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DESCRIPTION
When part of an organ bulges out of the area where it is not supposed to be, it is called a hernia. Hiatal hernia is a condition in which the stomach pushes or herniates, upward through an opening in the diaphragm into the thorax (chest cavity). Both children and adults may have a hiatal hernia, but it is more common in adults.
Usually a result of a congenital abnormality or trauma, this condition is associated with gastroesophageal reflux, in which the muscle that encircles the juncture of the stomach and the esophagus fails to keep food and acid from coming back up from the stomach into the esophagus as it should. If that happens, the tissues in the esophagus become irritated, causing heartburn and, some times, a coughing up of bloody mucus.
TYPES OF HIATAL HERNIA
The abdomen and chest are separated by a sheet-like muscle called the diaphragm. The esophagus goes through an opening (the hiatus) in the diaphragm to connect to the stomach. The upper stomach bulges through this opening to create a hiatal hernia. There are 3 types of hiatal hernia: sliding, paraesophageal, and mixed. The most common type is the sliding hiatal hernia and is generally not a serious condition. Paraesophageal and mixed hiatal hernias may progress and are more serious.
SLIDING HIATAL HERNIA
In a sliding hiatal hernia, part of the stomach moves through the diaphragm so that it is positioned outside of the abdomen and in the chest. The lower esophageal sphincter (LES) often moves up above its normal location in the opening of the diaphragm.
Most people with a sliding hiatal hernia have no symptoms, and it is often diagnosed when a person is being evaluated for other health concerns. However, if the LES moves above the diaphragm, it may not close well and stomach acid and juices may back into the esophagus (acid reflux). This results in an uncomfortable feeling of burning, warmth, heat, or pain behind the breastbone. This may occur after eating, soon after lying down, or when bending forward, and may come and go. You may also have a sour taste in your mouth. This group of symptoms is commonly known as heartburn or reflux.
PARAESOPHAGEAL HERNIA
In a paraesophageal hernia, the stomach bulges up through the opening in the diaphragm (hiatus) alongside the esophagus (upside-down stomach). The LES remains in its normal location inside the opening of the diaphragm. This type of hernia most commonly occurs when there is a large opening in the diaphragm next to the esophagus.
The stomach and, rarely, other abdominal organs (such as the intestine, spleen, and colon) may also bulge into the chest in a paraesophageal hernia.
MIXED HERNIA
In a mixed hiatal hernia, the LES is above the diaphragm as in a sliding hiatal hernia, and the stomach is alongside the esophagus as in a paraesophageal hiatal hernia.
An estimated 50 percent of people over forty years of age have hiatal hernias. However, many people are unaware of the condition. Small hernias rarely cause any trouble. It is the larger hernias that are most often linked to reflux problems. Ulcers often accompany a hiatal hernia. The acid reflux may lead to ulceration of the esophagus. Ulcers can also occur in the duodenum (the top of the small intestine) or the stomach.
SIGNS & SYMPTOMS
Most people with a sliding hiatal hernia have no symptoms, and it is often diagnosed when a person is being evaluated for other health concerns. However, if the LES moves above the diaphragm, it may not close well, and stomach acid and juices may back into the esophagus (acid reflux). This results in an uncomfortable feeling of burning, warmth, heat, or pain behind the breastbone (sternum). This may occur after eating, soon after lying down, or when bending forward, and may come and go. You may also have a sour or bitter taste in your mouth and belching. This group of symptoms is commonly known as heartburn or reflux. Coughing up of bloody mucus may occur when the esophagus become irritated.
Other symptoms may include:
- Fullness in the upper abdomen after a meal.
- Difficulty swallowing (dysphagia) or a sensation of a lump in the throat (globus sensation).
- Regurgitation (not reflux) of stomach juices and nausea.
- A hoarse voice.
If symptoms are continual or severe, you may have gastroesophageal reflux disease (GERD). Treatment for GERD usually requires stronger prescription medications, and surgery may be an option.
MoonDragon's Health & Wellness: Heartburn and GERD Information
If you have shortness of breath or pain in the area of your breastbone, you need to make sure it is not caused by a heart problem. The burning sensation caused by acid reflux usually occurs after eating. Pain from your heart is usually felt as a pressure, heaviness, weight, tightness, squeezing, discomfort, or a dull ache that occurs most often after activity. To learn more about chest pain that may indicate problems with your heart, see:
CAUSES
A congenital abnormality, trauma, or surgery may cause hiatal hernia.
A hiatal hernia may develop or worsen as a person ages (over 40 years).
Dietary differences have been implicated since it is very common in the west and rare in Asia and Africa.
