Hernia of alimentary opening a diaphragm.

 By Polozenkova, candidate for medical science.

A most often meeting kind of diaphragm hernias, when through widened opening of diaphragm a part of stomach or any other organ for peritoneum region displacing in breast region. A stomach containing with salted acid, free placing in gullet/reflux appearance/, and constant affecting of acid on mucus membranes of stomach leading her to inflammation is reflux-esophagitis. Patients having icterus, heartburn, regurgitation by air, breast behind burning aches and epigastria with irradiating in heart region, in left shoulder,like  stenocardia attack. Specialists by testing are share, that for throw a stomach containing in gullet are influencing  of body incline to the front, pushing, rising heavy items and horizontal position. That you must rise heavy items on 5-6 kg, and gymnastic  doing not incline body to the front, not strain peritoneum press, not wear tight bandages, belts, corsettes , sleep with high rising headboards of bed, or on 2–3 pillows, and in rising position not just head staying and top body part. An importance check for bowel work, fighting with meteorism, hard stools, they are rising in peritoneum pressure and causing gastro-gullet reflux. Chopped meal eating for 4-5 times/day and by small portions, last eating before 3-4 hours till sleep, after eating for hour to sit or walk, that increasing meal evacuation from stomach, lowering gastro  -gullet reflux, and not drink water, or other liquid with gas between meal time .    Overeating and eating food, causing meteorism as fresh bread, sauerkraut, fresh cabbage, peas, grapes are affecting in stomach, in peritoneum pressure and as consequence for throwing containing of stomach in gullet. In acuting  esophagitis prescribing diet nr  1   or meal s table as of soft-boiled eggs, butter oil, milk, fromage, rubbing or liquid curd as creams, vegetable soups chopping, fish and meat soufflé, soaking bread, rusks, apples shredding or baked. Avoid drink sour fruit juices, avoiding smoking, alcohol, gas drinks, spices. And in obesity and other diseases for gullet diet selecting your doctor. If not use his advices that is happening, when  it's  happened with our patient N, 59 Y.OLD. And he is suffered from   hernia diaphragm opening alimentary, gastro-gullet reflux ,  and weak reflux esophagitis, he cured in our hospital and left on satisfactory   condition, and he received advices a how to prevent gastric-gullet esophagitis and reflux-esophagitis, diet for use, avoiding alcohol, and in through half years visit us for a using preventing course for remedies. But he is not used advices, drunk beer, burned heartburn by soda, that in a year doctor visited, of strong aches behind breast as burned, strong heartburn as on horizontal position. And on the night he woke up for 3-4 times as to drink. sol. Of baking soda, but short improves he had. In x-ray and endoscopic that found still ulcer in low gullet region on 1.5 on 1 cm, thus cure prescribed on four months, through probe entered remedies and inside in gullet, intro muscularly. That example shows, what is risk of self cure and ignoring advices your doctor. 

 

1.Diaphragm.

2. Hernia.

3. Norm.

4. Reflux.

Where a must to be brans?

 Am having a long time bitter taste in mouth , displaying on the night, sleep time, waking up and gargle mouth, daily time is rare, in through filling mucus. Visited therapeutist, gastroenterologist, dentist, used remedies prescribed, improved are weak, analyses on microflora done, as and tongue, phranix too , are norm, using diet, but worsening feeling, very strong bitter in mouth.

 And your letter reminding us about a few peculiarities of physiologies a top side of digestion system, and fighting bitter taste is mouth is ab just removing one from symptoms a diseases answers Doctor M.D Vorontsov. Gall secreting from gall bladder in small bowel, is not leak right, and in thin bowel and entering in stomach, provoking very dangerous gastritis form, after she's entering in gullet and in mouth, and taste biter displaying.  This is calling duodenal-gastric reflux is back course a contain of small bowel in stomach.

 And you must know, that with gall course a juice of pancreas gland, and juice of small bowel -are alkaline gullet liquids. In healthy peoples she it never enters in stomach, where is environment need to be a sour.

 Base a cure here is restoring in restoring function for small bowel, that preventing a back coursing for digestion juices in stomach. Restore a normal bowel work is increase in everyday fibres mass, on 1/3 ration are vegetable products, without a calculation potato and bananas.

