A nurse is instructing a patient recently diagnosed with a hiatal hernia. Which of the following statements made by the patient indicates an understanding of this condition?
Explanation
• In order to decrease gastric reflux, the patient should eat small, bland meals.
• Patients should be instructed to sit up for at least an hour after a meal and to avoid eating anything for at least two hours before bed.
• The patient should avoid heavy lifting to minimize intra-abdominal pressure.
• A hiatal hernia is the protrusion of the upper portion of the stomach into the chest. In a hiatal hernia, part of the stomach and/or the gastroesophageal junction slips through the opening in the diaphragm (called the hiatus) and into the chest. This can cause gastric reflux, Barrett's esophagus, and increase the risk of developing esophageal cancer.
• There are two types of