Matt is a 49 y.o. with a hiatal hernia that you are about to counsel. Health care counseling for Matt should include which of the following instructions?
A. Restrict intake of high-carbohydrate foods.
B. Increase fluid intake with meals.
C. Increase fat intake.
D. Eat three regular meals a day.
Correct Answer: B. Increase fluid intake with meals.
Increasing fluids help empty the stomach. A hiatal hernia is a condition in which the upper part of the stomach or other internal organ bulges through the hiatus of the diaphragm. When there is laxity in this hiatus, gastric content can back up into the esophagus and is the leading cause of gastroesophageal reflux disease (GERD).
Option A: A high-carb diet isn’t restricted. Non- or low-acidic foods will reduce the likelihood and severity of hiatal hernia symptoms. The best food choices for people with hiatal hernias are non-acidic, minimally processed, and contain dietary fiber.
Option C: Fat intake shouldn’t be increased. Fermented or cultured foods that are rich in probiotics (acid-neutralizing stomach bacteria) may also help reduce hiatal hernia symptoms.
Option D: Diet plays a significant role in the development, severity, and length of hiatal hernia symptoms. But aside from causing inflammation and irritation, researchers are not sure how and why certain foods cause a hiatal hernia to develop.
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