Hiatal Hernia Treatment Specialist in Lake Success, NY

A hiatal hernia occurs when a portion of the stomach pushes through the diaphragm into the chest cavity. The diaphragm is a muscle that separates the chest and abdominal cavities, and the opening where the stomach protrudes is called the hiatus. Normally, the stomach remains below the diaphragm, but with a hiatal hernia, part of the stomach moves upward.

Key Points About Hiatal Hernia:

1. Stomach and Diaphragm Displacement:

A hiatal hernia happens when part of the stomach bulges into the chest through an opening in the diaphragm called the hiatus.

2. Common Types:

• Sliding Hiatal Hernia: The stomach and lower esophagus slide up into the chest.

• Paraesophageal Hiatal Hernia: Part of the stomach pushes up alongside the esophagus, potentially leading to more severe complications.

3. Symptoms:

Many people with a hiatal hernia experience no symptoms, but some may have heartburn, chest pain, regurgitation, and difficulty swallowing.

4. Causes:

The exact cause is not always clear, but factors such as age, obesity, and increased pressure on the abdomen can contribute.

5. Treatment:

Treatment often involves lifestyle changes, medications, or, in severe cases, surgery to repair the hernia and prevent complications.

A hiatal hernia occurs when part of the stomach pushes through the diaphragm into the chest cavity. The diaphragm is a muscle that helps separate the chest from the abdomen, and the opening where the stomach protrudes is known as the hiatus. While the exact cause of a hiatal hernia may vary, several factors can contribute to its development.

Common Causes of a Hiatal Hernia:

1. Increased Abdominal Pressure:

High pressure in the abdomen can push the stomach up through the diaphragm. This pressure can result from activities such as heavy lifting, straining during bowel movements, or frequent vomiting.

2. Aging:

As we age, the diaphragm weakens, and the connective tissue around the hiatus may lose its elasticity. This increases the likelihood of the stomach protruding into the chest cavity.

3. Obesity:

Being overweight increases the pressure on the abdomen, which can contribute to the development of a hiatal hernia. Excess fat in the abdominal area puts added strain on the diaphragm, pushing the stomach upward.

4. Increased Intra-abdominal Pressure:

Conditions that cause persistent coughing, sneezing, or vomiting, such as asthma or chronic bronchitis, can lead to increased pressure in the abdomen and promote the development of a hiatal hernia.

5. Pregnancy:

Pregnancy increases intra-abdominal pressure, which can push the stomach upward through the diaphragm, especially in later stages of pregnancy.

6. Genetics:

Some people may be more predisposed to hiatal hernias due to genetic factors, as a family history of the condition increases the likelihood of developing one.

7. Trauma or Injury:

Physical trauma, such as an injury to the chest or abdomen, can sometimes lead to the development of a hiatal hernia.

While these factors can contribute to a hiatal hernia, the condition may also occur without any clear cause. In many cases, lifestyle changes and medication can help manage symptoms, while surgery may be needed in severe cases.

Managing a hiatal hernia often involves making lifestyle changes to reduce symptoms and prevent complications. While some people may not experience significant symptoms, others may find that certain habits can help manage or alleviate discomfort.

Lifestyle Changes to Manage a Hiatal Hernia:

1. Eat Smaller, More Frequent Meals

Large meals can increase pressure on the stomach and worsen symptoms. Eating smaller meals throughout the day helps reduce stomach distention and minimize reflux.

2. Avoid Lying Down After Eating

After meals, wait at least 2-3 hours before lying down to prevent acid reflux and heartburn. This allows your stomach to fully digest the food and reduces the likelihood of acid moving into the esophagus.

3.Elevate the Head of the Bed

Elevating the head of your bed by 6-8 inches can help prevent acid reflux while sleeping, as gravity will keep stomach contents from flowing back into the esophagus.

4. Lose Weight

Being overweight increases abdominal pressure, which can exacerbate symptoms of a hiatal hernia. Losing weight through a healthy diet and regular exercise can reduce pressure on the diaphragm and improve symptoms.

5. Avoid Trigger Foods

Certain foods, such as spicy foods, citrus, chocolate, caffeine, and fatty or fried foods, can trigger acid reflux and worsen symptoms. Limiting these foods may help manage discomfort.

6. Stop Smoking

Smoking weakens the lower esophageal sphincter, increasing the likelihood of acid reflux. Quitting smoking can reduce the frequency and severity of symptoms.

7. Wear Loose-Fitting Clothing

Tight clothing, especially around the waist, can increase abdominal pressure and worsen symptoms. Wearing loose clothing can help alleviate discomfort.

8. Manage Stress

Stress can contribute to acid reflux and digestive discomfort. Practicing stress-relief techniques such as deep breathing, meditation, or yoga can help manage symptoms.

9. Avoid Heavy Lifting or Straining

Lifting heavy objects or straining during activities like bowel movements can increase abdominal pressure and worsen symptoms of a hiatal hernia. Consider using proper techniques or seeking assistance for heavy lifting.

By incorporating these lifestyle changes, many individuals can manage the symptoms of a hiatal hernia and improve their quality of life. If symptoms persist or worsen, medical intervention may be required.

Hiatal hernia pain can vary from mild discomfort to more severe symptoms, depending on the type and size of the hernia. 

Below are the key characteristics of the pain:

1. Location of Pain

The pain is usually felt in the upper abdomen or lower chest area, often around the sternum. It may be described as a burning sensation or pressure.

2. Burning Sensation

Many people experience a burning sensation, similar to heartburn, due to acid reflux caused by the hernia. This occurs when stomach acid moves up into the esophagus.

3. Sharp or Stabbing Pain

In some cases, the pain can be sharp or stabbing, especially if the hernia causes a twist in the stomach or leads to inflammation.

4. Worsens After Eating

Hiatal hernia pain may intensify after eating, particularly after large or heavy meals, as the stomach becomes distended and places more pressure on the diaphragm and esophagus.

5. Pain When Lying Down

The pain often worsens when lying down or bending over, as these positions increase the pressure on the stomach and make reflux more likely.

6. Fullness or Bloating

Some people with a hiatal hernia may feel a sense of fullness or bloating, which can also contribute to discomfort.

7. Associated Symptoms

Hiatal hernia pain may be accompanied by difficulty swallowing, regurgitation of food or acid, chest discomfort, or even coughing.

If the pain is persistent, severe, or accompanied by other concerning symptoms, it is essential to seek medical attention to rule out more serious complications. For more information, contact us or schedule an appointment online. We are conveniently located at 1991 Marcus Ave Suite M200, Lake Success, NY 11042. We serve patients from Lake Success, NY, Queens, NY, Hempstead NY, Roslyn NY, Jericho NY, Westbury NY, and surrounding areas.