 And unfortunately in menu not an everyday are staying salads, farragos, vegetable soups..  Thus am advice you on lunch table use brans as millet, rye, oats, or flax cakes. And vegetable is must be on the s\lunch table, if they are keeping in cupboard, and you are forgetting, and using one time/year or when a remember, thus are brans not helping.

 Mechanism for healing effect is very simple, in water they are swelling, increasing in size, and stimulating right shortening for small bowel, and preventing duodenal- gastral  reflux.

Second is importance condition is water deficit , are containing of which digestion juices. In her failure,thae are transferring in sticky liquid, which hard courses, and not in right place, sticky to mucus membrane and not taking part in digestion. Thus, take for rule not eat meal, till a water not drink a glass, and on your lunch take add brans, add in porridges theirs, broth, cutlets.

 And not over eat, meal size eaten for one time is must to fill your palm.

 

Soups for dietic meal cook of meat, fish, mushroom broth, cereal, vegetable, fruit-berry infusions, of raw juices, milk.

 A most calorie are soups-puree, cream-soup, less are vegetable and fruit. For improving taste qualities are onion, petroselinum, carrot slightly fry in oil, add aromatic green, tomatoes, bay leaf, rhubarb   etc . Cabbage soups dress with slightly dried or fried a flour. And products adding,  in soup by a calculation a date for cooking, that they are staying ready at the same time. Beet juice add in meat and vegetarian borsh. And if  need add in soup canned, or frozen vegetables and leaf green as salad, sorrel, beet top, young nettle. Warm soups are keeping temperature on 60-62C, cold are minus 12-15C.

Dietic meat dishes.

Of fatness meat dishes  cook as steam, stewing, boiling, rare are fried. Of rubbed meat form half-stuffs without bread.

Cutlet mass cooking of cleaned meat from tension, and films, to mince meat two times, add grinded dried bread, as 15 gr of bread for 100 gr of meat, bread you can change on fresh fatness curd, sticky rice or manna porridge, salt, mix, and again to mince meat. Add milk on 30 percents, or water, shake mass and force meat is ready.

Cook cutlets, schnitzels, balls, rolls, soufflés,  zrazy.

Diet nr 0.

Minimal quantity for meal, as an eating her is hard, of liquid, jelly kind dishes without milk, and hard meal, eating for 6 times/day, if you  need all day, as in every 2-2.5 hours, usual meal s temperature.

Proteins are 15 gr, fats are 15 gr, carbohydrates 200 gr, calorie 1000 , salt cooking 5 gr, mass of meal ration are 2 kg.

Approximately menu.

6.00 am. Fruit-berry juice .

10.00 tea with milk, or creams, sugar add.

12.00 kisel berry or fruit.

14.00 weak broth with oil.

16.00 lemon kisel.

18.00 hibiscus drink.

20.00 tea with milk and sugar.

22.00 rice infusion with creams.

Valve is for the gullet.

 And Lydia written to us,that hurt behind breast, heartburn with, though about gastritis, and added diet, ache lowered , but not stopped, and doctor prescribed gastroscopy and found a hernia of gullet and esophagitis,why they are happened? Very hot, cold drinks am not drinking, spicy meal not eating,what is caused?

And this is an awesome,that you are checked for meal regime, good meal chewing, but esophagitis reason are ability lie in other cavity,and to understand his, thus need a know top physiologies top side of gastric. And this is allows to prevent disease and ask a questions in a doctor about a cure, remove displays for anatomic defect, which entering of stomach contain in gullet. And with a remedies using you cannot fight esophagitis. And gullet connecting mouth,throat with stomach, after meal swallowing or liquid gulp,a gullet ball of liquid staying in stomach and in 1.5 sec,and in healthy person he is empty and clean,as constant cleaning thanks for peristaltic thanks for peristaltic,as by saliva irrigation and juice of an own glands. And on the border of gullet and stomach having cardial sphincter, and he is opening when meal going up and down,as skip his in stomach.And back throwing of stomach containing in gullet a sphincter not allows,even he ids decides to stay on the head.And when sphincter stops to do a function for a hope valve, gastroenterologists says about his failure,as in a such pathology,as a not full his closure is happening a throw stomach juice as salted acid plus digestive ferment pepsin, or containing of a small bowel as gull plus ferments for pancreas plus juice of bowel in a gullet,damaging mucus membrane,and displaying heartburn,  behind breast ache, sour or bitter, gall taste in mouth. And author for letter will interest ,why hernia displayed? And hernias displaying of bad meal, as fast snacks, gas drinks, alchokol,  sleep after lunch, hard physical work with incline to the front.

