• Most abdominal hernias can be surgically repaired, and recovery rarely requires long term changes in lifestyles.
  • Uncomplicated hernias are principally repaired by pushing back , or “reducing ”, the herniated tissue, and ten mending the weakness in muscle tissue (an operation called heriorrhaphy)
  • Many pateints are managed through surgical daycare centers, and are able to return to work within a week or two, while heavy activities are prohibited for a longer period.
  • Surgical complications have been estimated to be up to 10%, but most of them can be easily addressed. They include surgical site infections, nerve and blood vessel injuries, injuries to nearby organs, and hernia recurrence.
  • EAT SMALL MEALS; large meals can distend your stomach, pushing it into your chest.
  • AVOID alcohol, caffeinated drinks , chocolates , onions , spicy foods, spearmint and peppermint , all of which increase production of stomach acid and relax your lower esophageal sphincter. Even decaffeinated coffee can be irritating to an inflamed esophageal lining. Also try to limit citrus fruit and tomato-based foods. They’re acidic and can irritate and inflame esophagus.
  • LIMIT FATTY FOODS fatty foods relax the lower esophageal sphincter and slow stomach emptying , which increases the amount of time that acid can backup in to your esophagus.
  • SIT UP AFTER YOU EAT wait at least three hours before going to bed for taking a nap. By then , most of the food in your stomach will have emptied inot your small intestine , so it can’t flow back into your esophagus. Eating a bedtime snacks stimulates acid formation and further aggravates acid reflux.
  • DON’T EXERCISE IMMEDIATELY AFTER EATING. Try to wait at least two to three hours before you engage in any strenuous activity. Low- key exercise such as walking is fine .
  • LOOSE WEIGHT. if you are over weight , slimming down helps reduce the pressure on your stomach. This will be be the most important thing you can do to reflive your symptom.
  • STOP SMOKING. Smoking increase acid reflux and dries your saliva. saliva helps protect your esophagus from stomach acid.
  • AVOID CERTAIN MEDICATION IF POSSIBLE LIKE calcium channel blockers , such as diltiazem ; the antibiotic tetracycline ; nonsteriodial , anti –inflammatory drugs , such as aspirin , ibuprofen and naproxen sodium; quinidine; theophylline ; sedatives and tranquilizers ; and alendronate . if you take any of these medication and suffer from heartburn , talk to your doctor.
  • ELEVATE THE HEA DOF YOUR BACK if you elevate the head of your bed 6 to 9 inches , gravity will help to prevent stomach acid from moving up into your esophagus as you sleep .using a foam wedge to raise mattress also may help. Do not try to use pillows, which tend to increase pressure on abdomen.
  • AVOID THIGHT FITTING CLOTHESE. They put pressure on your stomach.
  • TAKE TIME TO RELAX when you’re under stress, digestion slows which makes GERD symptoms worse. Relaxation technique such as deep breathing , meditation or yoga may help reduce acid reflux

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