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Dr. Manik G. Hiranandani
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Hiatus hernia & Inguinal hernia


Jayant was a middle aged journalist who constantly suffered from heartburn and burping. If he ate a little food he felt full and was hungry again in an hour or two.  If he ate more than a small amount, he would feel heaviness and pain in his chest. He would have difficulty in breathing, tightness in his chest, a feeling of unease and discomfort and would rush to the emergency room. Investigations for his heart invariably showed his heart was normal. He tried many treatments for his acidity and breathlessness without any improvement. 

Jayant came to consult me, I diagnosed him as having a hiatus hernia, I modified his diet,  reassured him and advised him to return to see after 10 days when his flatulence was better.  On his next visit I massaged down the hernia, adjusted the muscles of the diaphragm and called him to see me again after a month or earlier if he had any trouble. On his next visit he was cheerful, and had not felt breathless for a month, his appetite was better and he had put on some weight after many years. 

The symptoms described above are common symptoms with hiatus hernias. 

A hernia is a protrusion of the contents of the abdomen through a weak spot in the abdominal wall. Flatulence is one of the commonest causes for people to get hernias and any successful treatment of any hernia has to first tackle the underlying flatulence or the problem will recur. When you wear tight clothes around the waist, bend forward after eating or overeat, strain to pass stool, do sit ups or stomach crunches, or have your child sit on your stomach, you increase the pressure in the abdomen. This compresses the distended loops of intestine in the abdomen which are forced out of any weak spot. This leads not only to hiatus hernias but also to inguinal and umbilical hernias. 

After the cause of the flatulence has been tackled, an expert in soft tissue manipulation can return the herniated organs to their proper place. The herniated organ usually the stomach or intestine is gently massaged back into the abdomen. The patient feels immediate relief with this part of the treatment. The muscles around the hernia site are then mobilized and adjusted to close the opening through which the intestines have herniated. This gives added protection against a recurrence of the hernia.

If the patient takes care to avoid any measure which increases pressure on the abdomen like lifting heavy weights, sit ups, over eating, forward bending after eating and avoiding wearing tight clothes, this can often cure the Hiatus Hernia. It takes several months for the muscles to regain strength and elasticity to keep the opening closed, so great care is required to ensure the hernia does not recur. As the muscles never fully regain 100% strength care is required through life to prevent a recurrence of the problem. Thousands of my patients have benefited from this safe & easy treatment for hiatus hernia which takes a few minutes.