What do we mean by a hiatal hernia?

The hiatus is an opening in the diaphragm (the muscular wall) which separates the chest cavity from the abdomen. Normally, the esophagus (food pipe) goes through the hiatus and attaches to the stomach. In a hiatal hernia, the stomach bulges up into the chest through that opening.

What does statistical data say about a hiatal hernia?

Statistically, approximately 60% of individuals who are above age 50 or older have a hiatal hernia.

In which age group is hiatal hernia very common?

The incidence of hiatal hernias increases with age. It is commonly seen in the older age people specifically in people who are above 50. 

What are the causes of hiatal hernia?

The most common risk factors are as follows: 

Obesity Congenital deformities, such as scoliosis
Certain types of surgery
Major trauma
Conditions which causes an increase in abdominal pressure within the abdomen, such as heavy lifting, or bending over, frequent or violent coughing, violent sneezing, violent vomiting, and straining during bowel movements
What are the types of a hiatal hernia?

There are four types of a hiatal hernia and they are as follows:

Sliding hiatal hernia: This is the most common variant of a hiatal hernia. It occurs when your stomach and esophagus slide into and out of your chest through the hiatus. It is usually asymptomatic.
Fixed hiatal hernia: It is also known as a paraesophageal hernia. In a fixed hernia, part of the stomach pushes through diaphragm and stays there.
Type III hiatal hernia: In this type, as a hernia goes on increasing, the phrenoesophageal ligament stretches and displaces the gastroesophageal junction above the diaphragm
Type IV hiatal hernia: Type IV hiatal hernia includes a large defect in the phrenoesophageal ligament causing other organs, such as colon, spleen, pancreas and small intestine to enter the hernia sac.
What are the sign and symptoms of hiatal hernia?

Common symptoms include:

Heartburn
Chest pain or epigastric pain, coughing
Difficulty in swallowing
Belching, eructation, and hiccups
How to diagnose the condition?

To diagnose this condition following tests or procedures are included:

X-ray of the chest and abdomen Barium follow-through examination of gastrointestinal tract (GI) to visualize GI tract.
Upper endoscopy for examining the esophagus and stomach from inside Esophageal manometry for measuring the rhythmic muscular contractions of esophagus while swallowing, and also, measuring the force exerted by the muscles of esophagus.
What is the treatment available for it?

It includes medications and surgery which are as follows:

Antacids to neutralize stomach acid and to reduce acid production
Medications that heal the esophagus 
Surgery of opening of diaphragm to make it smaller and for reconstruction of an esophageal sphincter

Hiatal Hernia - How Is it Diagnosed?

There has been an intense debate, which is in the loop for years and has been raging back and forth regarding the deficiencies of a vegetarian diet versus the perils of a non-vegetarian one. This heated debate is both accurate as well as unfounded. Probably, that s the entire reason it is still a debate. In fact, if you look into the diet of both groups, you will be able to identify the fact that, there is a space for healthy living in both.

Vegetarian Diet

In a vegetarian diet, the food intake of a person is confined to a large variety of foods derived from plants along with milk and dairy. And, any form of meat and products derived from animals are completely avoided.

Pros

Vegetarians have been noted to consume lesser amount of proteins, but they do not suffer from problems related to a high protein diet, such as osteoporosis (characterized by brittle and weak bones) and kidney failure.
The diet includes high level of antioxidants such as vitamin E & C as well as carotene, which is available in vegetables and fruits.
Additionally, they consume less amount of saturated fats.
Cons

Deficiency of vitamin B12 is common amongst vegetarians, as it is mainly available in meat, eggs and fish. Deficiency of vitamin B12 can yield rare symptoms such as increased fatigue, shortness of breath and a temporary loss of body balance.
Lack of protein, as stated above, along with iron and zinc deficiency is also common. 
Symptoms of protein deficiency can be troublesome and include signs like

Sluggish metabolism
Loss of body muscles (as the body tries to derive the regular protein intake from your muscles, thus making them weak),
Trouble gaining or losing weight
Persistent fatigue
Longer healing time in case of wounds and injuries
Pain in joints
Drastic changes in blood sugar level that might result in diabetes
A weak immune system makes you vulnerable to all kinds of diseases.
Non-vegetarian Diet

A non-vegetarian diet includes all forms of plant foods as well as foods and by-products that are derived from animals, such as poultry, fish, meat, etc.

Pros 

Vitamin B12 is present in adequate level since they are derived from sources such as meat, eggs and fish. Adequate intake of proteins is never an issue for  non-vegetarians
Cons

Meat products are loaded with saturated fats, which increase the risk of heart diseases. Studies have shown that people consuming non-vegetarian diets:
Have shorter lifespan and are more vulnerable to chronic diseases.
Tend to develop diabetes, heart diseases and hypertension.
Usually non vegetarians eat less amount of vegetables and fruits than what is recommended.  
If you wish to discuss about any specific problem, you can consult a Dietitian/Nutritionist.