Genetics may play a role in the causation. Clustering of hiatal hernia among family members encompassing several generations has been described.
Other theories implicate the weakening of the ligaments attaching the stomach to various adjacent structures. This weakened system permits the stomach to be pushed up into the chest. Such a situation may occur due to pregnancy, obesity, and aging, etc.
Some experts believe that the hiatal hernia occurs because the esophagus is shortened, thus pulling the stomach into the chest. The shortening occurs because of malfunctioning of nerves in the lower part of the esophagus.
POTENTIAL PROBLEMS
Just because you have a hiatal hernia does not mean that you have a problem at hand. In fact, they don't cause any problem in most people. In many patients however, acid reflux may worsen.
Patients with hiatal hernia tend to have greater acid induced damage to the esophagus. The sliding of stomach in and out of abdomen may cause friction at the neck of the hernia leading to ulcers. Giant hernias may cause anemia, bleeding and chest pain. Paraesophageal hernias are prone to strangulation.
TREATMENT
DIAGNOSIS & TESTS
A hiatal hernia often is diagnosed when a person is being evaluated for another health concern. The diagnosis is usually made during an upper GI x-ray or upper endoscopy. If you go to your health care provider with a feeling of burning, warmth, heat, or pain behind the breastbone (often known as heartburn), your health care provider will probably ask you questions about your symptoms and may want to perform other tests if any of the following is true:
- You have had heartburn symptoms for a long time.
- Your symptoms do not get better with medication.
- Your symptoms promptly come back after medication is stopped.
- Other serious signs or symptoms are present, such as weight loss, vomiting of blood, or difficulty swallowing.
CONVENTIONAL MEDICAL TREATMENT
Treatment for people who have mild symptoms begins with making lifestyle changes and, if necessary, taking non-prescription antacids or acid reducers. If symptoms are continual or severe, you may have gastroesophageal reflux disease (GERD). Treatment for GERD, paraesophageal or mixed hiatal hernia, usually requires stronger prescription medications, and surgery may be necessary to avoid potential complications.
GASTROESOPHAGEAL REFLUX DISEASE (GERD)
Gastroesophageal reflux disease (GERD) is the abnormal backflow (reflux) of food, stomach acid, and other digestive juices into the esophagus. This backflow occurs when the valve between the lower end of the esophagus and the stomach (the lower esophageal sphincter) does not close tightly enough or relaxes at the wrong times.
The main symptom of GERD is heartburn. In GERD, the reflux (and heartburn) lasts longer and occurs more often than ordinary heartburn. Over time, acid reflux may cause irritation and inflammation of the esophagus (esophagitis), sores (ulcers) in the esophagus, and narrowing of the esophagus (stricture).
Home treatment with antacids and non-prescription acid controllers can often ease the symptoms of mild GERD and may help prevent it in some situations. It may help to eat small, frequent meals and avoid food for at least 2 hours before lying down. It also helps to avoid smoking and foods that aggravate your heartburn.
Prescription medications may be needed for more severe or frequent symptoms.
A person may have a hiatal hernia or GERD or both. A person with a hiatal hernia may not always have GERD, and many people with GERD do not have a hiatal hernia. If a person has heartburn, certain tests, such as an upper gastrointestinal series or endoscopy, can help determine if the person has a hiatal hernia and/or GERD.
The need for surgery for hiatal hernia is rare. It is indicated in cases of persistent ulcers and bleeding due to the hernia; very large or symptomatic sliding type hernias and; paraesophageal hernias. The surgeon pulls down the hernia into the abdomen and hooks it up to adjacent structures so the stomach won't escape again into the chest. Usually an anti-reflux procedure is also performed.
HELPFUL RESOURCES
National Digestive Diseases Information Clearinghouse (NDDIC)
2 Information Way
Bethesda, MD 20892-3570
Phone: (301) 654-3810
Phone: 1-800-891-5389
Fax: (301) 907-8906
E-mail: nddic@info.niddk.nih.gov
Web Address: http://www.niddk.nih.gov/health/digest/nddic.htm
This clearinghouse is a service of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health. The clearinghouse answers questions; develops, reviews, and sends out publications; and coordinates information resources about digestive diseases. Publications produced by the clearinghouse are reviewed carefully for scientific accuracy, content, and readability.
HOME TREATMENT
If you have a sliding hiatal hernia, no treatment generally is necessary. If you have occasional or mild symptoms - a feeling of burning, warmth, heat, or pain behind the breastbone (commonly known as heartburn) - you can make the following lifestyle changes:
- If you smoke or chew tobacco, stop. Nicotine from tobacco relaxes the valve between the esophagus and stomach (lower esophageal sphincter, or LES). This can allow stomach acid and juices to back up (reflux) into the esophagus, which cause the symptoms of heartburn.
