease (GERD): Regularly assess the patient for symptoms such as heartburn, acid regurgitation, and chest pain. Rationale: Hiatal hernias are often associated with GERD, and recognizing these symptoms can aid in effective management of the condition. […] Educate the patient about lifestyle modifications, including dietary changes (avoiding large meals, spicy foods, caffeine, and alcohol), weight loss if overweight, and avoiding lying down immediately after meals. Rationale: These changes can reduce the frequency and severity of symptoms by decreasing abdominal pressure and preventing reflux.

• #25 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  Advise the patient to elevate the head of the bed by 6-8 inches and to avoid bending or stooping positions. Rationale: Elevating the head of the bed reduces the risk of acid reflux during sleep, and avoiding bending can prevent the increase in intra-abdominal pressure that can exacerbate symptoms. […] Monitor for signs of complications, such as gastrointestinal bleeding (indicated by black or tarry stools), severe pain, or vomiting. Rationale: Early identification and intervention for complications can prevent deterioration of the patient’s condition and prompt appropriate medical interventions. […] Encourage the patient to maintain regular follow-up appointments with their healthcare provider. Rationale: Regular monitoring allows for adjustments in treatment and early identification of potential complications.

• #26 01.03 Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/gi-01-03-hiatal-hernia

  Weight loss tends to help the stomach fall back into place. […] In terms of repair, sometimes it can be corrected with a simple endoscopy, but usually it requires surgical intervention. […] When it comes to nursing care, our big priorities are decreasing their pain and dealing with their nutritional restrictions. […] We want to teach them not to lie down within an hour or two of eating. […] On the same lines, we can encourage them to elevate their head while sleeping. […] When it comes to nutrition, we want to encourage smaller meals, and smaller bites! […] Patients need to eat less, eat slower, and eat smaller bites. […] We also encourage them to avoid too much straining or vigorous exercise. […] Keep in mind your priority nursing concepts for a patient with a Hiatal Hernia are going to be comfort and nutrition. […] We manage this similarly to GERD by giving medications to decrease the acid in the stomach and we have surgical options to repair the hiatal hernia, like a nissen fundoplication. […] We also want to encourage them to keep their head elevated for at least an hour after eating.

• #27 Hiatal Hernia.pptx

  https://www.slideshare.net/slideshow/hiatal-herniapptx/257865461

  A hiatal hernia occurs when part of the stomach bulges through an opening in the diaphragm. […] Nursing care focuses on pain management, education, and preventing acid reflux. […] Advise the patient about preventing reflux of gastric contents into esophagus by: Eating smaller meals to reduce stomach bulk. Avoiding stimulation of gastric secretions by omitting caffeine and alcohol, which may intensify symptoms. Refraining from smoking, which stimulates gastric acid secretions. Avoiding fatty foods, which promote reflux and delay gastric emptying. Refraining from lying down for at least 1 hour after meals. Losing weight, if obese. Avoiding bending from the waist or wearing tight-fitting clothes. […] Advise the patient to report health care facility immediately at onset of acute chest pain may indicate incarceration of paraesophageal hernia. Reassure patient that he or she is not having a heart attack, but all instances of chest pain should be taken seriously and reported to the patients health care provider.

• #28 Hiatal hernia – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/diagnosis-treatment/drc-20373385

  Our caring team of Mayo Clinic experts can help you with your hiatal hernia-related health concerns […] Hiatal hernia care at Mayo Clinic […] Most people with a hiatal hernia don’t experience any symptoms and won’t need treatment. If you experience symptoms, such as frequent heartburn and acid reflux, you may need medicine or surgery. […] Sometimes a hiatal hernia requires surgery. Surgery may help people who aren’t helped by medicines to relieve heartburn and acid reflux. Surgery also may help people who have complications such as serious inflammation or narrowing of the esophagus. […] Making a few lifestyle changes may help control the symptoms caused by a hiatal hernia. Try to: Eat several smaller meals throughout the day rather than a few large meals. Don’t eat foods that trigger heartburn. These include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Avoid lying down after a meal or eating late in the day. Maintain a healthy weight. Stop smoking. Elevate the head of your bed 8 inches (20 centimeters).

• #29

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2946

  A hiatal hernia occurs when part of the stomach bulges into the chest cavity. […] A hiatal hernia may allow stomach acid and juices to back up into the esophagus (acid reflux). This can cause a feeling of burning, warmth, heat, or pain behind the breastbone. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Change your eating habits. It’s best to eat several small meals instead of two or three large meals. […] If you get heartburn at night, raise the head of your bed 15 to 20 centimetres (6 to 8 inches) by putting the frame on blocks or placing a foam wedge under the head of your mattress.

• #30 Hiatal Hernia: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.hiatal-hernia-care-instructions.ut2946

  A hiatal hernia occurs when part of the stomach bulges into the chest cavity. […] A hiatal hernia may allow stomach acid and juices to back up into the esophagus (acid reflux). This can cause a feeling of burning, warmth, heat, or pain behind the breastbone. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor if you think you are having a problem with your medicine. […] Change your eating habits. It’s best to eat several small meals instead of two or three large meals. […] If you get heartburn at night, raise the head of your bed 6 to 8 inches by putting the frame on blocks or placing a foam wedge under the head of your mattress. […] Call your doctor now or seek immediate medical care if you have new or worse belly pain. […] Watch closely for changes in your health, and be sure to contact your doctor if you have trouble or pain swallowing.

• #31 Hiatal Hernia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562200/

  Greater proficiency equips learners to collaborate effectively within an interprofessional team caring for patients with hiatal hernias, enhancing outcomes. […] The management of hiatal hernias depends on the type of hernia and the severity of the symptoms. […] The initial treatment given to a patient presenting with typical GERD symptoms in an outpatient setting includes a double dose of a proton pump inhibitor (PPI), which can be both therapeutic and diagnostic in that persistent symptoms often require a more extensive evaluation. […] The indications for surgical therapy have changed since the advent of PPIs. […] Individuals with evidence of severe esophageal injury, such as an ulcer, stricture, or Barrett mucosa, should be considered for surgical treatment. […] Current recommendations are for operative repair of all symptomatic paraesophageal hernias and completely asymptomatic large hernias in patients younger than 60 and otherwise healthy. […] Managing hiatal hernias and reflux requires an interprofessional team approach. […] The team should include primary care clinicians, radiologists, gastroenterologists, and surgeons.

• #32 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  Educate the patient on the importance of adhering to prescribed medications. Rationale: Consistent medication use is crucial in managing symptoms and preventing complications of hiatal hernia. […] Teach and encourage the practice of stress management techniques such as deep breathing exercises, meditation, or yoga. Rationale: Stress can exacerbate symptoms of hiatal hernia and GERD, so managing stress levels can be beneficial in symptom management. […] Refer the patient to a dietitian for personalized dietary advice. Rationale: A dietitian can provide tailored recommendations to help manage symptoms and maintain a healthy weight, which is important in the management of hiatal hernia.

• #33 Hiatal hernia – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/diagnosis-treatment/drc-20373385

  Our caring team of Mayo Clinic experts can help you with your hiatal hernia-related health concerns […] Hiatal hernia care at Mayo Clinic […] Most people with a hiatal hernia don’t experience any symptoms and won’t need treatment. If you experience symptoms, such as frequent heartburn and acid reflux, you may need medicine or surgery. […] Sometimes a hiatal hernia requires surgery. Surgery may help people who aren’t helped by medicines to relieve heartburn and acid reflux. Surgery also may help people who have complications such as serious inflammation or narrowing of the esophagus. […] Making a few lifestyle changes may help control the symptoms caused by a hiatal hernia. Try to: Eat several smaller meals throughout the day rather than a few large meals. Don’t eat foods that trigger heartburn. These include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Avoid lying down after a meal or eating late in the day. Maintain a healthy weight. Stop smoking. Elevate the head of your bed 8 inches (20 centimeters).

• #34 Hiatus hernia | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/hiatus-hernia/

  Lifestyle changes and medication are the preferred treatments, although surgery may be used as an alternative to long-term medication, or if other treatments are ineffective. […] There are several things you can do yourself to help relieve symptoms of GORD caused by a hiatus hernia. […] If you’re overweight, losing weight may help to reduce the severity and frequency of your symptoms. […] If you smoke, you should try to give up. Tobacco smoke can irritate your digestive system and may make your symptoms worse. […] Surgery is usually only recommended for a sliding hiatus hernia if the problem fails to respond to lifestyle changes and medication. […] You may also want to consider surgery if you have persistent and troublesome symptoms, but don’t want to take medication on a long-term basis.