Vegetarian vs Non Vegetarian Diet - Which is Better?

Hernia or what in Ayurveda is known as Antra Vriddhi, is a condition that takes place when an internal organ in your abdomen gets displaced and protrudes outward, giving rise to swelling in the abdominal region. 
Even though you can develop a hernia anywhere in your body, it mostly occurs in the abdominal region and can affect both men and women at any age.

The causes of hernia are: 
Even though hernia can be a hereditary condition, certain factors can contribute in causing it. These are:
1.   Persistent coughing
2.   Putting excess pressure while passing faeces
3.   Straining your abdominal muscles by exercising or lifting objects that are heavy
4.   Obesity
5.   Buildup of fluid in your abdominal cavity

Symptoms
Some of the symptoms that indicate you have hernia include a visible, hard protrusion, development of soft lumps and pain. However, some people may not experience any symptoms at all. Hernia can be of many types, depending on the part of the body affected and even varying on the basis of your gender. In worst cases, you may require surgery but Ayurveda can cure your hernia completely without the need of you going through a surgical process.

How does Ayurveda help?
Ayurveda helps in curing your hernia by focussing on your diet. If you follow these rules, you can cure yourself of hernia completely.

1.   Reduce the amount of food you eat in a day and take small meals frequently instead of the standard three meals.
2.   While eating, make sure you eat your food slowly.
3.   Drink lots of water and other fluids, but do not consume aerated drinks
4.   It is advised not to take water with your meals, but only to drink a glass of water an hour after and half an hour before each meal. By doing this, you reduce your chances of getting heartburn and aid in the proper functioning of the digestive system.
5.   Eating any form of raw food, such as uncooked meat and vegetables is strictly forbidden along with processed foods such as bread, cakes, cookies etc. However, when eating cooked food, make sure it's lightly cooked and not overcooked.
6.   Having a glass of juice freshly squeezed from vegetables or fruits is recommended, especially carrot juice as it is enriched with calcium and vitamin A that help in the healing process.
7.   Make sure that whole grains, nuts, seeds, vegetables and fruits are a part of your diet.
8.   Lastly, go for a walk after each meal and do not sleep after eating, especially if you've had a heavy meal.

Hernia : Ayurveda Treatment for Hernia Problem

The mere thought of biting into a chilled watermelon or sipping chilled watermelon juice during summer is a refreshing thought. What many do not readily realise is that not just they are not just a refresher, but they are also loaded with multiple health benefits. Another surprising fact is that they have been in use since 5000 years ago and are referred to in ancient literature. There are about 300 varieties and are easily available during summer.

Many may think that watermelon is loaded with water. However, there are also multiple compounds including vitamins and minerals; vitamins C, A, B1, B5, and B6; minerals like potassium and magnesium, and compounds like carotenoids and lycopene. These have multiple benefits on the health and so watermelon can be consumed without any second thought in abundance.

Read on to know some of the wonders of this melon.

Hydration: One of the best remedies to avoid the ill effects of summer is to improve hydration levels, and there could be no better way to do this than with watermelon (eat it or drink it!) It is 92% water, and therefore leaves you refreshed and rejuvenated.
Heart health: Lycopene helps reduce cholesterol, reduce thickening of artery walls, and reduces oxidative stress. The various minerals and vitamins also add to the heart health qualities of watermelon. The citrulline in it also increases nitric oxide level in the body, which expands or dilates blood vessels and improves blood pressure.
Anti-inflammatory benefits: The lycopene and vitamin C reduce the levels of C-reactive protein which are responsible for inflammation. The antioxidant levels also lower inflammation, thereby reducing the onset of degenerative diseases like Alzheimer s.
Eye health: Watermelons, through their anti-inflammatory effects, reduce the onset of age-related macular degeneration. Those who already have it can also see the delayed progression of the condition, thereby prolonging vision loss.
Muscle soreness: Those who have muscle soreness should reach out for a slice of watermelon to get instant relief from this soreness. Watermelon also improves exercise endurance and performance, and the added benefit on the heart also improves exercise tolerance.
Skin and hair benefits: These benefits come from multiple sources in the melon. The vitamin A helps improve skin regeneration, vitamin C helps collagen formation and improved skin tone. Lycopene and beta-carotene help control the damage caused by sun exposure and pigmentation.
Digestive benefits: The very nature of watermelon almost completely water and high fibre directly benefits the stomach. It cleanses the stomach and promotes bowel movement. Not just the red portion, even the rind and seeds are beneficial as there is a lot of citrulline and chlorophyll which are also healthy.

