Sunday, July 3, 2016

HOW TO FIX A HIATAL HERNIA

Check out Dr. David William's site.  Here is his YouTube channelHere he recommends a digestive enzyme.      

How to Self-Adjust a Hiatal Hernia by Dr. Lorn Allison.

I found this article and thought that some of it is helpful for anyone suffering from a hernia rupture, protrusion, or splaying of the fascia tissue, fat and muscle from either getting hit or straining the abdominal cavity and wall. Just knowing the terms is an advantage, since it gives you the terms that you can use as reference if you decide to see a doctor.  I've searched forums and Google searches and it is not easy to find reliable information on the best remedies, food, therapy, exercises or otherwise, to treat and fix a hernia.  the article is good because it lists different treatments.  Treatments are no cures, unless, you know, they do cure.  But the first treatment the article refers to are belts.  You might have called them girdles or braces.  If you searched the terms at Amazon, I am sure that you would have found your way back to belts.  Like I said, having the terms of use points you in the right direction.  It points out that the belts "apply pressure on the hernia and keep it from popping out."  What if you're intestines are already popping or sagging?  The article points out that the  belts are "relatively inexpensive."  You can make that determination for yourself given your budget.  And that the belts "may provide some temporary symptomatic relief."  Talk about being vague regarding maybes, "may provide."  Just as not all belts are created equal, not all hernia respond well to the use of hernia belts.  The author says "[The belts] are most effective for inguinal hernias and least effective for all other types of hernias."  Not sure why.  Is it because the belts when used to pull up a protruding tissue works against gravity better than having to pull in?  The author offers some decent advice, "Make sure you purchase from a company with a liberal return policy."  But won't that be a little pricey?  When referencing your anatomy, doctors will use different terms to locate your problem.  In the case of a hernia, inguinal means that it's a hernia in your groin area.  Epigastrium refers to a hernia between your navel and breastbone.  The diagram below helps you locate your hernia.  There are umbilical hernias on or near your navel. There are epigastric hernias above your navel, and hypogastric hernias below your navel.  Knowing what these terms refer to will not only help you find things for yourself, but can establish a nice rapport with your physician or surgeon when discussing options. Knowledge helps buyers in any market.  And believe me, medicine and its salesmen, i.e., doctors, is a marketplace all unto its own with doctors wanting to sell you every procedure in the book.  So as a buyer you've got to play it smart, particularly in the medical field because so much is at stake.  Lives are literally at stake, often your own. That, or ill health for a very long time.  I recommend treading very lightly. When the doctor tells you this is the best procedure, as, yourself "Compared to what?"  It just makes you a smarter buyer.  He or she may not like it.  So what . . . it's your body. 




Here is the article:
TREAT SYMPTOMS or CURE CAUSE?
If you cannot afford the cure, which is hernia surgery, you may look into other hernia remedies. As a policy, we [the No Insurance Surgery] do not recommend any of these because they are not the medical standard of care but we understand that the information may be of some value to you.

TRUSSES, BELTS, BRIEFS, and WRAPS
These are belts, appliances or garments that are designed to apply pressure on the hernia and keep it from popping out. They are relatively inexpensive and may provide some temporary symptomatic relief. They are most effective for inguinal hernias and least effective for all other types of hernias. If you are going to buy a hernia truss here is some advise: Make sure you purchase from a company with a liberal return policy. There are many styles shapes and sizes. The only way to know what will work best for you is to try on a few.

INGUINAL HERNIA TRUSS
This is a belt which goes around the hips and one of the thighs. It applies pressure directly to the internal spermatic ring which is where indirect inguinal hernias originate. In order to apply the truss, the hernia must be reducible. That is, you must be able to push a hernia all of the way back into the abdomen before applying pressure to a hernia. There is no value from the truss if you are not able to reduce a hernia. Once the hernia is reduced and the truss is applied the hernia will stay inside the abdomen until the truss is removed or dislodged. It is not secure enough to withstand heavy physical activity but it may work fine and keep you comfortable for long periods of standing or casual walking.
UMBILICAL HERNIA BELT
Umbilical hernia belts generally work pretty poorly and can worsen a hernia. The problem is that a belt around the middle of the abdomen actually increases intra-abdominal pressure and this pressure forces a hernia out with more force than what is applied directly to a hernia by the belt.
HERNIA EXERCISES
Hernias are not caused by weakness of abdominal muscles. Hernias are the result of the weakness of tissue called "fascia". Exercise will strengthen muscle but not fascia. Unfortunately, exercise also increases intra-abdominal pressure and this causes worsening of a hernia.
This fascia tissue is pretty important.  Michelle Schoffro CookDNMDAc (i.e., acupuncture), author of a few books on nutritional support and a blog, states that the fascia tissue links all the components of the body together . . . .  It carries nerves, blood, and lymphatic vessels through it.  Fascia also helps to distribute the weight of the body during movement.
HERNIA MEDICATIONS
Medications are the mainstay of treatment for hiatal hernias. For all other hernias, they provide no more value than treating the pain and discomfort associated with a hernia.  Treating a hernia with medications is like fixing a broken chain with a good paint job.
NON-SURGICAL HERNIA TREATMENTS
Laparoscopic hernia repair is minimally invasive but the technique suffers from a high recurrence rate.  
Truth be told, this laparoscopic hernia surgical repair does not appear to be particularly “minimally invasive.” It opens the gut. The patient is under a general anesthesia. You’re out for the duration of the procedure. And the surgeon in this video seems to cauterize plenty of tissue.