• #35 What to Expect After Your Nissen Fundoplication or Hiatal Hernia Surgery | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/what-expect-after-your-nissen-fundoplication-hiatal-hernia-surgery

  When you wake up after your surgery, youll be in the PACU. A nurse will be keeping track of your temperature, pulse, blood pressure, and oxygen levels. […] Your care team will teach you how to care for yourself while youre healing from your surgery. […] Your healthcare providers will ask you about your pain often and give you medication as needed. If your pain is not relieved, tell one of your healthcare providers. […] Moving around and walking will help lower your risk for blood clots and pneumonia (lung infection). […] Its important to exercise your lungs so they expand fully. This helps prevent pneumonia. […] At first, youll follow a clear liquid diet. Youll slowly start drinking and eating more things as you heal. […] Its important to avoid constipation after your surgery. Constipation can lead to your hiatal hernia coming back.

• #36 Hiatal Hernia Surgery Recovery | Nissen Fundoplication & Paraesophageal Hernias, Recovery Process For Hiatal Hernia Surgery | University Hospitals

  https://www.uhhospitals.org/services/surgery-services/conditions-and-treatments/hernia-surgery/patient-resources/postoperative-instructions/hiatal-nissen-fundoplication-paraesophageal-hernias

  Expect stay in the hospital one to two days after this procedure. […] This surgical procedure does require diet restrictions after surgery. You will need to stay on a liquid/soft diet for approximately 3 weeks after surgery. […] If you find you are persistently nauseated or unable to take in liquids, contact our office and let us know. […] It is OK to shower starting around 36 hours after surgery. […] Do not put any ointment or other medication on your incisions it will not make them „heal better.” […] There are no significant restrictions on activity after surgery. […] You may also feel easily fatigued and „washed out” for a week or two following the surgery. […] If you need particular documentation for your job, call the office. […] You will usually be able drive when you have not needed the narcotic (prescription) pain medications for two days. […] Call your surgeon’s office if any of the following occur: Fever to 100.4 or greater, Shaking chills, Pain that increases over time, Redness, warmth, or pus draining from incision sites, Persistent nausea or inability to take in liquids.

• #37 What to Expect After Your Nissen Fundoplication or Hiatal Hernia Surgery | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/what-expect-after-your-nissen-fundoplication-hiatal-hernia-surgery

  When you wake up after your surgery, youll be in the PACU. A nurse will be keeping track of your temperature, pulse, blood pressure, and oxygen levels. […] Your care team will teach you how to care for yourself while youre healing from your surgery. […] Your healthcare providers will ask you about your pain often and give you medication as needed. If your pain is not relieved, tell one of your healthcare providers. […] Moving around and walking will help lower your risk for blood clots and pneumonia (lung infection). […] Its important to exercise your lungs so they expand fully. This helps prevent pneumonia. […] At first, youll follow a clear liquid diet. Youll slowly start drinking and eating more things as you heal. […] Its important to avoid constipation after your surgery. Constipation can lead to your hiatal hernia coming back.

• #38 Hiatal Hernia Repair | Saint Luke’s Health System

  https://www.saintlukeskc.org/health-library/hiatal-hernia-repair

  After surgery, you will go to the postanesthesia care unit (PACU). Your healthcare team will watch your vital signs, such as your heart rate, blood pressure, and breathing. […] When you are home, you must keep the incisions clean and dry. Your healthcare provider will give you instructions on how to bathe. […] Call your healthcare provider if you have any questions about your recovery. Also call if you have any of the following symptoms:

• #39 What to Expect After Your Nissen Fundoplication or Hiatal Hernia Surgery | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/what-expect-after-your-nissen-fundoplication-hiatal-hernia-surgery

  When you wake up after your surgery, youll be in the PACU. A nurse will be keeping track of your temperature, pulse, blood pressure, and oxygen levels. […] Your care team will teach you how to care for yourself while youre healing from your surgery. […] Your healthcare providers will ask you about your pain often and give you medication as needed. If your pain is not relieved, tell one of your healthcare providers. […] Moving around and walking will help lower your risk for blood clots and pneumonia (lung infection). […] Its important to exercise your lungs so they expand fully. This helps prevent pneumonia. […] At first, youll follow a clear liquid diet. Youll slowly start drinking and eating more things as you heal. […] Its important to avoid constipation after your surgery. Constipation can lead to your hiatal hernia coming back.

• #40 Hiatal Hernia: Symptoms, Causes, Diagnosis, and Treatment

  https://www.webmd.com/digestive-disorders/hiatal-hernia

  Surgery. You might need a minor surgical procedure to repair your hiatal hernia. […] Hiatal hernia surgery has a 90% success rate. You’ll likely be able to stop medications and have no more acid reflux after hiatal hernia surgery. […] After the hospital, your home recovery will last 2-6 weeks. During this time, your doctor will prescribe a diet of clear liquids at first, and then soft foods, before you can eventually eat solid food again. […] Some changes to your daily life can help with acid reflux symptoms. They include: Dont exercise or lie down for 3 or 4 hours after you eat. […] 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.

• #41 Hiatal Hernia Surgery Recovery | Nissen Fundoplication & Paraesophageal Hernias, Recovery Process For Hiatal Hernia Surgery | University Hospitals

  https://www.uhhospitals.org/services/surgery-services/conditions-and-treatments/hernia-surgery/patient-resources/postoperative-instructions/hiatal-nissen-fundoplication-paraesophageal-hernias

  Expect stay in the hospital one to two days after this procedure. […] This surgical procedure does require diet restrictions after surgery. You will need to stay on a liquid/soft diet for approximately 3 weeks after surgery. […] If you find you are persistently nauseated or unable to take in liquids, contact our office and let us know. […] It is OK to shower starting around 36 hours after surgery. […] Do not put any ointment or other medication on your incisions it will not make them „heal better.” […] There are no significant restrictions on activity after surgery. […] You may also feel easily fatigued and „washed out” for a week or two following the surgery. […] If you need particular documentation for your job, call the office. […] You will usually be able drive when you have not needed the narcotic (prescription) pain medications for two days. […] Call your surgeon’s office if any of the following occur: Fever to 100.4 or greater, Shaking chills, Pain that increases over time, Redness, warmth, or pus draining from incision sites, Persistent nausea or inability to take in liquids.

• #42 What to Expect After Your Nissen Fundoplication or Hiatal Hernia Surgery | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/what-expect-after-your-nissen-fundoplication-hiatal-hernia-surgery

  Youll have 6 small incisions in your abdomen after your surgery. Its normal to have some bruising and tenderness around your incisions. […] For the first 8 weeks after your surgery: Do not lift anything heavier than 10 pounds (4.5 kilograms). This is very important to help your repair last as long as possible. […] Its common to have less energy than usual after surgery. Recovery time is different for each person. […] If you took anti-reflux medication before your surgery, you should not need it after your surgery. If you start having symptoms of reflux after your surgery, call your healthcare provider. […] Contact your healthcare provider if you have: New or worsening shortness of breath (trouble breathing).

• #43 Nursing Care Plan for Hiatal Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-hiatal-hernia/

  Hiatal hernia is a common condition that requires careful nursing care to ensure optimal patient outcomes. As a nurse, understanding the specific nursing interventions and nursing care plans for hiatal hernia is essential. This blog post aims to provide a comprehensive guide on nursing assessment, diagnosis, planning, and complication management for patients with hiatal hernia. […] The primary goal of nursing care for hiatal hernia is to alleviate symptoms, promote healing, and prevent complications. By implementing a well-designed nursing care plan, nurses can provide holistic care that addresses the patients physical, emotional, and educational needs. […] Thorough nursing assessment is crucial for developing an effective care plan for patients with hiatal hernias. […] Develop nursing diagnoses that will guide your care plan based on the nursing assessment findings.

• #44 Hiatal Hernia.pptx

  https://www.slideshare.net/slideshow/hiatal-herniapptx/257865461

  A hiatal hernia occurs when part of the stomach bulges through an opening in the diaphragm. […] Nursing care focuses on pain management, education, and preventing acid reflux. […] Advise the patient about preventing reflux of gastric contents into esophagus by: Eating smaller meals to reduce stomach bulk. Avoiding stimulation of gastric secretions by omitting caffeine and alcohol, which may intensify symptoms. Refraining from smoking, which stimulates gastric acid secretions. Avoiding fatty foods, which promote reflux and delay gastric emptying. Refraining from lying down for at least 1 hour after meals. Losing weight, if obese. Avoiding bending from the waist or wearing tight-fitting clothes. […] Advise the patient to report health care facility immediately at onset of acute chest pain may indicate incarceration of paraesophageal hernia. Reassure patient that he or she is not having a heart attack, but all instances of chest pain should be taken seriously and reported to the patients health care provider.

• #45 Hiatal Hernia: What It Is, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia

  A hiatal hernia happens when the top of your stomach bulges through an opening in your diaphragm. Treatment is available for hiatal hernias that cause symptoms. […] Healthcare providers call this opening the esophageal hiatus, which is where the term, hiatal hernia, or hiatus hernia, comes from. […] Hiatal hernias are common, especially as you get older. […] Many people never have symptoms of hiatal hernias. But among those who do, the most common symptoms are related to chronic acid reflux (gastroesophageal reflux disease, or GERD). […] If your hiatal hernia never causes any symptoms, you might not need to treat it. But if it does, you can expect those symptoms to continue and possibly worsen. […] Your healthcare provider will thoroughly evaluate the nature of your hernia, your reflux and your symptoms to help determine the best long-term treatment approach for you.