- Change your eating habits. This may make heartburn less likely to occur. Take your spouse or partner along with you when you go to discuss diet habits with your health care provider. It will be easier to make changes in your diet if your family understands what you need to do and why.
- Lose weight if you are overweight. Being overweight puts additional pressure on your stomach and increases the likelihood that heartburn will occur. Even losing a few pounds can help.
- Avoid or reduce pressure on your stomach to make heartburn less likely to occur.
- Raise the head of your bed 6 inches (15.24 cm) to 8 inches (20.32 cm) by putting blocks underneath your bed frame or placing a foam wedge under the head of your mattress. This will help keep stomach acid from flowing into your esophagus when you are sleeping. Using extra pillows does not work, because they cause you to bend at your waist. This squeezes your stomach, making heartburn worse.
Along with making lifestyle changes, non-prescription medications may control mild or occasional heartburn. These medications include acid reducers and antacids.
NUTRITION, HOLISTIC RECOMMENDATIONS, HERBS & SUPPLEMENTS
NUTRITION AND LIFESTYLE RECOMMENDATIONS
At the first sign of heartburn, drink one or two large glasses of water. This often relieves heartburn by washing the acid out of the esophagus.
Even if you are not thirsty, drink a large glass of water every three hours during the daytime.
Eat several small meals daily. Eat 6 small meals instead of 3 big meals. This keeps the stomach from getting too full. Eat slowly. Don't lie down for 2 to 3 hours after eating. Do not drink anything 1 to 2 hours before going to bed.
Include extra fiber in the diet.
Do not consume spicy foods, and do not take enzyme supplements that contain hydrochloric acid (HCl).
Avoid fats/fatty foods and fried foods. They delay digestion and prolong the stomach's emptying time. Also avoid caffeine beverages (coffee, tea, colas, cocoa), citrus fruits and other foods and drinks that seem to increase heartburn.
Avoid alcohol and smoking. Smoking often causes the stomach to make more acid.
Avoid heavy lifting and bending. Give the stomach at least two hours of empty before lifting or other exertion. Bend from the knees, not the waist, to avoid abdominal pressure. Avoid straining when lifting things.
Do not wear clothing that is tight around the waist, stomach, or chest.
Avoid becoming constipated and straining during bowel movements or when urinating.
Do not eat within three hours of bedtime. If you are regularly bothered by indigestion during the night, try raising the bed of your bed six to ten inches.
Do not lie down during the day if you are bothered by heartburn. Sitting or standing helps to keep the stomach acids in the stomach.
Because heartburn causes symptoms similar to those of heart disease, see a health care provider if you have more than occasional bouts to rule out the possibility of heart problems.
Allergenic foods often magnify the symptoms and prolong healing. Symptoms of hiatal hernia often clear up when allergenic foods are avoided. See Allergies for more detailed information.
Gastroesophageal reflux can also be caused by other factors as well as hiatal hernia, such as smoking or eating too close to bedtime. Obesity can also contribute to the problem.
HERBS
Aloe Vera promotes healing of the intestinal lining. Drink 1/4 cup of aloe vera juice in the morning and again at night. It can be added to juice or herbal tea if you desire.
Other beneficial herbs include Fenugreek, Goldenseal, Marshmallow Root, Red Clover, and Slippery Elm. Caution: Do not take Goldenseal internally on a daily basis for more than one week at a time, do not use during pregnancy, and use it with caution if you are allergic to ragweed.
NUTRITIONAL SUPPLEMENT RECOMMENDATIONS
The following nutrients are important for healing once appropriate local treatment has been administered. Unless otherwise specified, the following recommended doses are for those over the age of 18. For a child between 12 and 17 years old, reduce the dose to 3/4 the recommended amount. For a child between 6 and 12 years old, use 1/2 the recommended dose, and for a child under 6, use 1/4 the recommended amount.
NUTRIENTS Supplement Suggested Dosage Comments Important Proteolytic Enzymes
Plus
PancreatinAs directed on label. Take between meals.
As directed on label. Take with meals.For improved digestion. Caution: Do not give these supplements to a child. Do not use a formula containing HCl.