And from a stomach happening throw  of digestive juices, protecting on which with a shortenings for longitudinal muscles of gullet,like pulling up a top  stomach part, and breast cavity and slowly forming a sliding hernia of gullet holes of diaphragm and gullet damaging in duodenal gastral reflux as a back course from a small bowel in stomach, and this is to see a doctor on  gastroscopy testing, but patients feeling bitter taste in mouth, bowel juices are alkaline, thus and happening stomach alkalization and all ending stopping stomach digestion and gastritis hard. And stomach over filled a foreign liquid til a limit, creating additional conditions for failure of cardial valve and throw a digestion juices in gullet. And circle is locked and hernia  is having or inflammation of gullet, and having and new problem is gastroesophagal refluc disease of GERD. 

4.In Kateriba is reflux esophagitis, using remedies, but not feeling better, maybe she doing something wrong, which rules are right?

 Yes,these rules are having as help itself, and in serious disease as reflux esophagitis ,which is meal is stomach turning back, and sour a stomach containing filling back in gullet,just a self here is less. And medicament's here are including for preventing substances as salt acid manufacturing in stomach,and covering her mucus, care of negative factors, fight a back turning,fighting heartburn. And in here cure is not gives result, if patient ignoring prescribing remedies using and rules. And first of all find a which meal causing heartburn, if fried potato, jellied meat, or ketchup, thus avoid theirs eating these a fire risk meal. As check for meal temperature, a very cold is long staying in stomach space, hot is injuring his mucus, optimal meal temperature is 38C. And fight abundant weight, avoid smoke and alcohol drink, these factors are weak tone for a low gullet s sphincter and provoking new and new casts.Care use remedies,read instructions as aspiring and ibumax are whipping up disease display. As for against an additional loading manufacturing a salt acid in meal avoid eat a meal on a big portions, and after meal avoid to lie,as for a faster evacuate an eaten in a low side gastrointensitne , as 15 min to sit, or walk.

And avoid eat for abundant as on night, last eat is three hours to sleep. As preventing new casts,slightly rise a bed headboard bed,and about a second pillow?No this is variant not matches. As rise a head and body. As for avoiding a high pressure in peritoneum, avoid wear a tight clothes,and not lost a hope for a well-being outcome.

If meal not passes.