• #46

  https://www.aurorahealthcare.org/services/gastroenterology-colorectal-surgery/hiatus-hernia-hiatal-hernia

  A hiatal hernia is a problem with the muscles at the top of your stomach that keep it working properly. […] Your Aurora Health Care specialist will diagnose your condition and help you manage any symptoms. […] When you have a hiatal hernia, the lower esophageal sphincter and the top part of your stomach slide up through your diaphragm into your chest area and you may need hiatal hernia treatments. […] Schedule an appointment with your doctor if you have these possible hiatal hernia symptoms and they are causing you concern. […] If you’ve been diagnosed with a hiatal hernia, you and your doctor will need to consider it any time you need treatment in that area of your body. […] Your doctor may suggest them to treat your hiatal hernia symptoms. […] Sometimes your doctor’s suggestion to treat hiatal hernia may include surgery.

• #47 Reddit – The heart of the internet

  https://www.reddit.com/r/HiatalHernia/comments/1avbeoe/my_personal_tips_on_fixing_90_of_my_hiatal_hernia/

  No meals 4 hours before sleep. […] Sleep on your left side. […] Breathwork before and after every meal. Box breathing works well. […] Eat slowly, consciously and chew well. […] Check your stomach acidity, and use Betaine HCL if its low before every meal. Take up to 5 capsules if needed. and slowly scale it back once your stomach gets used to produce more acid. […] Check your bile flow function, and take bile salts if needed. Green beets or extract help too. As with HCL, gradually decrease the dose once digestion improves. […] Massage your guts and abdomen after food. […] Diaphragm strengthening breathwork. […] Prioritize sleep, 7 hours minimum. Avoid any devices 3 hours before sleep. […] Walk daily, ideally 20-30 minutes after each meal. […] iQoro may help too, use it every time before meals.

• #48 Reddit – The heart of the internet

  https://www.reddit.com/r/HiatalHernia/comments/1avbeoe/my_personal_tips_on_fixing_90_of_my_hiatal_hernia/

  Control your stress levels. Meditation and prayers does wonders. […] Affirm daily to your self for 10 minutes that will get better no matter what. Believing in your healing is ESSENSIAL. […] Light daily workout for 30 minutes, but avoid heavy weights. […] Drink one glass of warm water every morning on an empty stomach, and then do 2-3 sets of hill drops. […] Last, but most important to me is DIET. The diet that worked best for me is a zero-carb carnivore/lion diet. That includes only grass-fed ruminant meats (beef, lamb, goat, bison), and butter. Once my body healed I started adding GRADUALLY small doses of other animal based food like hard cheeses, goat kefir, eggs, fish, lard etc. From vegetable sources, the best way to start is with sourkraut and kombucha. […] Eventually you may choose to add more food variety like more vegetables, but prefer low carb, and low FODMAP veggies only. I would personally avoid all grains, and seed oils forever. Fruits are also a no-go for me but give them a try if want, after you heal most of symptoms and see how it goes.

• #49 Hiatal Hernia Self-Care: What You Can Do at Home

  https://www.verywellhealth.com/how-to-live-with-a-hiatal-hernia-1743040

  Many people diagnosed with a hiatal hernia will not have any symptoms. Those who do usually experience heartburn and indigestion. While medications may provide some relief, effective hiatal hernia self-care strategies can also help with pain and discomfort. […] Several diet and lifestyle interventions are often helpful in reducing and preventing symptoms associated with hiatal hernias. […] To reduce symptoms, it is recommended to avoid the following foods: Fatty foods, Sugary foods, Spicy foods, Fried foods, Alcohol, Coffee, Mint, Acidic foods (e.g., tomato juice and sauce), Chocolate, Carbonated drinks. […] How you eat is also essential when it comes to acid reflux and other hiatal hernia symptoms. […] To reduce GERD, be mindful of the position of your stomach as you eat. Also, take steps to avoid overtaxing the stomach so food can move through the digestive tract without complication.

• #50

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2946

  A hiatal hernia occurs when part of the stomach bulges into the chest cavity. […] A hiatal hernia may allow stomach acid and juices to back up into the esophagus (acid reflux). This can cause a feeling of burning, warmth, heat, or pain behind the breastbone. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Change your eating habits. It’s best to eat several small meals instead of two or three large meals. […] If you get heartburn at night, raise the head of your bed 15 to 20 centimetres (6 to 8 inches) by putting the frame on blocks or placing a foam wedge under the head of your mattress.

• #51 Hiatal Hernia (Aftercare Instructions)

  https://www.drugs.com/cg/hiatal-hernia-aftercare-instructions.html

  A hiatal hernia is a condition that causes part of your stomach to bulge through the hiatus (small opening) in your diaphragm. […] Call your doctor or gastroenterologist if: […] Your symptoms get worse or do not improve with treatment. […] You have questions or concerns about your condition or care. […] Medicines may be given to relieve heartburn symptoms. These medicines help to decrease or block stomach acid. You may also be given medicines that help tighten the esophageal sphincter. […] The following nutrition and lifestyle changes may be recommended to relieve symptoms of heartburn: […] Avoid foods or drinks that may increase heartburn. […] Eat several small meals during the day. […] Do not lie down after you eat. […] Maintain a healthy weight. […] Elevate the head of your bed. […] Do not smoke. […] Follow up with your doctor or gastroenterologist as directed: […] Write down your questions so you remember to ask them during your visits.

• #52 Hiatal Hernia Self-Care: What You Can Do at Home

  https://www.verywellhealth.com/how-to-live-with-a-hiatal-hernia-1743040

  Many people diagnosed with a hiatal hernia will not have any symptoms. Those who do usually experience heartburn and indigestion. While medications may provide some relief, effective hiatal hernia self-care strategies can also help with pain and discomfort. […] Several diet and lifestyle interventions are often helpful in reducing and preventing symptoms associated with hiatal hernias. […] To reduce symptoms, it is recommended to avoid the following foods: Fatty foods, Sugary foods, Spicy foods, Fried foods, Alcohol, Coffee, Mint, Acidic foods (e.g., tomato juice and sauce), Chocolate, Carbonated drinks. […] How you eat is also essential when it comes to acid reflux and other hiatal hernia symptoms. […] To reduce GERD, be mindful of the position of your stomach as you eat. Also, take steps to avoid overtaxing the stomach so food can move through the digestive tract without complication.

• #53 Hernia (hiatus) | Healthify

  https://healthify.nz/health-a-z/h/hernia-hiatus

  A hiatus hernia occurs when one of the organs in your abdomen (usually stomach, but could be pancreas, spleen or small intestine) pushes up into your chest area through a hiatus (opening) in your diaphragm. […] If you have the symptoms listed above, see your healthcare provider. Hiatus hernias can usually be diagnosed by an X-ray or an endoscopy. […] If you’re having symptoms, the best treatment is to make lifestyle changes (see below), and, if necessary, take medicine. Surgery is usually only recommended if other treatments haven’t worked. […] You can help yourself by making the following lifestyle changes: Eat smaller meals more often, rather than 3 large meals a day. Avoid lying down (including going to bed) for 3 hours after eating or drinking. Don’t dig the garden or lift or move heavy objects soon after eating. Avoid eating or drink anything that makes your symptoms worse, eg, hot, spicy or acid forming food, or fizzy drinks. Acid forming foods include meat, rice, pasta, bread, cheese, soft drinks, alcohol, coffee and sugar. Lose extra weight. Avoid tight clothing around your stomach. Raise the head end of your bed. Quit smoking. Reduce your intake of caffeine and alcohol.

• #54 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  Advise the patient to elevate the head of the bed by 6-8 inches and to avoid bending or stooping positions. Rationale: Elevating the head of the bed reduces the risk of acid reflux during sleep, and avoiding bending can prevent the increase in intra-abdominal pressure that can exacerbate symptoms. […] Monitor for signs of complications, such as gastrointestinal bleeding (indicated by black or tarry stools), severe pain, or vomiting. Rationale: Early identification and intervention for complications can prevent deterioration of the patient’s condition and prompt appropriate medical interventions. […] Encourage the patient to maintain regular follow-up appointments with their healthcare provider. Rationale: Regular monitoring allows for adjustments in treatment and early identification of potential complications.

• #55 Hiatal Hernia Nursing Care Plan

  https://rnspeak.com/hiatal-hernia-nursing-care-plan-risk-for-aspiration/

  Hiatal hernia results from the translocation of intra-abdominal contents from their usual position into the thorax. The symptomatology can range from just chest pain in the less severe types to respiratory and hemodynamic compromise resulting from strangulation in the advanced hernias. The acid may also cause ulcerations within the stomach that can bleed and lead to acute anemia and pain. […] A hiatal hernia may be responsible for intermittent bleeding from associated esophagitis, and erosions (Cameron ulcers), or a discrete esophageal ulcer, leading to iron-deficiency anemia. […] The client will be free of signs of bleeding in GI aspirate or stools, with stabilization of hemoglobin and hematocrit. […] Administer intravenous fluids or volume expanders, as indicated. Fluid replacement with isotonic crystalloid solutions depends on the degree of hypovolemia and duration of bleeding. The majority of gastric bleeding can be managed without transfusion of blood products. […] Administer medications as indicated. Sedatives and antianxiety agents may be used on occasion to reduce anxiety and promote rest, particularly in a client with an ulcer.

