Hiatus hernia is a condition in which a part of the stomach pushes up through the diaphragm.
- SIGNS AND SYMPTOMS OF HIATUS HERNIA
- CAUSES OF HIATUS HERNIA
- PATHOPHYSIOLOGY OF HIATUS HERNIA
- DIAGNOSIS OF HIATUS HERNIA
- TREATMENTS FOR HIATUS HERNIA
- PROGNOSIS OF HIATUS HERNIA
- COMPLICATIONS OF HIATUS HERNIA
- HIATUS HERNIA AND AYURVEDA
- NIDANA- AYURVEDIC CAUSES OF HIATUS HERNIA
- PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF HIATUS HERNIA
- SAMPRAPTI – AYURVEDIC PATHOGENESIS OF HIATUS HERNIA
- LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF HIATUS HERNIA
- AYURVEDIC PROGNOSIS OF HIATUS HERNIA
- CHIKITSA- AYURVEDIC TREATMENT FOR HIATUS HERNIA
- AYURVEDIC SAMANA TREATMENT FOR HIATUS HERNIA
- AYURVEDIC SHODHANA TREATMENT FOR HIATUS HERNIA
- COMMONLY USED AYURVEDIC MEDICINES FOR HIATUS HERNIA
- HOME REMEDIES FOR HIATUS HERNIA
- DIET AND BEHAVIOUR FOR HIATUS HERNIA
- YOGA FOR HIATUS HERNIA
- RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF HIATUS HERNIA
SIGNS AND SYMPTOMS OF HIATUS HERNIA
- Burning pain in the chest
- Sour belching
- Acid regurgitation
- GERD
- Bad taste in the mouth
- Burping
- Bloating
- Discomfort and burning feeling in the stomach
- Burning pain aggravated during the night
CAUSES OF HIATUS HERNIA
- Rise in pressure in the abdomen, due to pregnancy, coughing, lifting something heavy, or straining during defaecation
- Large Hiatal opening
- Anatomical defect
Risk factors;
- Certain medications like NSAID
- Stress
- Anxiety
- Alcohol
- Smoking
- Spicy foods
- Sour foods
- Digestive disorders
PATHOPHYSIOLOGY OF HIATUS HERNIA
The above-mentioned causes result in the upward pulling of a part of the stomach through hiatal opening. Stomach acid backs up into the esophagus and irritates the epithelial lining in the esophagus. The irritation feels like burning pain in the chest.
DIAGNOSIS OF HIATUS HERNIA
- Endoscopic examination
- X-ray – to find out the normal positioning and shape of esophagus
- Manometry
- Barium swallowing test
TREATMENTS FOR HIATUS HERNIA
- Antacids
- Acid blockers
- Proton pump inhibitors
- H 2 receptor blockers
- Surgical management
PROGNOSIS OF HIATUS HERNIA
- Prognosis is based on the stage of the disease, duration and condition of the patient
COMPLICATIONS OF HIATUS HERNIA
- Ulcer in esophagus
- Recurrent acid regurgitation may lead to esophageal cancer.
HIATUS HERNIA AND AYURVEDA
- In Ayurveda, hiatus hernia is managed based on the treatment of ‘amlapitta’
NIDANA- AYURVEDIC CAUSES OF HIATUS HERNIA
- Excess consumption of dry, acrid, hot, sour food
- Improper functioning of agni
PURVAROOPAM- AYURVEDIC PREMONITORY SYMPTOMS OF HIATUS HERNIA
- Acid regurgitation followed by burning pain in the chest
SAMPRAPTI – AYURVEDIC PATHOGENESIS OF HIATUS HERNIA
- Due to the above-mentioned causes doshas aggravated especially pitta. The vitiated doshas reside in the stomach and esophagus and produce symptoms of hiatus hernia.
LAKSHANA- AYURVEDIC SIGNS AND SYMPTOMS OF HIATUS HERNIA
- Burning sensation
- Sour belching – amla udgaram
- Vomiting
- Bitter taste in mouth – tikta asyatha
AYURVEDIC PROGNOSIS OF HIATUS HERNIA
- Sadya (curable) in the early stage and manageable in the chronic stage with proper Ayurvedic remedies.
CHIKITSA- AYURVEDIC TREATMENT FOR HIATUS HERNIA
AYURVEDIC SAMANA TREATMENT FOR HIATUS HERNIA
- Mustadi Marma kashayam
- Dhanwantharam Kashayam
- Shatavari ghrita
- Shankha bhasma
- Amlapittantak lauha
- Shaddharanam churna
- Shankha vati
- Avipattikara churna- along with honey at bedtime
- Nalikera khanda
AYURVEDIC SHODHANA TREATMENT FOR HIATUS HERNIA
- Virechana – mild purgation
COMMONLY USED AYURVEDIC MEDICINES FOR HIATUS HERNIA
Internal administration
- Mustadi Marma kashayam
- Dhanwantharam Kashayam
- Drakshadi gulika
- Shatavari ghrita
- Shankha bhasma
- Amlapittantak lauha
- Shaddharanam churna
- Shankha vati
- Avipattikara churna
HOME REMEDIES FOR HIATUS HERNIA
- Intake of gooseberry
- Intake of raisins
- Drinking a glass of water in the early morning
DIET AND BEHAVIOUR FOR HIATUS HERNIA
- Avoid food items that produce pitta dosha imbalance like more acrid and sour. Because pitta imbalance aggravates the symptoms.
- Consume easily digestible food items, cow’s milk
- Timely intake of food
- Drink an appropriate quantity of water
- Avoid alcohol and smoking
YOGA FOR HIATUS HERNIA
- Nadi Shuddi Pranayam – Calms the mind and gets relief from symptoms associated with hiatus hernia
The patient needs to be seated in a meditative posture with the head and spine erect, with the body relaxed. The patient has to close his one nostril (e.g. left nostril if using the right hand and vice versa) with the thumb and exhale completely through the other nostril. Again, he will have to breathe in deeply through the other nostril while the opposite nostril is still closed with the thumb.
RESEARCH PAPERS OF AYURVEDIC MANAGEMENT OF HIATUS HERNIA
1. Studies on Urdhwaga Amlapitta and its Management with Shatavari Ghruta
- A clinical study on amlapitta and its management with chhinnodbhavadi ghanavati