Hiatal Hernia

Question 1

FACTORS OF HERNIA

Answer 1

P- pregnancy
A- ascites
T- tumor
T- trauma
H- Heavy lifting
O- obesity
S- surgery

All increases the intraabdominal pressure

Question 2

Assessment:

Answer 2

Dysphagia, N/V, Dyspnea, Heartburn
Feeling of fullness, Odynophagia, Belching, Flatulence

Question 3

Intervention

Answer 3

1. Eat small frequent meals
2. Eat slowly and chew the food properly
3. Eat foods high in protein and have a bland diet in initial days
4. Avoid eating 3 hours before bedtime.
5. Avoid eating chocolates, alcohol, fatty foods and tea.
   6.Avoid evening snacks
6. Stay in upright position before and after eating
7. Advise to reduce body weigh if obese
8. Promote lifestyle changes (6-8 inch blocks, avoid smoking, tight clothes, straining at stool etc)
9. Surgery: Nissen Fundoplication

Question 4

Meds on Hiatal Hernia

Answer 4

H-h2 blockers
A- antiemetic
A-antacids
P-proton pump inhibitors

*avoid anticholinergics, xanthine derivatives, ganglionic stimulants, calcium channel blockers and diazepam