• #56 Hiatal Hernia: Symptoms, Causes, Diagnosis, and Treatment

  https://www.webmd.com/digestive-disorders/hiatal-hernia

  A hiatal hernia is when your stomach bulges up into your chest through an opening in your diaphragm, the muscle that separates the two areas. The opening is called the hiatus, so this condition is called a hiatus hernia. […] Get medical care right away if you have a hiatal hernia and: Severe pain in your chest or belly, A persistent upset stomach, Vomiting, Cant poop or pass gas. These could be signs of a strangulated hernia or an obstruction, which are medical emergencies. […] Most people dont notice symptoms of a hiatal hernia and dont need treatment. […] Your doctor will decide the best long-term treatment for you, depending on things such as the nature of your hernia, your reflux, and your symptoms. Treatment options are: Wait and watch. You might not need any treatment for your hernia. But your doctor may want to keep an eye on it. Your hernia might get bigger over time.

• #57 Hiatal Hernia | Hackensack Meridian Health

  https://www.hackensackmeridianhealth.org/en/services/gastroenterology-and-nutrition/hiatal-hernia

  A hiatal hernia occurs when the upper part of your stomach pushes up through your diaphragm and into your chest region. […] Hiatal hernias may not require any treatment. Some are treated with medications and a few types need surgical repair. However, patients who do experience symptoms will have a higher risk for more severe complications and should receive care promptly. […] Seek medical treatment immediately, if you have any of the following symptoms: Severe pain in your chest or belly, A persistent upset stomach, Vomiting, Unable to have a bowel movement or pass gas. […] Some people do not experience any symptoms related to their hiatal hernia. If you only experience mild symptoms, like heartburn, then your provider will likely only recommend medication and lifestyle changes such as: Healthy diet, Avoiding bending over or lying down after eating, Sleeping in a slightly elevated position, Smoking cessation.

• #58 Hiatal Hernia Nursing Care Plan – Risk For Aspiration | PDF | Gastroesophageal Reflux Disease | Vomiting

  https://www.scribd.com/doc/278704181/Hiatal-Hernia-Nursing-Care-Plan-Risk-for-Aspiration

  The client is at risk for aspiration due to gastric reflux. The short term goal is for the client to understand how to prevent aspiration after 2 hours of nursing interventions. […] The long term goal is for the client to fully understand and implement ways to prevent reflux and aspiration after 8 hours of interventions. Nursing interventions include assessing eating habits, monitoring weight, offering dietary changes, elevating the head of the bed, administering antacids, and providing education on eating smaller meals, fluids, posture, and avoiding tight clothing.

• #59 01.03 Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/gi-01-03-hiatal-hernia

  Weight loss tends to help the stomach fall back into place. […] In terms of repair, sometimes it can be corrected with a simple endoscopy, but usually it requires surgical intervention. […] When it comes to nursing care, our big priorities are decreasing their pain and dealing with their nutritional restrictions. […] We want to teach them not to lie down within an hour or two of eating. […] On the same lines, we can encourage them to elevate their head while sleeping. […] When it comes to nutrition, we want to encourage smaller meals, and smaller bites! […] Patients need to eat less, eat slower, and eat smaller bites. […] We also encourage them to avoid too much straining or vigorous exercise. […] Keep in mind your priority nursing concepts for a patient with a Hiatal Hernia are going to be comfort and nutrition. […] We manage this similarly to GERD by giving medications to decrease the acid in the stomach and we have surgical options to repair the hiatal hernia, like a nissen fundoplication. […] We also want to encourage them to keep their head elevated for at least an hour after eating.

• #60 Hiatal Hernia Nursing Care Plan

  https://rnspeak.com/hiatal-hernia-nursing-care-plan-risk-for-aspiration/

  Hiatal hernia results from the translocation of intra-abdominal contents from their usual position into the thorax. The symptomatology can range from just chest pain in the less severe types to respiratory and hemodynamic compromise resulting from strangulation in the advanced hernias. The acid may also cause ulcerations within the stomach that can bleed and lead to acute anemia and pain. […] A hiatal hernia may be responsible for intermittent bleeding from associated esophagitis, and erosions (Cameron ulcers), or a discrete esophageal ulcer, leading to iron-deficiency anemia. […] The client will be free of signs of bleeding in GI aspirate or stools, with stabilization of hemoglobin and hematocrit. […] Administer intravenous fluids or volume expanders, as indicated. Fluid replacement with isotonic crystalloid solutions depends on the degree of hypovolemia and duration of bleeding. The majority of gastric bleeding can be managed without transfusion of blood products. […] Administer medications as indicated. Sedatives and antianxiety agents may be used on occasion to reduce anxiety and promote rest, particularly in a client with an ulcer.

• #61 Hiatal Hernia.pptx

  https://www.slideshare.net/slideshow/hiatal-herniapptx/257865461

  A hiatal hernia occurs when part of the stomach bulges through an opening in the diaphragm. […] Nursing care focuses on pain management, education, and preventing acid reflux. […] Advise the patient about preventing reflux of gastric contents into esophagus by: Eating smaller meals to reduce stomach bulk. Avoiding stimulation of gastric secretions by omitting caffeine and alcohol, which may intensify symptoms. Refraining from smoking, which stimulates gastric acid secretions. Avoiding fatty foods, which promote reflux and delay gastric emptying. Refraining from lying down for at least 1 hour after meals. Losing weight, if obese. Avoiding bending from the waist or wearing tight-fitting clothes. […] Advise the patient to report health care facility immediately at onset of acute chest pain may indicate incarceration of paraesophageal hernia. Reassure patient that he or she is not having a heart attack, but all instances of chest pain should be taken seriously and reported to the patients health care provider.

• #62 Hiatal Hernia – StatPearls – NCBI Bookshelf

  https://www.ncbi.nlm.nih.gov/books/NBK562200/

  Greater proficiency equips learners to collaborate effectively within an interprofessional team caring for patients with hiatal hernias, enhancing outcomes. […] The management of hiatal hernias depends on the type of hernia and the severity of the symptoms. […] The initial treatment given to a patient presenting with typical GERD symptoms in an outpatient setting includes a double dose of a proton pump inhibitor (PPI), which can be both therapeutic and diagnostic in that persistent symptoms often require a more extensive evaluation. […] The indications for surgical therapy have changed since the advent of PPIs. […] Individuals with evidence of severe esophageal injury, such as an ulcer, stricture, or Barrett mucosa, should be considered for surgical treatment. […] Current recommendations are for operative repair of all symptomatic paraesophageal hernias and completely asymptomatic large hernias in patients younger than 60 and otherwise healthy. […] Managing hiatal hernias and reflux requires an interprofessional team approach. […] The team should include primary care clinicians, radiologists, gastroenterologists, and surgeons.

• #63 Pre-Op – Division of Gastrointestinal Surgery

  https://www.med.unc.edu/surgery/gisurgery/forpatients/diseases-conditions/hiatal-hernia-surgery/pre-op/

  Paraesophageal hernia repair involves repositioning of stomach and other organs back into the abdomen, narrowing of the hiatus by sutures and sometimes mesh, and then creation of a fundoplication to limit gastroesophageal reflux. […] The pre-operative work-up also means that you will need to spend time being interviewed by the anesthesiologist and having a complete physical examination by a resident physician. […] The hospital stay after this operation is usually 2 days. During this time you are monitored closely by the nursing staff. They are specially trained to take care of surgery patients and will assist you in your initial recovery.

• #64 Hiatial Hernia – Keck Medicine of USC

  https://www.keckmedicine.org/conditions/hiatial-hernia/

  Our specialists deliver focused care and innovative treatment options for managing hiatal hernias and improving your quality of life. […] Compassionate, Personalized Care for Hiatal Hernia […] Because hiatal hernia symptoms are similar to many other esophageal conditions, accurate evaluation is critical to ensure proper treatment. That is why it is important to seek care from a health care expert experienced in the complex diagnosis and treatment of esophageal disorders and other related conditions. […] Our doctors are leaders in research, providing you with compassionate care and access to advanced treatment therapies and the latest breakthroughs in surgical care. […] We serve as a referral center for complex gastroenterology and GI surgery issues that are not treated often in local hospitals. […] 97% of our procedures are performed with minimally invasive techniques.

