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Managing Hiatal Hernia Symptoms

LTC Nursing Assistant Trainer, September 16, 2004

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A hernia is a rupture that allows an organ or tissues to protrude through the surrounding walls. Although the most common location for a hernia is in the abdomen, hernias can occur in other locations. A hiatal hernia is the protrusion of abdominal contents, usually part of the stomach, through a gap at the diaphragm. Hiatal hernias can occur in newborns and in adults. In adults, small hiatal hernias usually do not cause problems. But when they do, it usually involves symptoms of heartburn and indigestion following a meal. These symptoms result from inflammation of the lining of the esophagus due to the reflux, or flowing back, of the gastric contents of the stomach into the esophagus. Treatment usually consists of managing the symptoms rather than repairing the hernia. Here are some of the measures that CNAs can use in caring for these residents to prevent the reflux, indigestion, and heartburn that accompany hiatal hernias:  Elevating the head of the bed six inches to prevent the reflux of stomach contents into the esophagus  Avoiding foods and liquids, such as coffee and alcohol, that stimulate the secretion of stomach acids  Using antacids at mealtimes and bedtime to neutralize gastric acidity  Ensuring resident takes medications the doctor has prescribed to prevent reflux from occurring If you follow these measures and others that may be prescribed, the patient can usually live with a hiatal hernia without much discomfort.

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