Super Digestive Enzymes w/ Pancreatin, Bromelain & Other Digestive Enzymes, 90 Caps,
Papaya Enzyme W/ Mint & Chlorophyll, Chewable, NOW Foods, 23 mg, 360 Lozenges,
Digestion Supplement w/ Enzymes, Nature's Way, 530 mg, 100 CapsHelpful Aloe Vera 1/4 cup aloe vera juice in the morning and again at night. It can be added to herbal tea if desired. Promotes healing of the intestinal lining.
Aloe Vera Gel & Juice, 99.7% Pure, Certified Organic, Nature's Way, 1 LiterMulti-Vitamin & Multi-Mineral Complex As directed on label. All nutrients are needed for balance. Use a hypoallergenic formula.
Super Multi-Vitamin & Multi-Mineral, Pure Vital Earth, 32 fl. oz. (98% Bio-Available for Absorption), Damage Control Master Formula, High Potency, Multi-Vitamin & Mineral, 60 Packets (30 Day Supply)Vitamin B complex
Plus Extra
Vitamin B-12100 mg twice daily, with meals
200 mcg 3 times daily.Needed for all enzyme systems in the body and for proper absorption of nutrients. Use a hypoallergenic formula.
Use a lozenge or sublingual form.
Ultimate B Complex Formula, Nature's Secret, 60 Tabs,
Ultra B-12, NOW Foods, 4 oz.Papaya Tablets 2 tablets 3 or more times daily, before meals and/or as needed. To relieve symptoms and is good for digestion. Use chewable tablets form.
Papaya Enzyme W/ Mint & Chlorophyll, Chewable, NOW Foods, 23 mg, 360 LozengesZinc 50 mg daily. Do not exceed a total of 100 mg daily from all supplements. Necessary for healing and repair of tissue. Use zinc gluconate lozenges or OptiZinc for best absorption.
Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
Colloidal Silver & Zinc Lozenges, Silva Solution, 90 Lozenges,
Zinc Lozenges W/ Echinacea & Vitamin C, Nature's Way, 23 mg, 60 Lozenges,
Zinc Ionic Mineral Supplement, Fully Absorbable, 100 +/- ppm, 16 fl. oz.,
Zinc (Chelated), 100% Natural, Nature's Way, 30 mg, 100 CapsVitamin A 50,000 IU daily for 1 month, then 30,000 IU daily for 2 weeks, then reduce to 20,000 IU daily. If you are pregnant, do not exceed 10,000 IU daily. Aids in combating excess acid and enhances immune function. Use emulsion form for easier assimilation and greater safety at higher dosages.
Vitamin A, 10,000 IU, 100% Natural, Nature's Way, 100 SoftgelsPlus
Natural Beta-Carotene
Or
Carotenoid Complex (Betatene)25,000 IU daily.
As directed on label.An antioxidant and precursor of vitamin A. Needed by all cells for repair and rebuilding. Enhances natural killer cell activity. Low beta-carotene levels have been associated with lung, bronchial, and stomach cancer.
Beta Carotene (Natural Dunaliella Salina), Nature's Way, 100% Natural, 25,000 IU, 100 Softgels,
Multi-Carotene Antioxidant, Nature's Way, 60 SoftgelsVitamin C With Bioflavonoids Up to 1,500 mg. Needed for proper immune function and healing of tissues. Use a buffered form.
Vitamin C Liquid w/ Rose Hips & Bioflavonoids, Kosher, Natural Citrus Flavor, Dynamic Health, 1000 mg, 16 fl. oz.,
Ester C With Bioflavonoids, Nature's Way, 1000 mg, 90 Tabs,
Vitamin C 1000 With Bioflavonoids, Nature's Way, 100% Natural, 1000 mg, 250 VCaps,
The Right C, Nature's Way, 1000 mg, 120 Tabs
HEARTBURN / GASTROESOPHAGEAL REFLUX (GERD) SUPPLEMENTAL PRODUCTS
Information, products and supplements for heartburn and gastroesophageal reflux, conditions that occur when hydrochloric acid from the stomach backs up into the esophagus, resulting in burning and pain in the stomach and/or chest.
Acid Redux, NOW Foods, 90 Lozenges
Acid Redux is a unique proprietary formulation of acid buffering agents that can be helpful in the alleviation of occasional acid indigestion. Acid Redux is al all-natural dietary supplement, containing no artificial flavors or colors.AlkaMax Natural Antacid & Alkaline Booster Liquid, 1 fl. oz.