• #65 Hiatal Hernia Repair – Hernia Care | UCLA Health

  https://www.uclahealth.org/medical-services/surgery/hernia-care/hernia-repair/hiatal-hernia-repair

  A hiatal hernia is different from other abdominal hernias in that the abdominal contents protrude into the chest cavity rather than to the outside world. […] Hiatal hernias are very common, especially in people over 50 years old. Symptoms may include reflux, chest pain, heartburn, or difficulty swallowing. […] The goals of treatment of hiatal hernias are to relieve symptoms and prevent complications. Reflux is often controlled effectively with medications that neutralize stomach acidity, decrease acid production, or strengthen the lower esophageal sphincter. If conservative measures fail to control the symptoms or if complications such as pulmonary (lung) aspiration, iron deficiency anemia (slow bleeding due to a large hernia), or strangulation of the hernia occur, surgical repair is indicated. Typically, this type of hernia is optimally repaired using laparoscopic techniques. We have extensive advanced laparoscopic expertise in all variations of hiatal hernias and will individualize treatment in conjunction with our expert team of gastroenterologists, radiologists, and pulmonologists.

• #66

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2946

  A hiatal hernia occurs when part of the stomach bulges into the chest cavity. […] A hiatal hernia may allow stomach acid and juices to back up into the esophagus (acid reflux). This can cause a feeling of burning, warmth, heat, or pain behind the breastbone. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Change your eating habits. It’s best to eat several small meals instead of two or three large meals. […] If you get heartburn at night, raise the head of your bed 15 to 20 centimetres (6 to 8 inches) by putting the frame on blocks or placing a foam wedge under the head of your mattress.

• #67

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2946

  Watch closely for changes in your health, and be sure to contact your doctor or nurse advice line if: You are vomiting. […] Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional.

• #68

• #69 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  Educate the patient on the importance of adhering to prescribed medications. Rationale: Consistent medication use is crucial in managing symptoms and preventing complications of hiatal hernia. […] Teach and encourage the practice of stress management techniques such as deep breathing exercises, meditation, or yoga. Rationale: Stress can exacerbate symptoms of hiatal hernia and GERD, so managing stress levels can be beneficial in symptom management. […] Refer the patient to a dietitian for personalized dietary advice. Rationale: A dietitian can provide tailored recommendations to help manage symptoms and maintain a healthy weight, which is important in the management of hiatal hernia.

• #70 Hiatus Hernia | Nursing Times

  https://www.nursingtimes.net/pain-management/hiatus-hernia-08-07-2003/

  Health advice concerning: smoking cessation; weight loss; small frequent meals at regular intervals; posture; bending and lifting in the workplace; sleeping with an extra pillow. […] Reflux can be very distressing and can be mistaken for angina.

• #71 Nursing Care Plan for Hiatal Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-hiatal-hernia/

  Design a comprehensive nursing care plan that addresses the identified nursing diagnoses. […] Prompt recognition and management of complications are vital in hiatal hernia. […] With a well-developed nursing care plan, nurses can play a vital role in promoting the well-being of patients with hiatal hernias. By conducting a thorough nursing assessment, identifying appropriate nursing diagnoses, planning interventions, and effectively managing potential complications, nurses can enhance patient outcomes and contribute to their overall recovery and quality of life.

• #72 Hiatal Hernia: What It Is, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia

  Healthcare providers recommend hernia repair surgery when: Your hernia causes symptoms or complications that medications cant prevent. […] Hiatal hernia surgery has a 90% success rate. Most people are able to discontinue medications and enjoy life free of acid reflux after hiatal hernia surgery. […] If youre living with a hiatal hernia that causes occasional symptoms, you may be able to treat it at home with over-the-counter medications and lifestyle changes.

• #73 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  Advise the patient to elevate the head of the bed by 6-8 inches and to avoid bending or stooping positions. Rationale: Elevating the head of the bed reduces the risk of acid reflux during sleep, and avoiding bending can prevent the increase in intra-abdominal pressure that can exacerbate symptoms. […] Monitor for signs of complications, such as gastrointestinal bleeding (indicated by black or tarry stools), severe pain, or vomiting. Rationale: Early identification and intervention for complications can prevent deterioration of the patient’s condition and prompt appropriate medical interventions. […] Encourage the patient to maintain regular follow-up appointments with their healthcare provider. Rationale: Regular monitoring allows for adjustments in treatment and early identification of potential complications.

• #74

  https://myhealth.alberta.ca/Health/aftercareinformation/pages/conditions.aspx?hwid=ut2946

  A hiatal hernia occurs when part of the stomach bulges into the chest cavity. […] A hiatal hernia may allow stomach acid and juices to back up into the esophagus (acid reflux). This can cause a feeling of burning, warmth, heat, or pain behind the breastbone. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if you are having problems. […] Take your medicines exactly as prescribed. Call your doctor or nurse advice line if you think you are having a problem with your medicine. […] Change your eating habits. It’s best to eat several small meals instead of two or three large meals. […] If you get heartburn at night, raise the head of your bed 15 to 20 centimetres (6 to 8 inches) by putting the frame on blocks or placing a foam wedge under the head of your mattress.

• #75 Nursing Care Plan for Hernia — JIET Hospital

  https://www.jiethospital.com/blog/nursing-care-plan-for-hernia

  A hernia occurs when an organ (fatty tissue) squeezes through a weak spot in the surrounding muscle and connective tissue. Common types of hernias include inguinal, femoral, umbilical, and hiatal hernias. Effective nursing care for hernia patients involves comprehensive assessment, precise diagnosis, and meticulous planning to ensure optimal recovery and prevent complications. […] The primary goals of nursing care for hernia patients include: […] Alleviating Pain and discomfort. […] Preventing complications such as strangulation or bowel obstruction. […] Educating patients about lifestyle modifications and preventive measures. […] Regularly evaluate the patients progress toward achieving the set goals. Assess pain levels, monitor for any signs of complications, and ensure the patient understands and adheres to the prescribed care plan. Adjust the care plan as needed based on the patients condition and response to treatment. […] At JIET Hospital in Jodhpur, Rajasthan, our skilled nursing team is committed to providing comprehensive care for hernia patients.

• #76 Nursing Care Plan for Hiatal Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-hiatal-hernia/

  Design a comprehensive nursing care plan that addresses the identified nursing diagnoses. […] Prompt recognition and management of complications are vital in hiatal hernia. […] With a well-developed nursing care plan, nurses can play a vital role in promoting the well-being of patients with hiatal hernias. By conducting a thorough nursing assessment, identifying appropriate nursing diagnoses, planning interventions, and effectively managing potential complications, nurses can enhance patient outcomes and contribute to their overall recovery and quality of life.

• #77 Can you fix a hiatal hernia yourself? Managing symptoms

  https://www.medicalnewstoday.com/articles/how-to-fix-a-hiatal-hernia-yourself

  The only treatment that can get rid of a paraesophageal hernia is surgery. […] Therefore, anyone who suspects that they have a hernia should seek medical attention rather than trying to remedy it at home. […] If lifestyle adjustments prove ineffective, a person can discuss medication options with a doctor. […] A person may wish to try using OTC medications to alleviate acid reflux that has occurred due to a hiatal hernia. […] A doctor may prescribe either histamine-2 receptor antagonists (H2RAs) or proton pump inhibitors (PPIs) to treat the symptoms of a hiatal hernia. […] Surgery may be laparoscopic, meaning that it uses small incisions and cameras to carry out the procedure. It will involve moving the portion of the stomach that has protruded through the diaphragm back to its correct position. The surgeon may also tighten the hiatal opening to prevent the hernia from reoccurring.

• #78 Hiatal Hernia in Mesa and Chandler, AZ | AZ Gastro Care

  https://azgastrocare.com/condition/hiatal-hernia/

  Hiatal hernia treatment depends on symptom severity and whether GERD is present. Many cases can be managed with lifestyle changes and medications, while severe cases may require surgical intervention. […] If a hiatal hernia is causing acid reflux, medications may be recommended, such as: Antacids to neutralize stomach acid. H2 blockers or proton pump inhibitors (PPIs) to reduce acid production. Prokinetic agents to improve esophageal motility and prevent reflux. […] In cases where lifestyle changes and medications do not provide relief, or if the hernia is large, surgery may be necessary. The most common minimally invasive surgical procedure for hiatal hernias is: Laparoscopic Nissen Fundoplication The stomach is repositioned below the diaphragm, and the opening in the diaphragm is tightened to prevent future herniation. This procedure is minimally invasive, leading to faster recovery times and reduced postoperative discomfort.

• #79 Nissen Fundoplication/Paraesophageal Hernia Repair

  https://www.rwjbh.org/treatment-care/surgery/thoracic-surgery/thoracic-tests-and-procedures/nissen-fundoplication-paraesophageal-hernia-repa/

  Nissen fundoplication is a surgical procedure used to treat gastroesophageal reflux disease, or GERD, and hiatal hernia. It tightens and reinforces the sphincter at the top of the stomach to prevent stomach acid from rising into the esophagus. […] A hiatal hernia (paraesophageal/diaphragmatic hernia) is when part of the stomach extends up through the diaphragm and into the chest. This condition can cause severe acid reflux or GERD symptoms. […] Nissen fundoplications and paraesophageal hernia repairs are often done together. Hiatal hernia surgery corrects the hernia by pulling the stomach back into the abdomen and making the opening in the diaphragm smaller, while the fundoplication tightens the lower esophageal sphincter. […] After the surgery, patients usually stay in the hospital for 1 to 2 days. […] You will need to follow a specific diet after a Nissen fundoplication. Your doctor will talk with you about it, and provide any other postsurgery instructions before you go home.