Women worried and visited us, as she could not visit quests, and to have a lunch on the work with colleagues,as she eating, and meal  delay in throat and right away feeling ache behind breast with icterus and on the hard moments she worrying.And these displays having in destroy of gullet s motoric and am answered for her to visit for x ray test, and results are achalasia cardia as a bad destroy of meal s mass transfer from a gullet in stomach. And display in absence of gullet s peristaltic, and when a cardia as a place for transfer of gullet  in stomach as not opening refectory as on the swallowing time,and meal s mass filling in gullet,causing his widening. And not an always such symptoms evidencing about this diseases displayed, and in first signs as of hard meal s passing on the gullet you must visit a doctor,and not listen friends and not add self cure, just doctor will help you and answer and add cure plan. And in a base of reason this disease are bad regulation of a mobility gullet function of long stress,worries, and infection his damages crossings as of burn or poisoning, and display a vicious ring, as worries,stress are rising display of disease are icterus,had meal s passing,that a more higher injuring psychic. And if disease found,try  do not eat in a condition which is injuring psychic,as less shy, and in this condition a patients using a few methods are bending body back, deeply breathe in and in other is non comfortable.
And eat for 5 times/day as on the small portions, icterus having in over filling gullet. chewing good a meal, not talk, as after meal drink a glass of half glass warm boiled water as for remove from the gullet are meal s pieces as few gulps  are pushing delayed meal s ball in stomach, preventing gullet against delay inflammation. And benefit are gas mineral waters , as of a high carbo sour gas are rising pressure in gullet, as faster pushing a meal in stomach. And meal is not hot, and very cold and on the low temperature of muscle fiber answer on additional spasm, and passing cardia worsening, but a high temperature is rising inflamed process in the gullet s wall. And rising inflammations are spices, fats,smoked meal, alchokol, and in a few are harder passing apples, persimmon, kefir, soft bread, boiled potato, hard eggs boiled,which are avoiding.And here are having delays in gullet are foreign items,thus care you are in bird with bone and fish.
Eat are weak broths meat, soups,rubbing meat dishes, garnishes of non hard fibers are carrot, beet,green peas, as boiled, chopped, as on the morning eat porridge's chopped are manna, oats,rice, stewed omelets add milk, fromage, curd chopped, drink not sour juices are hibiscus infusion, kissels of fresh fruits. And here are not often avoiding as for one time in one-two weeks are diets as eating favourite dish with appetite is passing better,which you are not eaten enjoyed, and here influences affecting of cns, and not rare she having in other gullet s diseases,thus diet advices you doctor.

Esophagitis is about.

As gullet inflamation, with is progressing with are forms ulcers hurting, bleeding and second infections, as and reasons are reflux esophagitis, as containing of stomach entering in the gullet, ulcers, gullet s hernia, hot meal, chemo therapy are in oncology cure.
Syptomes are bad swallowing of hard meal as dysphagia, heartburn, ache ,like scratches and behind breast, vomiting, icterus are rising in incline of body, as on horizontal position.

As in bad swallowing, heartburn, are needing doing tests are  ecg, endoscopy, stomach juice acidity, x ray for gulet and stomach so as other diseases are having symptoms are hernia, ulcers tumor s gullet, stomach, ishemia, stenocardia, as tests are deep.

As cure are diet and neutralizers for acidity, are antacides, and in aches, bad swallow are spasmolitics, in high acidity are anti ulcer as gelicol, epicur, as check ulcer stomach cure.
As eating often, but very spare meal, of warm, half liquid as mucus soups, stewed souflklet, opuree meat, chiken, fish, omelet, porridges, kisels, avoiding are flour,yeast, baked, vegetables, spicy sausages, hot, frioed, whole pieces, hard with  dishes, cold, caffeine, alchokol.

Antacides are altacid, almagel, gastracid, maalox, maalucol, rutacid, talcid, fosfalugel.
Spasmolitics are duspatalin, bespa, spazmol,papaverin.

on a hard displays are with a hernis gullets as not helping as conservastive cure is surgery doing, are fighting hernia diaphragmal.

Heartburn is about.

As feeling burning behind breast or stomach as spreading to throat, with a filling sour stomach containing as non digested meal and salted acidity in gullet, in bad function of low sphincter,as not allowing entering to the back meal from a stomach, as she display in gullet,stomach damages are ulcer,esophagitis, as in alchokol drinking, spicy,sour meal eating, canned,a in healthy person, but in long heartburn, as with bleeding vomiting you are visiting for the doctor, where you are getting tests of fibrogastroduodenoscopy, stomach acidity, test for gullet, stomach, and cure is a base disease caused heartburn, diet, and antacid remedies.

In diet are avoiding eating sour meal, fried, as fat, sauerkraut, bean, spices are affecting on meteorism, cacao, caffeine, fresh bread, marinades, strong, as which are affecting of heartburn, as any alchokol free gas drinks, white wine dry, as addicted of ethylene spirit will rise heartburn, as not rare eating, small eating is best, but intervals between every meal time are ten minutes, not after incline body faster, not lie within 2 hours after meal, not stretch belly, tight, wearing belts, last eating before three hours to the sleep, as not light snacking, not very hot, cold meal, as liquid drinking between meal.

Antacids are altacid, almagel, gastacid, malox, maalucol, rutacid, talcid.