Natural antacid for digestion and entire body.AlkaMax Natural Antacid & Alkaline Booster Powder, 200 grams
Natural antacid for digestion and entire body.AlkaMax, Natural Antacid & Alkaline Booster With 15 pH Test Strips, 1000 mg, 90 Caps
Natural Antacid for digestion and entire body.AlkaMax pH-Balancing Wallet Card, 1 Each
Great Food Acid Balancing Tips anytime. Fits like a credit card in your wallet or purse with easy to read and understand pH information.Amalaki Detoxification & Rejuvenation, Banyan Botanicals, 90 Tabs
Amalaki is said to stimulate the production of red blood cells, enhance cellular regeneration, increase lean body mass and support proper function of the liver, spleen, heart and lungs. It has also been used to purify the blood, improve eyesight, strengthen the bones and teeth, and cause hair and nails to grow.Avipattikar Powder, Certified Organic, Banyan Botanicals, 1/2 lb.
Certified Organic Avipattikar Powder Ingredients include cane sugar, nishoth, cardamom, clove and ginger. It is traditionally used to remove excess pitta from the stomach and small intestine, alleviating hyperacidity, heartburn and indigestion.Barberry Tincture, 100% Organic, 2 fl. oz.
Barberry is used for treating gallbladder disease, heartburn and indigestion and diarrhea. This herb can also be used to treat infections, parasites, psoriasis, and vaginitis.Bed Wedge, 16 Inch Lift, 24 Inch By 24 Inch By 7 Inch
The Bed Wedge can elevate the upper body or legs and helps treat the symptoms of hiatal hernia and acid reflux disorders.Bed Wedge, 22 Inch Lift, 24 Inch By 24 Inch By 10 Inch
The Bed Wedge can elevate the upper body or legs and helps treat the symptoms of hiatal hernia and acid reflux disorders.Bed Wedge, 26 Inch Lift, 24 Inch By 24 Inch By 12 Inch
The Bed Wedge can elevate the upper body or legs and helps treat the symptoms of hiatal hernia and acid reflux disorders.Bentonite Clay, Pascalite, 100 Caps
Pascalite is a form of calcium bentonite containing at least twenty elements including iron, magnesium, and silicon, better than sodium bentonite. Uses as skin cleanser, conditioner, internally for heartburn, ulcers and for a natural mineral dietary supplement.Bio Defender, Antibacterial, Antiviral & Antifungal Formula, Balanceuticals, 56 Caps
This unique antibacterial, antiviral and antifungal formula is a clinical nutritionist response to bio terrorism such as anthrax.BodyZyme, Systemic Enzyme, 90 Caps
BodyZyme is a potent systemic enzyme. Enzymes are protein based substances found in every cell of every plant and animal.Calming Tea With Organic Chamomile For Daily Stress Relief, Yogi Tea, Caffeine Free, Certified Organic, 16 Tea Bags
Calming Tea by Yogi Tea is a safe and time-tested Ayurvedic formula designed to ease stress and tension, encouraging a state of relaxed alertness without drowsiness.Cayenne & Goldenseal Supplement, Nature's Way, 100 Caps
Cayenne & Goldenseal Supplement is a proprietary blend of Certi-Fiery Cayenne and five other synergistic herbals.Cayenne Pepper Supplement, Nature's Way, 450 mg, 180 Caps
Cayenne Pepper Supplement is a blood warming herb that has an invigorating effect on several body systems.Chamomile Tea, Caffeine Free, Yogi Tea, Certified Organic, 16 Tea Bags
Organic Chamomile Tea by Yogi Tea with its subtle fragrance and flavor, is a great way to ease your daily tensions.Digest Ease, Promotes Healthy Digestion, Banyan Botanicals, 90 Tabs
Digest Ease is a dynamic combination of herbs designed to strengthen digestion without aggravating pitta. Excess pitta causes increased heat, sharpness and oiliness in the digestive tract. These qualities aggravate and inflame the digestive fire, creating acidic conditions, which can lead to discomfort. Cooling and soothing to the internal membranes, Digest Ease neutralizes acid and removes excess heat from the system.Digestion Supplement With Enzymes, Nature's Way, 530 mg, 100 Caps
Nature's Way Digestion Supplement has concentrated enzymes that help in the efficient breakdown of carbohydrates, proteins and fats, while the herbal bitters support gastric activity and soothe digestion.Digestive Enzymes, 750 mg, 100 Caps
Since cooking destroys many of the digestive enzymes in food, taking plant fiber-based digestive enzymes aids in digesting even the heaviest meal.Enzymes, All Complete, 250 mg, 90 Caps
All Complete Enzymes, dietary supplement, is an important combination of critical enzymes that help support normal digestive function, cholesterol levels, fat metabolism and more, all in one convenient tablet.Gastritix Formula Chamomile Supplement, Nature's Way, 474 mg, 100 Caps
Gastritix Formula Chamomile Supplement represents the powerful synergy of current scientific research and traditional herbal medicine.Gas Acid Stomach Formula, 100% Organic, 2 fl. oz.