• #80 Hiatal Hernia Treatment & Management: Medical Care, Surgical Care, Diet

  https://emedicine.medscape.com/article/178393-treatment

  Because of this, many surgeons advise elective repair when the diagnosis is made. […] A patient with a large hiatal hernia may experience vague intermittent chest discomfort or pain. […] The paraesophageal hernia may strangulate and frequently is operated on prophylactically to prevent this complication. […] Three major types of surgical procedures correct gastroesophageal reflux and repair the hernia in the process. […] In most cases, the procedure of choice is the one with which the surgeon is most familiar. […] A systematic review and meta-analysis of 4 trials comprising 406 patients found comparable results and outcomes between suture cruroplasty and prosthetic hiatal herniorrhaphy for large hiatal hernia closure. […] In another systematic study and meta-analysis of mesh versus suture cruroplasty during laparoscopic large hiatal hernia repair, data from 13 studies consisting of 1194 patients showed symptomatic improvement in most studies, with fewer odds of recurrence but not need for reoperation with mesh cruroplasty.

• #81 Hiatal Hernia Treatment & Management: Medical Care, Surgical Care, Diet

  https://emedicine.medscape.com/article/178393-treatment

  Because of this, many surgeons advise elective repair when the diagnosis is made. […] A patient with a large hiatal hernia may experience vague intermittent chest discomfort or pain. […] The paraesophageal hernia may strangulate and frequently is operated on prophylactically to prevent this complication. […] Three major types of surgical procedures correct gastroesophageal reflux and repair the hernia in the process. […] In most cases, the procedure of choice is the one with which the surgeon is most familiar. […] A systematic review and meta-analysis of 4 trials comprising 406 patients found comparable results and outcomes between suture cruroplasty and prosthetic hiatal herniorrhaphy for large hiatal hernia closure. […] In another systematic study and meta-analysis of mesh versus suture cruroplasty during laparoscopic large hiatal hernia repair, data from 13 studies consisting of 1194 patients showed symptomatic improvement in most studies, with fewer odds of recurrence but not need for reoperation with mesh cruroplasty.

• #82 Hiatal Hernia Treatment & Management: Medical Care, Surgical Care, Diet

  https://emedicine.medscape.com/article/178393-treatment

  Good long-term results have been reported for antireflux surgery, with adequate control of reflux in the range of 80% at 10 years. […] Recurrent paraesophageal hernia (PEH) repair is performed for symptomatic recurrent hiatal hernia and/or reflux and appears to have similar outcomes to those of initial PEH, although increased operative time, blood loss, persistent symptoms, and need for Collis gastroplasty occurred more often in those who underwent revisional repair. […] The Nissen fundoplication performed laparoscopically has gained popularity because of its lower morbidity and shorter hospital stay compared to the open procedure performed previously. […] This procedure involves a 360 fundic wrap around the gastroesophageal junction. […] An appropriate diet maintains an ideal body mass index. Obesity predisposes to reflux disease.

• #83 Hiatus hernia | NHS inform

  https://www.nhsinform.scot/illnesses-and-conditions/stomach-liver-and-gastrointestinal-tract/hiatus-hernia/

  A procedure called a laparoscopic nissen fundoplication (LNF) is one of the most common surgical techniques used to treat GORD and sliding hiatus hernias. […] If you have a para-oesophageal hiatus hernia, where the stomach pushes up through the hole in the diaphragm next to the oesophagus, surgery may be recommended to reduce the risk of the hernia becoming strangulated.

• #84 What to Expect After Your Nissen Fundoplication or Hiatal Hernia Surgery | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/what-expect-after-your-nissen-fundoplication-hiatal-hernia-surgery

  When you wake up after your surgery, youll be in the PACU. A nurse will be keeping track of your temperature, pulse, blood pressure, and oxygen levels. […] Your care team will teach you how to care for yourself while youre healing from your surgery. […] Your healthcare providers will ask you about your pain often and give you medication as needed. If your pain is not relieved, tell one of your healthcare providers. […] Moving around and walking will help lower your risk for blood clots and pneumonia (lung infection). […] Its important to exercise your lungs so they expand fully. This helps prevent pneumonia. […] At first, youll follow a clear liquid diet. Youll slowly start drinking and eating more things as you heal. […] Its important to avoid constipation after your surgery. Constipation can lead to your hiatal hernia coming back.

• #85 Hiatal Hernia Surgery Recovery | Nissen Fundoplication & Paraesophageal Hernias, Recovery Process For Hiatal Hernia Surgery | University Hospitals

  https://www.uhhospitals.org/services/surgery-services/conditions-and-treatments/hernia-surgery/patient-resources/postoperative-instructions/hiatal-nissen-fundoplication-paraesophageal-hernias

  Expect stay in the hospital one to two days after this procedure. […] This surgical procedure does require diet restrictions after surgery. You will need to stay on a liquid/soft diet for approximately 3 weeks after surgery. […] If you find you are persistently nauseated or unable to take in liquids, contact our office and let us know. […] It is OK to shower starting around 36 hours after surgery. […] Do not put any ointment or other medication on your incisions it will not make them „heal better.” […] There are no significant restrictions on activity after surgery. […] You may also feel easily fatigued and „washed out” for a week or two following the surgery. […] If you need particular documentation for your job, call the office. […] You will usually be able drive when you have not needed the narcotic (prescription) pain medications for two days. […] Call your surgeon’s office if any of the following occur: Fever to 100.4 or greater, Shaking chills, Pain that increases over time, Redness, warmth, or pus draining from incision sites, Persistent nausea or inability to take in liquids.

• #86 Paraesophageal Hernia (Hiatal Hernia) | Minimally Invasive and Gastrointestinal Surgery | Medical College of Wisconsin

  https://www.mcw.edu/departments/surgery/divisions/minimally-invasive-and-gastrointestinal-surgery/patient-care/gerd-and-gastrointestinal-surgery-program/paraesophageal-hernia-hiatal-hernia

  In the hands of experienced surgeons, the results of laparoscopic paraesophageal hernia repair are excellent. A minimally invasive laparoscopic approach results in significantly fewer complications than an open abdominal approach (many small incisions instead of one large incision in an open approach). Most patients are in the hospital for only 1-2 days and are back to their usual activities within 4 weeks.

• #87 Hiatal Hernia Surgery Recovery | Nissen Fundoplication & Paraesophageal Hernias, Recovery Process For Hiatal Hernia Surgery | University Hospitals

  https://www.uhhospitals.org/services/surgery-services/conditions-and-treatments/hernia-surgery/patient-resources/postoperative-instructions/hiatal-nissen-fundoplication-paraesophageal-hernias

  Expect stay in the hospital one to two days after this procedure. […] This surgical procedure does require diet restrictions after surgery. You will need to stay on a liquid/soft diet for approximately 3 weeks after surgery. […] If you find you are persistently nauseated or unable to take in liquids, contact our office and let us know. […] It is OK to shower starting around 36 hours after surgery. […] Do not put any ointment or other medication on your incisions it will not make them „heal better.” […] There are no significant restrictions on activity after surgery. […] You may also feel easily fatigued and „washed out” for a week or two following the surgery. […] If you need particular documentation for your job, call the office. […] You will usually be able drive when you have not needed the narcotic (prescription) pain medications for two days. […] Call your surgeon’s office if any of the following occur: Fever to 100.4 or greater, Shaking chills, Pain that increases over time, Redness, warmth, or pus draining from incision sites, Persistent nausea or inability to take in liquids.

• #88 Nissen Fundoplication/Paraesophageal Hernia Repair

  https://www.rwjbh.org/treatment-care/surgery/thoracic-surgery/thoracic-tests-and-procedures/nissen-fundoplication-paraesophageal-hernia-repa/

  Nissen fundoplication is a surgical procedure used to treat gastroesophageal reflux disease, or GERD, and hiatal hernia. It tightens and reinforces the sphincter at the top of the stomach to prevent stomach acid from rising into the esophagus. […] A hiatal hernia (paraesophageal/diaphragmatic hernia) is when part of the stomach extends up through the diaphragm and into the chest. This condition can cause severe acid reflux or GERD symptoms. […] Nissen fundoplications and paraesophageal hernia repairs are often done together. Hiatal hernia surgery corrects the hernia by pulling the stomach back into the abdomen and making the opening in the diaphragm smaller, while the fundoplication tightens the lower esophageal sphincter. […] After the surgery, patients usually stay in the hospital for 1 to 2 days. […] You will need to follow a specific diet after a Nissen fundoplication. Your doctor will talk with you about it, and provide any other postsurgery instructions before you go home.

