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    L5. Dietary Management in Hiatus Hernia

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    Mark Tally
    The document discusses dietary management for hiatus hernia. It describes hiatus hernia as a condition where part of the stomach protrudes through the diaphragm, sometimes causing acid reflux. It outlines the objectives of the hiatus hernia diet as restricting foods that may cause reflux or increase acidity. Specific food recommendations include eating smaller, more frequent meals and avoiding lying down after eating to prevent symptoms.

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    L5. Dietary Management in Hiatus Hernia

    Uploaded by

    Mark Tally
    487 views19 pages
    The document discusses dietary management for hiatus hernia. It describes hiatus hernia as a condition where part of the stomach protrudes through the diaphragm, sometimes causing acid reflux. It outlines the objectives of the hiatus hernia diet as restricting foods that may cause reflux or increase acidity. Specific food recommendations include eating smaller, more frequent meals and avoiding lying down after eating to prevent symptoms.

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    L5. Dietary management in Hiatus Hernia

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    The document discusses dietary management for hiatus hernia. It describes hiatus hernia as a condition where part of the stomach protrudes through the diaphragm, sometimes causing acid reflux. It outlines the objectives of the hiatus hernia diet as restricting foods that may cause reflux or increase acidity. Specific food recommendations include eating smaller, more frequent meals and avoiding lying down after eating to prevent symptoms.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    487 views19 pages

    L5. Dietary Management in Hiatus Hernia

    Uploaded by

    Mark Tally
    The document discusses dietary management for hiatus hernia. It describes hiatus hernia as a condition where part of the stomach protrudes through the diaphragm, sometimes causing acid reflux. It outlines the objectives of the hiatus hernia diet as restricting foods that may cause reflux or increase acidity. Specific food recommendations include eating smaller, more frequent meals and avoiding lying down after eating to prevent symptoms.

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    Dietary management in Hiatus Hernia

    Dr. Mian Kamran Sharif


    Associate Professor
    National Institute of Food Science & Technology
    University of Agriculture, Faisalabad

    1 Updated on 2020-03-05
    Hiatus Hernia
     An abnormal condition in which part of the stomach protrudes upward
    through the esophageal cleft in the diaphragm, sometimes causing a
    backflow of acid stomach contents into the esophagus

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    Diet Therapy in Hiatus Hernia
    Objectives
     The diet is designed to restrict foods which may cause reflex into the
    esophagus or increase gastric acidity

    Use
     This diet is used in the treatment of hiatus hernia
     The modification of diet may vary, based on individual’s nutritional need

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    Diet Therapy in Hiatus Hernia
    Physiology
     Hiatal hernias are a common condition seen most often in adults over
    the age of 50
     Although the cause is unknown, a hiatal hernia may be the result of a
    weakening of the tissues supporting the digestive tract
     Food enters the body through the mouth and travels down the
    esophagus
     The esophagus passes through the diaphragm and into the abdominal
    cavity via an opening in the diaphragm called the esophageal hiatus
     The esophagus then connects with the stomach just below the
    diaphragm
     Hiatus hernia is caused by protrusions of part of the stomach above the
    diaphragm muscle, which separate the chest from the abdomen
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    Diet Therapy in Hiatus Hernia
     A hiatal hernia occurs when a portion of the upper stomach slips up
    through the hiatus and into the chest
     Hiatus hernia may show no symptoms or may cause symptoms which
    may vary according to the size and position of the hernia, but they can
    include heartburn, chest pain, and difficulty swallowing
     Symptoms of a hiatal hernia can be relieved with weight reduction and
    with smoking cessation
     It is also important to avoid eating large meals and to also avoid lying
    down after eating
     Medications can be prescribed, and occasionally surgical repair of the
    hernia is required
     Increasing age, obesity, and smoking are risk factors for development of
    hiatal hernias in adults.
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    Diet Therapy in Hiatus Hernia
    Modifications
     Objectives are to minimize reflux into the esophagus and or
    decrease the gastric acidity and to avoid irritation of an
    inflamed esophagus
     Dietary restriction are based on the individual’s nutritional requirement
    and food tolerance; however, some general recommendations are to:
     Avoid large meals
     Remain upright for 2 hours after meal
     Avoid lying down, bending over immediately after meals & avoid
    constricting clothes
     Eat food which is low in fat and contain less spices
     Loose weight if overweight, it will result in decreased abdominal pressure
     Stop smoking
     Avoid alcohol, chocolate, coffee especially in the evening
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     Drink most fluids between meals rather than with meals
    Diet Therapy in Hiatus Hernia
    Modifications
     The diet plan should be based on gentle, smooth and soft cooked meat,
    daals, cereals and vegetables with moderate fat, spices and condiments
     The diet should be served in small portions after short intervals may be
    six meals per day
     In this way the ingested foods passes quickly to duodenum without any
    complication

    Adequacy
     The composition of hiatus hernia diet should meet all the nutritional
    requirements and is adequate in most of the nutrients providing
    proteins, fats, carbohydrates, vitamins and mineral contents and
    furnishes appropriate amount of food energy as required by individuals
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    Diet Therapy in Hiatus Hernia
    Foods That May Cause Symptoms
     Citrus foods, such as oranges, grapefruits, lemons, grapefruit etc.
     Chocolate
     Fatty and fried foods, such as fried chicken and fatty cuts of meat
     Garlic and onions
     Spicy food
     Tomato-based foods such as spaghetti sauce, pizza, chili, salsa, and
    tomato juice
     Coffee, tea (including decaffeinated versions)
     Carbonated beverages
     Dairy products, such as whole milk, ice cream, and creamed food
     Oil and butter
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    Diet Therapy in Hiatus Hernia
    Foods That Are Less Likely to Cause Symptoms

    • Bananas and apples


    • Green beans, peas, carrots, and broccoli
    • Grains, like cereals (bran and oatmeal), bread, rice, pasta, and
    crackers
    • Low-fat or skim milk and low-fat yogurt
    • Fat-free cheeses, cream cheese, and fat-free sour cream
    • Lean meat, chicken, and fish
    • Water
    • Pretzels, graham crackers, rice cakes, and baked potato chips
    • Low-fat sweets

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    Food Choices
    Food Groups Food Allowed Foods Restricted
    Bread, cereals and All types of bread, rusk Paratha, roghni naan,
    grains (paapay) khitchri, roti, taftaan, kulcha, baqar
    naan, rice, pasta, khani, puri etc.
    noodles, cake-rusk
    Milk and milk All (low-fat version) None
    products
    Meat (red/white Cooked in moderate fat, Spicy and oily, fried meat
    meat and egg) mild spices and eggs dishes, highly seasoned,
    qorma biryani, kabab,
    broast
    Daals with/without All Fried and Spicy
    husk)

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    Food Choices
    Food Groups Food Allowed Foods Restricted
    Vegetables (Green All Cooked in a lot of
    leafy/ starchy) fat and Spicy
    Fresh Fruits All fresh Fruit chaat, citrus
    fruits and fruit
    juice
    Dry fruits, nuts and All in moderate quantity None
    seeds
    Fats and oils All in moderate quantity Deep fried food
    and highly
    seasoned

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    Food Choices
    Food Groups Food Allowed Foods Restricted
    Desserts and sweets All custard, pudding, jelly, Rich creamy
    firni, kheer
    Fluids and drinks All Carbonated drinks,
    coffee, strong tea

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