Watermelon - One Fruit, Many Benefits!

Hernia is the name given to the condition where an internal part of your body pushes itself into another area of the body where it does not belong. A hiatal is the opening in the muscular wall which is called the diaphragm. This usually separates the abdomen from the chest cavity. In the human body, the food pipe, which is called the esophagus passes through this hiatal and joins the stomach area. Hiatal hernia is a condition when the stomach bulges up through this opening, into the chest.

Causes of Hiatal Hernia:
The main cause of hiatal hernia is not known at present, but there are certain factors that can cause it. It could occur when there is an increased pressure on the abdomen area such as during a pregnancy, coughing, obesity, too much straining at the time of bowel movement. Some people are also born with a wide hiatal opening.

Who needs surgical treatment for Hiatal Hernia?
In most of the cases, hiatal hernia does not show any kind of serious signs and hence you need not have to worry about it, When you experience symptoms such as acid reflux, gastroesophageal reflux disorder or heartburn, then you can treat them with mild medication and with the help of your doctor. But when the symptoms are severe and interferes with the quality of your life, or if the symptoms are not responding to medication, when the blood flow to the herniated tissue is blocked, causes ulcers, or heavy bleeding, you will need a surgery.

There are three types of surgeries for hiatal hernia.

Nissen Fundoplication: This is the most common surgery done for hiatal hernia. This is also called keyhole surgery or laparoscopic surgery. Small incisions are made in the abdomen area and the hernia is repaired. The surgeon also tightens the stomach in order to avoid the reoccurrence of this condition. It is a less painful and minimal scar process. Recovery time is also less compared to other surgical techniques and you also need not have to stay for a long period in the hospital.
Open repairs: For the repair of the hernia, a large incision is made in the abdomen area. The stomach is pulled back to its original place from the chest area. A small tube is also inserted in certain cases in order to keep the stomach in its original place and prevent it from moving towards the chest area. This kind of surgery has a lot of risks.
Endoluminal Fundoplication: This is the latest surgery technique and rarely used. No incisions are made in this procedure. Only a tube and camera are passed through the throat. The stomach is tightened and acid reflux is prevented.

Hiatal Hernia - 3 Types Of Surgeries That Are Often Recommended!

With the growing market for organic products, there is a widespread confusion on which product to choose. The same dilemma holds good in selecting the type of bread. White bread or Brown Bread? People are not sure which one to eat to stay healthy. A few quick facts about the two types of bread and which one should be consumed to stay healthy, are given below

White Bread
White bread is made out of refined wheat flour that has nothing to offer for the body. During the process of making white bread, the bran and wheat germ is removed from the wheat flour and Potassium Bromate, Benzoyl Peroxide or Chlorine Dioxide gas are used for bleaching to generate the whiteness. Potassium Bromate is highly dangerous if consumed in large doses. Chlorine dioxide is also used as a pesticide and is considered hazardous to the environment. When a large amount of white bread is consumed, the refined carbohydrates generate high levels of insulin thus, resulting in higher chances of weight gain. In spite of being globally popular, white bread is highly unhealthy for your body. It is completely devoid of nutrients and it is as harmful as table sugar for the digestive system.

Brown Bread
The American Academy of Pediatrics has revealed that whole wheat brown bread is rich in nutrients compared to the white bread. One major factor contributing to the above-mentioned fact is the amount of fiber present in whole wheat brown bread. The increased fiber content slows down the digestion process and thereby, reduces the effect on blood sugar and production of insulin. Other nutrients that are present in brown bread include vitamin B6, E, Folic acid, Zing, Copper and Manganese. Brown bread has lesser amount of calcium as compared with brown bread. Many manufacturers claim that they produce brown bread with the same amount of calcium as in white bread. Whole wheat bread contains Phytonutrient also called as plant lignans that have been observed to protect against heart diseases and breast cancer.

Things to consider while buying Brown Bread
The declining demand for white bread has forced a lot of manufacturers to use caramel as a coloring agent to darken white to brown bread. So buyers need to carefully look for the ingredients mentioned in the packing to ensure that they are buying the right product. It is important to check the first ingredient to see whether it is whole wheat or whole meal flour. If the word "enriched" is used, it means that the same flour used for white bread is used. Look for the bread with the minimum ingredients to ensure that you get maximum nutrients and very little additives. Also, make sure the amount of the following ingredients are as given below; sodium should be lesser than 401mg, saturated fat should be 1gm and fiber needs to be 4gm per 2 slices of serving.

To conclude, when it comes to organic and fitness oriented scenarios, brown is always better than white.

White Vs Brown Bread - Which One Should You Eat ?

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Consult for Hiatal Hernia Diet - Online and Easy!

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