• #89 What to Expect After Your Nissen Fundoplication or Hiatal Hernia Surgery | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/what-expect-after-your-nissen-fundoplication-hiatal-hernia-surgery

  Youll have 6 small incisions in your abdomen after your surgery. Its normal to have some bruising and tenderness around your incisions. […] For the first 8 weeks after your surgery: Do not lift anything heavier than 10 pounds (4.5 kilograms). This is very important to help your repair last as long as possible. […] Its common to have less energy than usual after surgery. Recovery time is different for each person. […] If you took anti-reflux medication before your surgery, you should not need it after your surgery. If you start having symptoms of reflux after your surgery, call your healthcare provider. […] Contact your healthcare provider if you have: New or worsening shortness of breath (trouble breathing).

• #90 Hiatal Hernia Surgery Recovery | Nissen Fundoplication & Paraesophageal Hernias, Recovery Process For Hiatal Hernia Surgery | University Hospitals

  https://www.uhhospitals.org/services/surgery-services/conditions-and-treatments/hernia-surgery/patient-resources/postoperative-instructions/hiatal-nissen-fundoplication-paraesophageal-hernias

  Expect stay in the hospital one to two days after this procedure. […] This surgical procedure does require diet restrictions after surgery. You will need to stay on a liquid/soft diet for approximately 3 weeks after surgery. […] If you find you are persistently nauseated or unable to take in liquids, contact our office and let us know. […] It is OK to shower starting around 36 hours after surgery. […] Do not put any ointment or other medication on your incisions it will not make them „heal better.” […] There are no significant restrictions on activity after surgery. […] You may also feel easily fatigued and „washed out” for a week or two following the surgery. […] If you need particular documentation for your job, call the office. […] You will usually be able drive when you have not needed the narcotic (prescription) pain medications for two days. […] Call your surgeon’s office if any of the following occur: Fever to 100.4 or greater, Shaking chills, Pain that increases over time, Redness, warmth, or pus draining from incision sites, Persistent nausea or inability to take in liquids.

• #91 What to Expect After Your Nissen Fundoplication or Hiatal Hernia Surgery | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/patient-education/what-expect-after-your-nissen-fundoplication-hiatal-hernia-surgery

  Youll have 6 small incisions in your abdomen after your surgery. Its normal to have some bruising and tenderness around your incisions. […] For the first 8 weeks after your surgery: Do not lift anything heavier than 10 pounds (4.5 kilograms). This is very important to help your repair last as long as possible. […] Its common to have less energy than usual after surgery. Recovery time is different for each person. […] If you took anti-reflux medication before your surgery, you should not need it after your surgery. If you start having symptoms of reflux after your surgery, call your healthcare provider. […] Contact your healthcare provider if you have: New or worsening shortness of breath (trouble breathing).

• #92 Hiatal Hernia (Aftercare Instructions)

  https://www.drugs.com/cg/hiatal-hernia-aftercare-instructions.html

  A hiatal hernia is a condition that causes part of your stomach to bulge through the hiatus (small opening) in your diaphragm. […] Call your doctor or gastroenterologist if: […] Your symptoms get worse or do not improve with treatment. […] You have questions or concerns about your condition or care. […] Medicines may be given to relieve heartburn symptoms. These medicines help to decrease or block stomach acid. You may also be given medicines that help tighten the esophageal sphincter. […] The following nutrition and lifestyle changes may be recommended to relieve symptoms of heartburn: […] Avoid foods or drinks that may increase heartburn. […] Eat several small meals during the day. […] Do not lie down after you eat. […] Maintain a healthy weight. […] Elevate the head of your bed. […] Do not smoke. […] Follow up with your doctor or gastroenterologist as directed: […] Write down your questions so you remember to ask them during your visits.

• #93 Hiatal Hernia Symptoms + 5 Hiatal Hernia Natural Remedies – Dr. Axe

  https://draxe.com/health/hiatal-hernia/

  A hiatal hernia, also known as a hiatus hernia, forms inside the diaphragm, the muscular area that lays between the chest and the lower abdomen. […] Middle to older-aged women (over 50 years old) develop hiatal hernias more than any other group. […] If you’ve talked to your doctor about symptoms of heartburn, anemia, acid reflux or GERD, he or she might have recommended that you should be checked for a hiatal hernia. […] When symptoms do occur, they include heartburn, acid reflux symptoms or developing a more severe digestive problem called gastroesophageal reflux disease (or GERD for short). […] If someone does develop signs or symptoms of a hiatal hernia, usually they include chest pain, burning sensations and irritation of the throat. […] Symptoms associated with acid reflux include: Heartburn, Bitter taste in your mouth, Waking up feeling like you’re choking or coughing in the middle of the night, Dry mouth, Gum irritation, Bad breath, Regurgitation of acidic foods, Bloating after meals and during bouts of symptoms, Nausea.

• #94 Hiatal Hernia Symptoms + 5 Hiatal Hernia Natural Remedies – Dr. Axe

  https://draxe.com/health/hiatal-hernia/

  More severe symptoms can include: Bloody vomiting, Belching, gassiness, burping and flatulence after meals, Difficulty swallowing, Unexpected weight loss, Discomfort that worsens when bending over or laying down, Chronic coughing or throat irritation. […] Hiatal hernias occur when muscles surrounding the hiatus opening become weak and stop functioning properly. […] Risk factors associated with hiatal hernias include: High levels of inflammation, Eating a poor diet, Obesity or being overweight, Pregnancy, Chronic or strong coughing, Constipation, Genetic factors, Vomiting, Lifting heavy objects, Injury to the diaphragm or abdomen, Older age, Recovering from surgery of the abdomen. […] For decades researchers believed that GERD and hiatal hernias were practically the same thing. […] Not every person who has a hiatal hernia needs treatment, especially since most don’t experience symptoms or pain.

• #95 Hiatal Hernia Symptoms + 5 Hiatal Hernia Natural Remedies – Dr. Axe

  https://draxe.com/health/hiatal-hernia/

  A hiatal hernia, also known as a hiatus hernia, forms inside the diaphragm, the muscular area that lays between the chest and the lower abdomen. […] Middle to older-aged women (over 50 years old) develop hiatal hernias more than any other group. […] If you’ve talked to your doctor about symptoms of heartburn, anemia, acid reflux or GERD, he or she might have recommended that you should be checked for a hiatal hernia. […] When symptoms do occur, they include heartburn, acid reflux symptoms or developing a more severe digestive problem called gastroesophageal reflux disease (or GERD for short). […] If someone does develop signs or symptoms of a hiatal hernia, usually they include chest pain, burning sensations and irritation of the throat. […] Symptoms associated with acid reflux include: Heartburn, Bitter taste in your mouth, Waking up feeling like you’re choking or coughing in the middle of the night, Dry mouth, Gum irritation, Bad breath, Regurgitation of acidic foods, Bloating after meals and during bouts of symptoms, Nausea.

• #96 Hiatal Hernia: What It Is, Symptoms, Treatment & Surgery

  https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia

  A hiatal hernia happens when the top of your stomach bulges through an opening in your diaphragm. Treatment is available for hiatal hernias that cause symptoms. […] Healthcare providers call this opening the esophageal hiatus, which is where the term, hiatal hernia, or hiatus hernia, comes from. […] Hiatal hernias are common, especially as you get older. […] Many people never have symptoms of hiatal hernias. But among those who do, the most common symptoms are related to chronic acid reflux (gastroesophageal reflux disease, or GERD). […] If your hiatal hernia never causes any symptoms, you might not need to treat it. But if it does, you can expect those symptoms to continue and possibly worsen. […] Your healthcare provider will thoroughly evaluate the nature of your hernia, your reflux and your symptoms to help determine the best long-term treatment approach for you.

• #97 Hiatal Hernia Symptoms + 5 Hiatal Hernia Natural Remedies – Dr. Axe

  https://draxe.com/health/hiatal-hernia/

  More severe symptoms can include: Bloody vomiting, Belching, gassiness, burping and flatulence after meals, Difficulty swallowing, Unexpected weight loss, Discomfort that worsens when bending over or laying down, Chronic coughing or throat irritation. […] Hiatal hernias occur when muscles surrounding the hiatus opening become weak and stop functioning properly. […] Risk factors associated with hiatal hernias include: High levels of inflammation, Eating a poor diet, Obesity or being overweight, Pregnancy, Chronic or strong coughing, Constipation, Genetic factors, Vomiting, Lifting heavy objects, Injury to the diaphragm or abdomen, Older age, Recovering from surgery of the abdomen. […] For decades researchers believed that GERD and hiatal hernias were practically the same thing. […] Not every person who has a hiatal hernia needs treatment, especially since most don’t experience symptoms or pain.

