| Naturopathic Physician Missoula Montana
|
 |
Hiatal
Hernia
A hiatal hernia occurs when the upper portion of your
stomach is able to slip up through an opening in your diaphragm. Normally
this opening is just big enough to let your esophagus through and
your stomach sits right underneath it. There is a sphincter muscle
at the bottom of your esophagus that keeps the stomach closed off.
When the stomach sticks up through the diaphragm, this purse-string
muscle is distorted, so that it opens up and the acidic contents of
the stomach leak into the esophagus. This is called gastroesophageal
reflux disorder, or GERD. The stomach contents have to be acidic,
in order for you to be healthy. However, if this acid material burns
your esophagus too often you have inflammation, pain, and eventually
may develop esophageal cancer. Hiatal hernias are only one of several
causes that can result in GERD.
Hiatal hernias are estimated to be present in up to 40% of the adult
population. Clues a person may have GERD are feelings like "I
can't take in a full breath", "I can't swallow my food all
the way down", "I get a pressure radiating up into my throat
and sometimes into chest or diaphragm area", or "Pills get
stuck when I try to swallow them". It is important to know that
only one symptom, like heartburn, or a few, or all, may be present.
In severe cases there may be odd symptoms like heart arrhythmias,
facial flushing or really startling chest or upper abdominal pain.
A technique called Manual Reduction can pull your stomach down out
of the gap in the diaphragm. The technique involves reaching up under
the left ribcage and hooking the stomach with you fingers, pulling
down and to the side along the margin of lower ribs and then down
and toward your center, essentially tracing the usual curvature of
the stomach. This is a quick procedure; family members can learn to
do it, and it may need to be done repeatedly, while using other treatments
to help firm up that opening and otherwise keep the stomach and it’s
contents where they belong. The trick is to keep the stomach from
sticking up through the diaphragm out of the long enough for the tissue
to tighten up so the problem won't keep happening.
This technique is easier and more effective for younger and thinner
people. It’s more difficult but not impossible for those with
a long-standing condition, obesity, pregnancy, or ongoing activity
that pushes abdominal contents upward. Some people can do this for
themselves using a tennis ball to massage their stomach into place.
Another effective self-treatment is called the Heel Drop-
Heel Drops: First thing every morning and as needed, drink 1-2 large
glasses of water. Rise up on your toes and drop heavily to your heels,
You may want to hold onto a wall of a chair to steady yourself. You
may need to drop 10 to even 30 times to jar your stomach down.
Other habits that will help prevent hiatal herniation of the stomach
are:
Eat smaller and perhaps more frequent meals.
Avoid squatting and other activities that cause abdominal compression,
Avoid tight restrictive clothing,
Normalize weight, and
In cases where symptoms occur at night, elevate the torso while sleeping
by putting blocks under the front legs of the bed.
Supplements that can help:
Low potency homeopathic cell salts Silica and Calc-Flour 3 to 4 pellets
3 to 4 times daily have been reputed to be helpful in tightening the
esophageal hiatus |
|