
If you have a hiatal hernia, you may be able to manage your symptoms with diet and lifestyle changes. While there is no specific hiatal hernia diet, dietary recommendations include eating foods that help reduce or dilute stomach acids, such as alkaline foods with a pH of over 7.0. Lifestyle changes may include losing weight, quitting smoking, and managing stress through mindfulness, meditation, or yoga.
Should you change your diet when you have a hernia?
| Characteristics | Values |
|---|---|
| Hernia Type | Hiatal Hernia |
| Symptoms | Acid Reflux, Heartburn, Regurgitation, Chronic Cough, Dysphagia, Chest Pain |
| Dietary Recommendations | Reduce or Dilute Stomach Acids, Eat Alkaline Foods, Avoid Acidic Foods, Avoid Caffeine, Avoid High-Fat Foods, Eat Whole Foods, Eat Vegetables, Fruits, Grains, and Low-Fat Protein, Eat Small Meals, Cook with Healthy Oils, Avoid Eating Before Bed |
| Lifestyle Recommendations | Manage Stress, Practice Walking, Being in Nature, Mindfulness, Meditation, or Yoga, Maintain Moderate Weight, Quit Smoking |
| Medication | Over-the-Counter Antacids, Acid-Reducing or Blocking Drugs, Prescription Medications |
| Surgery | In rare cases, surgery may be required |
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What You'll Learn

Dietary changes can help manage hernia symptoms
GERD is a chronic upper gastrointestinal disease in which the contents of the stomach frequently backflow into the oesophagus, leading to symptoms such as acid reflux, heartburn, regurgitation, chronic cough, dysphagia (difficulty swallowing), and chest pain. Dietary recommendations for hiatal hernias tend to mirror those for GERD, which include eating foods that help reduce or dilute stomach acids.
To determine the best diet for you, keep a food diary for a few weeks and avoid anything that causes symptoms. Some people with hiatal hernias may find that certain foods that are typically recommended to avoid do not bother them, and vice versa. For example, fried sweet potatoes may trigger heartburn, while baked or boiled sweet potatoes may soothe it.
In general, it is recommended to eat non-acidic, minimally processed, and high-fibre foods. This includes whole foods, such as vegetables, fruits, grains, and low-fat protein. It is also important to reduce sugar intake, as this can help improve GERD symptoms. Probiotic foods, such as cultured vegetables, yogurt, kefir, and kombucha, are also good choices.
It is also suggested to eat small meals every few hours instead of three large meals during the day. Additionally, cooking with healthy fats, like avocado, coconut, and olive oils, is recommended.
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Acidic, caffeinated, and high-fat foods should be avoided
A hiatal hernia occurs when the upper part of your stomach pushes up through your diaphragm. The diaphragm is a parachute-shaped muscle that extends along the rib cage, under the lungs, and helps you breathe in and out. The main symptom of a hiatal hernia is acid reflux, which is when acid and other stomach contents flow back up the food pipe. You may experience heartburn (a burning sensation in the chest), a sore throat, belching, and epigastric pain, among other symptoms.
If you have a hiatal hernia, you may want to consider changing your diet to manage symptoms. Dietary adjustments and other lifestyle changes are often the first line of management for acid reflux, GERD, and hiatal hernias. The first step is usually identifying trigger foods that worsen symptoms and then avoiding them. Not everyone has the same trigger foods, so it is important to pay close attention to the relationship between what you eat and your symptoms.
If you are experiencing severe symptoms, you may want to consider a liquid diet until you find relief. Additionally, you can ask a healthcare professional about over-the-counter (OTC) medications that may reduce acid in your stomach.
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Lifestyle changes can help manage symptoms
Lifestyle changes can help manage the symptoms of a hiatal hernia. This type of hernia occurs when the upper part of the stomach pushes up through the diaphragm, leading to symptoms such as acid reflux, heartburn, regurgitation, chronic cough, and chest pain. While surgery is an option, it is recommended to try other methods of treatment first.
Dietary changes can help manage and prevent symptoms. The best foods to eat are non-acidic, minimally processed, and high in fibre. This includes whole foods, vegetables, fruits, grains, and low-fat proteins. Lean meats are also recommended, such as skinless chicken, turkey, and fish. It is also important to keep in mind that reducing sugar intake may help improve symptoms.
There are also foods to limit or avoid, such as spicy foods, fried foods, and vegetables like garlic and onions. Acidic, caffeinated, and high-fat foods should also be avoided as they stimulate stomach acid. It is important to note that everyone tolerates food differently, so keeping a food diary can help determine the best diet for an individual.