The Gas Stomach Acid Tincture from Alternative Health and Herbs is all natural and was created to help with stomach acidity and gas, acidosis, gastritis, heartburn, and weight loss.Ginger Root Tincture, 100% Organic, 2 fl. oz.
Ginger root has also been recommended as a treatment for atherosclerosis, migraine headaches, rheumatoid arthritis, high cholesterol, burns, ulcers, depression, impotence, and liver toxicity.Ginger Tea, Organic Digestive Aid, Yogi Tea, 16 Tea Bags
This 100% organic Ginger Tea by Yogi Tea has something to offer to anyone who wants to get or stay healthy.Good Digestion: Your Key To Vibrant Health, By Ken Babal
Ken Babal explains that nutrition is not just what we eat, but what the cells of the body actually receive. Digestion is the key to good health and nutrition.Green Tea Kombucha, Yogi Tea, Decaffeinated, Immune Support, 16 Tea Bags
Green Tea Decaf Kombucha from Yogi Tea uses the same delicious recipe as the Green Tea Kombucha but is naturally decaffeinated.Heartburn Formula Tincture, 100% Organic, 2 fl. oz.
This herbal heartburn remedy relieves the burning sensation of heartburn.Heather's Tummy Tamers, Peppermint Oil, Heather's Tummy Care, 90 Caps
Peppermint oil capsules, as part of the diet, have been clinically proven to help IBS symptoms, even in children. A recent survey of clinical trials declared peppermint oil capsules the drug of first choice for IBS patients with constipation or diarrhea, to alleviate general symptoms, and to improve quality of life.Heather's Tummy Tea, Organic Fennel, Heather's Tummy Care, 45 Tea Bags
Fennel assists in the dietary management of IBS symptoms, and is exceptional for IBS bloating, gas and abdominal pain. Fennel is also a traditional digestive aid for colic, heartburn, indigestion, and stomach aches.Heather's Tummy Tea, Organic Peppermint, Heather's Tummy Care, 36 Tea Bags
Peppermint is a cooling, calming herb that, through dietary management, helps relieve the symptoms of IBS. Clinical studies have shown that peppermint is exceptionally beneficial for IBS abdominal pain and spasms, diarrhea, and urgency (it will not cause or worsen constipation).Kombucha Tea, 100% Organic Original Flavor, Ready To Drink, 25.4 fl. oz., Case of 12
People from all over the world claim drinking Kombucha Tea provides relief from many physical ailments. Kombucha Tea offers many people the physical resistance they need to maintain and restore health.Lemon Ginger Tea, Yogi Tea, 16 Tea Bags
Lemon Ginger tea from Yogi Tea is a special healing formula designed to aid digestion, ease upset stomach and provide a caffeine-free pick-me-up.Lick The Sugar Habit, By Nancy Appleton, Ph.D.
Nancy Appleton, Ph.D., shows you how sugar upsets the body chemistry and devastates the endocrine and immune systems, leading to a host of diseases and conditions including hypoglycemia, diabetes, osteoporosis, arthritis, cancer, heart disease, headaches, allergies, asthma, obesity, periodontal disease, tooth decay, and more.Licorice Root Tincture, 100% Organic, 2 fl. oz.
Licorice root is taken orally (DGL form) for ulcers, heartburn (esophageal reflux), and mouth sores.Lime Oil, NOW Foods, 1 fl. oz.
This lime oil is derived primarily from lemon peels and contains no fillers, scents or preservatives.Liquid L-Carnitine Plus Pantothenic Acid, Dynamic Health, 16 fl. oz.
Dynamic Health's liquid l-carnitine can help boost energy, build new muscle and improve mental performance.Manuka Honey Bio Active 10+, 500 grams
Comvita Bio Active 10+ Manuka Honey contains a high level of antibacterial activity not found in other honeys. For digestive health and to assist the digestive process.Multiflora Honey, 100% Pure New Zealand Honey, 1.1 lb.