• #98 Hiatal Hernia Symptoms + 5 Hiatal Hernia Natural Remedies – Dr. Axe

  https://draxe.com/health/hiatal-hernia/

  More severe symptoms can include: Bloody vomiting, Belching, gassiness, burping and flatulence after meals, Difficulty swallowing, Unexpected weight loss, Discomfort that worsens when bending over or laying down, Chronic coughing or throat irritation. […] Hiatal hernias occur when muscles surrounding the hiatus opening become weak and stop functioning properly. […] Risk factors associated with hiatal hernias include: High levels of inflammation, Eating a poor diet, Obesity or being overweight, Pregnancy, Chronic or strong coughing, Constipation, Genetic factors, Vomiting, Lifting heavy objects, Injury to the diaphragm or abdomen, Older age, Recovering from surgery of the abdomen. […] For decades researchers believed that GERD and hiatal hernias were practically the same thing. […] Not every person who has a hiatal hernia needs treatment, especially since most don’t experience symptoms or pain.

• #99 Hiatal hernia – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/diagnosis-treatment/drc-20373385

  Our caring team of Mayo Clinic experts can help you with your hiatal hernia-related health concerns […] Hiatal hernia care at Mayo Clinic […] Most people with a hiatal hernia don’t experience any symptoms and won’t need treatment. If you experience symptoms, such as frequent heartburn and acid reflux, you may need medicine or surgery. […] Sometimes a hiatal hernia requires surgery. Surgery may help people who aren’t helped by medicines to relieve heartburn and acid reflux. Surgery also may help people who have complications such as serious inflammation or narrowing of the esophagus. […] Making a few lifestyle changes may help control the symptoms caused by a hiatal hernia. Try to: Eat several smaller meals throughout the day rather than a few large meals. Don’t eat foods that trigger heartburn. These include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Avoid lying down after a meal or eating late in the day. Maintain a healthy weight. Stop smoking. Elevate the head of your bed 8 inches (20 centimeters).

• #100 Overcoming GERD and Hiatal Hernia – Capital Surgeons Group

  https://capitalsurgeons.com/gerd-hiatal-hernia-linx/

  The daVinci system is a state-of-the-art surgical technology that allows for greater precision, control, and visualization during the surgery. […] During daVinci robotic surgery for hiatal hernia repair, our surgeons will make several small incisions in the abdomen and use robotic instruments and a camera to perform the procedure. […] The LINX procedure is a minimally invasive surgical treatment for GERD. […] Fundoplication is another surgical treatment option for GERD that involves wrapping the upper part of the stomach around the lower esophageal sphincter (LES) to strengthen it and prevent the reflux of stomach acid into the esophagus. […] Benefits of Fundoplication: Fundoplication offers several benefits to patients struggling with chronic GERD symptoms, including long-term relief, improved quality of life, and reduction of medications. […] GERD surgery, including daVinci robotic surgery for hiatal hernia repair and the LINX procedure, offers several benefits to patients struggling with chronic GERD symptoms, including improved quality of life and long-term relief from chronic GERD symptoms.

• #101 Hiatal Hernia: Symptoms, Surgery, Treatment, and More

  https://www.healthline.com/health/hiatal-hernia

  Many people with hiatal hernias have no symptoms and do not need medical care. But for people with more severe hernias, treatment with medication, lifestyle changes, and, in some cases, surgery may be needed to repair the hernia and provide relief from uncomfortable symptoms like heartburn and chest pain.

• #102 Nursing Care Plan for Hiatal Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-hiatal-hernia/

  Hiatal hernia is a common condition that requires careful nursing care to ensure optimal patient outcomes. As a nurse, understanding the specific nursing interventions and nursing care plans for hiatal hernia is essential. This blog post aims to provide a comprehensive guide on nursing assessment, diagnosis, planning, and complication management for patients with hiatal hernia. […] The primary goal of nursing care for hiatal hernia is to alleviate symptoms, promote healing, and prevent complications. By implementing a well-designed nursing care plan, nurses can provide holistic care that addresses the patients physical, emotional, and educational needs. […] Thorough nursing assessment is crucial for developing an effective care plan for patients with hiatal hernias. […] Develop nursing diagnoses that will guide your care plan based on the nursing assessment findings.

• #103 Nursing Care Plan for Hiatal Hernia | Free NURSING.com Courses

  https://nursing.com/lesson/nursing-care-plan-for-hiatal-hernia

  Educate the patient on the importance of adhering to prescribed medications. Rationale: Consistent medication use is crucial in managing symptoms and preventing complications of hiatal hernia. […] Teach and encourage the practice of stress management techniques such as deep breathing exercises, meditation, or yoga. Rationale: Stress can exacerbate symptoms of hiatal hernia and GERD, so managing stress levels can be beneficial in symptom management. […] Refer the patient to a dietitian for personalized dietary advice. Rationale: A dietitian can provide tailored recommendations to help manage symptoms and maintain a healthy weight, which is important in the management of hiatal hernia.

• #104 Reddit – The heart of the internet

  https://www.reddit.com/r/HiatalHernia/comments/1avbeoe/my_personal_tips_on_fixing_90_of_my_hiatal_hernia/

  Control your stress levels. Meditation and prayers does wonders. […] Affirm daily to your self for 10 minutes that will get better no matter what. Believing in your healing is ESSENSIAL. […] Light daily workout for 30 minutes, but avoid heavy weights. […] Drink one glass of warm water every morning on an empty stomach, and then do 2-3 sets of hill drops. […] Last, but most important to me is DIET. The diet that worked best for me is a zero-carb carnivore/lion diet. That includes only grass-fed ruminant meats (beef, lamb, goat, bison), and butter. Once my body healed I started adding GRADUALLY small doses of other animal based food like hard cheeses, goat kefir, eggs, fish, lard etc. From vegetable sources, the best way to start is with sourkraut and kombucha. […] Eventually you may choose to add more food variety like more vegetables, but prefer low carb, and low FODMAP veggies only. I would personally avoid all grains, and seed oils forever. Fruits are also a no-go for me but give them a try if want, after you heal most of symptoms and see how it goes.

• #105 Hiatal Hernia Self-Care: What You Can Do at Home

  https://www.verywellhealth.com/how-to-live-with-a-hiatal-hernia-1743040

  Regarding hiatal hernia symptoms, self-care may help reduce and prevent hernias from returning. […] Consider adding the following self-care measures: Try relaxation techniques: Stress and anxiety can worsen the symptoms of GERD. […] Elevate the head of your bed by 4 to 8 inches: This is especially useful for people who are overweight or have symptoms of GERD. […] Avoid heavy lifting: Lifting heavy objects will worsen the condition if you have been diagnosed with a large hernia. […] Avoid smoking: While smoking doesn’t cause acid reflux, it can affect gastric motility and how food moves through the esophagus.

• #106 Reddit – The heart of the internet

  https://www.reddit.com/r/HiatalHernia/comments/1avbeoe/my_personal_tips_on_fixing_90_of_my_hiatal_hernia/

  No meals 4 hours before sleep. […] Sleep on your left side. […] Breathwork before and after every meal. Box breathing works well. […] Eat slowly, consciously and chew well. […] Check your stomach acidity, and use Betaine HCL if its low before every meal. Take up to 5 capsules if needed. and slowly scale it back once your stomach gets used to produce more acid. […] Check your bile flow function, and take bile salts if needed. Green beets or extract help too. As with HCL, gradually decrease the dose once digestion improves. […] Massage your guts and abdomen after food. […] Diaphragm strengthening breathwork. […] Prioritize sleep, 7 hours minimum. Avoid any devices 3 hours before sleep. […] Walk daily, ideally 20-30 minutes after each meal. […] iQoro may help too, use it every time before meals.

• #107 Nursing Care Plan for Hiatal Hernia – Made For Medical

  https://www.madeformedical.com/nursing-care-plan-for-hiatal-hernia/

  Design a comprehensive nursing care plan that addresses the identified nursing diagnoses. […] Prompt recognition and management of complications are vital in hiatal hernia. […] With a well-developed nursing care plan, nurses can play a vital role in promoting the well-being of patients with hiatal hernias. By conducting a thorough nursing assessment, identifying appropriate nursing diagnoses, planning interventions, and effectively managing potential complications, nurses can enhance patient outcomes and contribute to their overall recovery and quality of life.

• #108 Hiatal hernia

  https://johnsonmemorial.org/jmh-health/disease-conditions/con-20373360

  A hiatal hernia is often discovered during a test or procedure to determine the cause of heartburn or pain in the chest or upper abdomen. […] Most people with a hiatal hernia don’t experience any symptoms and won’t need treatment. If you experience symptoms, such as frequent heartburn and acid reflux, you may need medicine or surgery. […] Sometimes a hiatal hernia requires surgery. Surgery may help people who aren’t helped by medicines to relieve heartburn and acid reflux. Surgery also may help people who have complications such as serious inflammation or narrowing of the esophagus. […] Making a few lifestyle changes may help control the symptoms caused by a hiatal hernia. Try to: Eat several smaller meals throughout the day rather than a few large meals. Don’t eat foods that trigger heartburn. These include fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Avoid lying down after a meal or eating late in the day. Maintain a healthy weight. Stop smoking. Elevate the head of your bed 8 inches (20 centimeters). […] Make an appointment with a doctor or other healthcare professional if you have any symptoms that worry you.

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