It adds that . . . 
Yoga, radiation therapy, inversion boots (click there on "inversion boots": they allow you to hang from a horizontal bar, using gravity to decompress your spine: see here for inversion therapy), massage therapy and denial have all been shown to be of no value. We never discount the value of prayer but it probably works through a surgeons hands.

HIATAL HERNIAS

Sliding Hiatal hernias are a special case of hernias which are primarily treated without surgery. Surgery for this type of a hernia is only indicated if other treatments fail or if there is so much damage to the esophagus that a risk of cancer develops.  Most sliding Hiatal hernias are successfully treated with medication, diet, weight loss and abstinence from tobacco and alcohol.

Para-esophageal Hiatal hernias are a rare form of Hiatal hernias which require surgery. This is because they can cause strangulation of the stomach which is not a risk of the sliding type of a hiatal hernia.

HERNIA SURGERY

Most hernias result from a weakness in the abdominal wall that you are born with. Over time and with stress the weakness enlarges and allows the bowel to poke out.

A hernia is a protrusion of intestines through the strength layer of the abdominal wall. The strength layer of the abdominal wall is called fascia. Fascia is the tough outer lining of muscle that gives structural strength to muscles and the abdominal wall.  The abdominal wall is composed of ten layers of membranes, fascia, muscles, fat, and skin. The outermost layers, the subcutaneous fat and the dermis have no strength or ability to contain the contents of the abdominal cavity. 

When there is a defect of the deeper strength layers of the abdominal wall intestines or other abdominal organs protrude and create a budge under the skin. The danger is that the intestines will become trapped and strangulated in the narrow neck of the defect. This is a bowel strangulation which leads to bowel obstruction and bowel gangrene. Bowel gangrene is a surgical emergency which requires emergency repair of a hernia and removal of the gangrenous bowel. Gangrene of the intestine is very dangerous if not diagnosed and treated early. Severe pain or vomiting is the primary symptom of this serious occurrence.

Hernias are repaired to eliminate the dangers of potential strangulation, obstruction and gangrene of the intestine. Expert knowledge of the layers of the abdominal wall is required for expert repair of hernias. The science of hernia repair has advanced by requiring less expertise to repair a hernia and by easing recovery but the recurrence rates have remained the same.

Mesh repairs are the most common repairs and are easily performed by novice surgeons. Mesh repairs are an application of a patch to the hernia defect.  Anatomical repairs such as the McVay or Basinni repairs are less commonly done and require more expertise. There are relative advantages and disadvantages of all of the types of repairs. The anatomical repairs tend to produce the best long-term results. The mesh repairs, also known as tension-free repairs have faster recovery but occasional patients develop an allergic reaction to the mesh which is permanent. We have long been aware of the potential downside of mesh repairs and prefer anatomical repairs for this reason.  

Laparoscopic repairs have the fastest recovery and also have the highest failure rate.

Generally speaking, a patient is better off picking a surgeon rather than picking a repair. Most surgeons are trained in all forms of hernia repairs. Surgeons will perform the repair that in their experience gives the best results. One type of repair may not be the best for all patients. Surgeons that tailor the repair to the specific anatomical needs of their patient make a decision at the time of surgery about how to repair a hernia. The specific nature of a hernia cannot be determined until the time of surgery.

A proper hernia repair is meant to provide a lifetime of security and comfort. This result is achieved in over 95% of the cases.

As to food remedies, you want to seek out foods high in quercetin, like apples and onions.  Onions have 3 times the amount of quercetin as apples.  Though Bill Sardi's article is unrelated to a hernia, he does point to quercetin and resveratrol to burn fatGarlic, too, can remedy most stomach issues.  

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