Pure New Zealand Honey is made with the help of wild flowers to produce a rich natural taste that is all its own.Natural Remedies For Intestinal Health, By Conrad LeBeau
Information on increasing appetite and rebuilding mucosal membranes and conditions such as candidiasis, acid-reflux, colitis, Crohn's disease and leaky gut syndrome.Niacin Supplement (Vitamin B-3), 100% Natural, Nature's Way, 100 mg, 100 Caps
Niacin or Vitamin B-3, is necessary for normal breakdown of fats and fatty acid and the release of energy from carbohydrates. It is also an excellent vasodilator and may be useful in maintaining proper cholesterol levels.Organic Rooibos Tea, Caffeine Free Herb Tea, 25 Tea Bags
Rooibos is a red tea indigenous to South Africa. Wisdom Herbs Organic Rooibos Tea is caffeine free and tastes great.Overcoming The Acid Crisis, By Martha M. Christy, Paperback
Overcoming the Acid Crises by Martha M. Christy underscores the importance of balancing pH reducing the risk for renal tubular acidosis and helps maintain weight fluctuations and good digestive health.Pascalite Bentonite Healing Powder, 16 oz.
Pascalite is used in soap and toothpaste, applied as a poultice to insect bites, sunburns, infections, cold sores, canker sores and acne, and as a suppository for hemorrhoids. Users found it a potent skin cleanser and conditioner, drank it for heartburn and ulcers.Pepogest Peppermint Oil, Enteric Coated, Nature's Way, 0.2 ml, 60 Softgels
Pepogest peppermint oil is a targeted release peppermint oil supplement that provides natural gastrointestinal comfort. Pepogest peppermint oil is a targeted release peppermint oil supplement that provides natural gastrointestinal comfort.Peppermint Leaf (Mentha X Piperita) Powder, 4 oz.
Peppermint leaf calms the muscles of the stomach and improves the flow of bile, which the body uses to digest fats. As a result, food passes through the stomach more quickly.Peppermint Stomach Soother Tea, Yogi Tea, Caffeine Free, Certified Organic, 16 Tea Bags
Organic peppermint tea from Yogi Tea is the perfect way to lift your spirits and quiet your stomach; with a fresh flavor and aroma you will want to enjoy everyday.Peppermint Tea, Caffeine Free, NOW Foods, 30 Tea Bags
Peppermint Tea can be a natural aid to the digestive process by soothing the stomach lining and supporting a healthy liver and gallbladder.Reflux Rx, Natural Heartburn Remedy, Hi-Tech Pharmaceuticals, 90 Tabs
The herbs found in Reflux Rx Natural Heartburn Remedy has been shown to relieve bad wind in the belly, according to Mayan people.Relaxing Blend tea With Valerian & Chamomile, 20 Tea Bags
This soothing tea with a blend of Black Cumin Seed along with Chamomile, Valerian, Passion Flower and other herbs will help you relax and put your worries to rest.Sarsaparilla Root, 425 mg, 100 Caps
Sarsaparilla root has been used for sexual impotence, rheumatism, skin ailment, and a tonic for physical weakness.SeaGest Intestinal Care, 60 Caps
SeaGest is no ordinary digestive aid. SeaGest is an extraordinary nutritional breakthrough for intestinal health made from the pure white fish found in the depths of the North Pacific Ocean.Slippery Elm Tincture, 100% Organic, 2 fl. oz.
Slippery Elm is used as a cough lozenge and is widely available in pharmacies.Stomach Ease Tea, Heartburn Relief, Certified Organic, 16 Tea Bags
Stomach Ease is formulated to relieve occasional heartburn and indigestion as it soothes the digestive tract.Stomach Upset Formula Tincture, 100% Organic, 2 fl. oz.
Stomach Upset Formula is used as all natural herbal remedy for an upset stomach and acidosis, digestive problems, halitosis, morning sickness, and motion sickness.Sutherlandia (Sutherlandia Frutescens), 300 mg, 60 Tabs
Sutherlandia powerfully assists the body to mobilize its own immunological physiological resources to cope with diverse physical, mental and chemical stressors.Thyme Powder, 4 oz. Bulk
Thyme is a common household spice that has many medicinal values. It helps to clear respiratory difficulties, including bronchial problems, whooping cough, laryngitis, catarrh, and sore throat.Thyme Tincture, 100% Organic, Herbal Remedies USA, 2 fl. oz.
Thyme is used to clear respiratory congestion, whooping cough, laryngitis, catarrh, and sore throat. This herb also can be used to treat stomach cramps, diarrhea, heartburn, chronic gastritis, flatulence, colic, and diminished appetite.Ulcetrol With PepZin G1 & Mastic Gum, NOW Foods, 60 Tabs
NOW Ulcetrol is a dietary supplement designed to protect and support a healthy stomach lining.White Willow Bark Tincture, 100% Organic, 2 fl. oz.
Aspirin is a synthetic derivative of white willow bark. White Willow Bark is an analgesic, anodyne, anti-inflammatory, antiseptic, diaphoretic, and fever reducer.Wild Carrot Tincture, Alternative Health & Herbs, 2 oz.