Other lifestyle changes that can help include maintaining a moderate weight, quitting smoking, and managing stress through stress-reducing strategies such as walking, being in nature, mindfulness, meditation, or yoga.
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Lean meats, non-citrus fruits, and fermented foods are good to eat
Diet can play an important role in controlling the symptoms of a hiatal hernia, which include heartburn and acid indigestion. Lean meats, non-citrus fruits, and fermented foods are good to eat if you have a hernia as they are less likely to aggravate your symptoms.
Lean meats are recommended for those with a hiatal hernia because they are a source of lean protein, which helps to normalise gut motility and the movement of food through the digestive tract. They are also less likely to cause acid reflux than fatty animal proteins. When cooking, it is best to bake or broil lean meats instead of frying, and it is important to skim off excess fat from meat during cooking. Examples of lean meats include skinless chicken, ground turkey, fish, lean beef cuts (round, chuck, sirloin, or loin), and lean pork cuts (tenderloin or loin chop).
Non-citrus fruits are also a good food group to consume if you have a hernia as they are not considered acidic and are therefore less likely to irritate your symptoms. Examples of non-citrus fruits include apples, pears, various melons, and berries.
Fermented foods are probiotic foods that contain live bacteria and yeasts, which are beneficial to the GI tract. Probiotics can help to reduce inflammation and normalise gut motility, thereby helping to control the symptoms of a hiatal hernia. Examples of fermented foods include cultured vegetables like pickles, yoghurt, kefir, and kombucha.
In addition to consuming lean meats, non-citrus fruits, and fermented foods, it is also important to make other dietary and lifestyle changes when managing a hiatal hernia. This includes avoiding fried and processed foods, high-fat foods, and caffeine, as these can increase the production of stomach acid and relax the lower esophageal sphincter, making it easier for acid to back up into the oesophagus. Eating frequent, smaller meals throughout the day instead of three large ones can also help to prevent overeating and reduce acid reflux symptoms.
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Over-the-counter antacids and acid-reducing drugs can help
While a hernia is often asymptomatic and does not always require treatment, some people experience heartburn and acid reflux as symptoms. Over-the-counter antacids and acid-reducing drugs can help to alleviate these symptoms by neutralising excess stomach acid and reducing its production.
Antacids are available without a prescription and are generally considered safe for short-term use. They work by increasing the pH level in the stomach, making it less acidic. This is achieved by reacting with the excess stomach acid to form salts and water, which helps to neutralise the acid and decrease its irritating effects on the oesophagus. Antacids can provide temporary relief from the symptoms of a hernia, such as heartburn and acid reflux. Common antacids include Alka-Seltzer, Maalox, Mylanta, Rolaids, Riopan, Gelusil, and Tums.
Proton pump inhibitors (PPIs) are another class of medications used to reduce the production of stomach acid. They work by inhibiting the enzyme called the proton pump, which is responsible for producing stomach acid. PPIs are available over the counter, and prescription-strength formulations are also available. Examples of PPIs include lansoprazole (Prevacid 24HR) and omeprazole (Prilosec OTC).
H2 blockers, such as cimetidine (Tagamet HB), famotidine (Pepcid AC), nizatidine (Axid AR), and ranitidine (Zantac 75), are also available over the counter and can help decrease acid production. These drugs provide short-term relief and are effective for about half of those who experience symptoms.
Combination medications that include both antacids and H2 blockers can also be effective in providing relief from hernia symptoms. These formulations offer a more comprehensive approach to symptom relief by addressing multiple aspects of the condition.
It is important to note that while these over-the-counter medications can help manage symptoms, they do not treat the hernia itself. The structural defect causing the hernia is not corrected by medications. Therefore, it is advisable to consult a healthcare provider to determine the best course of treatment for your specific condition.
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Frequently asked questions
A hiatal hernia occurs when the upper part of your stomach pushes up through your diaphragm.
The symptoms of a hiatal hernia include heartburn, acid reflux, regurgitation, chronic cough, dysphagia (trouble swallowing), and chest pain.
Dietary changes can help manage and prevent the symptoms of a hiatal hernia. It is recommended to eat non-acidic, minimally processed, and high-fibre foods. Lean meats, non-citrus fruits, and fermented foods can help alleviate symptoms. It is also important to avoid spicy and fried foods, as well as vegetables like garlic and onions. Additionally, eating small meals, cooking with healthy oils, and avoiding eating right before bed are recommended. If dietary changes are not effective, over-the-counter medications and prescription drugs can be considered.








