Wild Carrot (Daucus Carota) Also known as Queen Anne's Lace. The seeds are a beneficial antiseptic diuretic useful in the treatment of cystitis and prostatitis. Also, the seeds are used for the prevention and washing out of gravel and urinary stones. As a diuretic, it helps with dropsy and the elimination of uric acid from the body (thus, used for gout).Wormwood (Artemisia Absinthium) Powder, 4 oz. Bulk
Wormwood is above all a stomach medicine, being useful for indigestion, gastric pain and lack of appetite, as well as the related problems of heartburn and flatulence.Wormwood Double Blend, 365 mg, 100 Caps
Wormwood is above all a stomach medicine, being useful for indigestion, gastric pain and lack of appetite, as well as the related problems of heartburn and flatulence.Wormwood Herb Tincture, 100% Organic, 2 fl. oz.
Wormwood Herb is above all a stomach medicine, being useful for indigestion, gastric pain and lack of appetite, as well as the related problems of heartburn, flatulence and an anti-parasitic.Yarrow Flowers Herb, 325 mg, 100 Caps
Yarrow Flower Herb may be helpful for nosebleeds, fevers, colds, sore throat, indigestion, heartburn, inflammation, high blood pressure, muscle spasms, urinary tract infections, and minor injuries.
Herbal Remedies: Heartburn / Gastroesophageal Reflux (GERD) Information
Herbal Remedies: Heartburn / Gastroesophageal Reflux (GERD) Supplements & Products
Herbal Remedies: Gastritis / Dyspepsia Supplements & Products
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER IF...
You have symptoms of heartburn that worsen or do not improve with treatment and lifestyle changes.
You have severe upper abdominal pain.
You develop a high temperature.
Seek Medical Care Immediately If...
You vomit blood or have recurrent vomiting.
You have chest pain that is crushing or squeezing, feels like a heavy weight on the chest, or occurs with any other symptoms of a heart attack. Note: Symptoms of a heart attack and symptoms of heartburn may feel the same. It is important to consider all your other symptoms to determine if you have a more serious problem.
You have signs of shock. Shock is a life-threatening condition. Immediate medical care can make the difference between life and death. Early signs of shock (most of which will be present) include:
- Lightheadedness or a feeling that you are about to pass out.
- Restlessness, confusion, or signs of fear.
- Shallow, rapid breathing.
- Moist, cool skin or possibly profuse sweating.
- Weakness.
- Thirst, nausea, or vomiting.
Also, a person in shock usually has an abnormal increase in heart rate and an abnormal decrease in blood pressure.
Late signs of shock include:
- Changes in the person's level of consciousness, such as sudden unresponsiveness, faintness, loss of consciousness, or behavior changes.
- A pale face or blue lips or earlobes.
Shock may occur in response to a sudden illness or injury. When the body loses too much blood or fluids, the circulatory system cannot get enough blood to the vital organs, and shock results.
If the person has chest pain, after calling 911 or other emergency services:
- If the person becomes unconscious, see Rescue Breathing and Cardiopulmonary Resuscitation (CPR) in the topic Dealing With Emergencies.
- If emergency medical personnel (such as paramedics) are not going to arrive soon and the person is awake, alert, not vomiting, and not allergic to aspirin, have the person chew and swallow 1 adult aspirin (325 mg). Be sure to tell emergency personnel that aspirin has been taken.
- Life-threatening symptoms occur, including rapid, irregular heartbeat; chest pain; or loss of consciousness. Call for assistance immediately (usually 911)... THIS IS AN EMERGENCY!! Quick treatment to open the blocked artery is essential to lessen the amount of damage. At the first signs of a heart attack, call for emergency treatment. The best time to treat a heart attack is within one to two hours of the first onset of symptoms. Waiting longer than that increases the damage to your heart and reduces your chance of survival. Keep in mind that chest discomfort can be described in many ways. It can occur in the chest or the arms, back, or jaw. If you have symptoms, take notice. These are your heart disease warning signs. Seek medical care immediately.
- If any unexpected or unusual symptoms appear. Therapies, supplements, medications or other treatments may produce side effects in some individuals.
Free information about GERD is available from:
International Foundation For Functional Gastrointestinal Disorders (IFFGD)
PO Box 170864
Milwaukee, WI 53217-8076
Phone: (414) 964-1799
Toll-free: (888) 964-2001
Fax: (414) 964-7176
E-mail: iffgd@iffgd.org Hours: 8:30 am to 4:30 pm Central Time Web Site: http://www.iffgd.org/
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