What Is Hiatal Hernia Diet With Example
Hiatal Hernia
The hiatal hernia is a pathology caused by the ascent of a portion of the stomach from the abdominal cavity to the thoracic cavity, through the oesophageal diaphragmatic hole; hiatus hernia affects up to 15% of Italians and, among the most frequent comorbidities, gastroesophageal reflux disease (GERD) appears. There are three types of hiatal hernia: sliding (90% of cases – it is closely linked to GERD), which affects the gastro- esophageal junction , rolling (the rarer and more dangerous) which affects the bottom of the stomach, and mixed.
Hiatus hernia is often asymptomatic and its diagnosis is frequently occasional; in other cases, its correlation to thegastro-oesophageal reflux disease assimilates several symptoms, for which the following may appear: heartburn and retrosternal chest pain , regurgitation, bitterness in the mouth , intense salivation and hoarseness .
Hiatal hernia worsens with pregnancy and appears to be closely related to visceral obesity ; therefore, weight loss in overweight subjects is often associated with a reduction in symptoms or slipping episodes (perhaps due to the decrease in intra-abdominal pressure ) and the risk of more serious complications.
NB. Probably, some sporting activities are able to promote the onset of hiatus hernia; this is the case of weight lifting or bodybuilding, in which the Valsalva maneuver is used (sometimes consciously) during the execution of the gesture.
Hiatal Hernia Diet
From a nutritional point of view, it seems that the hiatal hernia is strongly correlated with the deficit of fibers and liquids. Both constipation and (consequently) an inadequate postural attitude during evacuation are probably attributable to it (once again hiatus hernia is correlated to the increase in intra-abdominal pressure ). In summary, from a statistical point of view, hiatal hernia occurs MOST frequently during pregnancy, or in conjunction with visceral obesity , constipation and BIG BUFFETS (which cause unnatural dilatation of the stomach); it follows that the diet for hiatal hernia should boast characteristics of:
- Nutritional balance/ energy intake weighted to any special physiological conditions (pregnancy) and to the subject’s body mass index (if obese , the diet MUST be aimed at weight loss , therefore probably HYPOcaloric)
- Prevention/treatment of constipation
- Marked distribution of meals
- Reduction of food volume and digestive effort at dinner
Other useful tips are:
- Limitation of clothes that are too tight
- Thorough chewing
- Avoid practicing physical-motor activity after meals
- Avoid smoking
- In the presence of GERD, apply ALL the precautions of the diet for gastroesophageal reflux disease (see related article): no to spices , no to alcohol , no to excessively large meals, no to excessively fatty meals, no to foods with insufficient or prolonged cooking , etc.
THERE ARE NO FOOD SUPPLEMENTS USEFUL TO THE DIET FOR HIATAL HERNIA.
Hiatal Hernia Diet Example
SUITABLE FOR:
- Overweight worker, he eats a sandwich for lunch and overeats in the evening; he does not practice motor physical activity
Sex | m | |||
Age | 34 | |||
Height cm | 183 | |||
Wrist circumference cm | 17.2 | |||
Constitution | Normal | |||
Height / wrist | 10.6 | |||
Morphological type | Slender | |||
Weight kg | 105 | |||
Body mass index | 31.4 | |||
Assessment | obese | |||
Desirable Physiological Body Mass Index | 20.9 | |||
Desirable physiological weight kg | 70.0 | |||
Basal metabolic rate kcal | 1690 | |||
Physical activity level coefficient | 1.41 | |||
Energy expenditure kcal | 2384 | |||
Diet | HYPO CALORIC* | 1669 calories | ||
Lipids | 25% | 417.3Kcal | 46.4g | |
Protein | 1,2g/kg * physiol. weight | 336.0Kcal | 84.0g | |
Carbohydrates | 54-9% | 915.7kcal | 244.2g | |
Breakfast | 15% | 250kcal | ||
Snack | 10% | 167kcal | ||
Lunch | 35% | 584kcal | ||
Snack | 10% | 167kcal | ||
Dinner | 30% | 501kcal |
Sample Hiatal Hernia Diet – Day 1
Breakfast , about 15% | |||
Muesli , with fruit and dried fruit | 35g, 119kcal | ||
Low-fat milk | 250ml, 125kcal | ||
Snack 1, about 10% | |||
½ Apple , with peel | 100g, 52kcal | ||
Rice cakes | 30g, 117.6kcal | ||
Lunch, about 35% | |||
Cold pasta with raw beans and fennel | |||
Semolina pasta | 80g, 284.8kcal | ||
Pinto beans, canned, drained | 50g, 45.5kcal | ||
Raw fennel | 200g, 62kcal | ||
Extra virgin olive oil | 15g, 135kcal | ||
Snack 2, about 10% | |||
½ Apple, with peel | 100g, 52kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Dinner, about 30% | |||
Grilled chicken breast with spinach | |||
Chicken breast | 200g, 220kcal | ||
Frozen spinach | 200g, 58kcal | ||
Wheat bread _ | 50g, 133kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Sample Hiatal Hernia Diet – Day 2
Breakfast, about 15% | |||
Dry biscuits, like Oro Saiwa | 35g, 127.8kcal | ||
Partially skimmed milk | 250ml, 125kcal | ||
Snack 1, about 10% | |||
½ Pear , with peel | 100g, 58kcal | ||
Rice cakes | 30g, 117.6kcal | ||
Lunch, about 35% | |||
Cold rice with hulled lentils and peeled peppers | |||
White rice , glazed | 60g, 214.4kcal | ||
Hulled lentils | 30g, 103.5kcal | ||
Peeled peppers | 200g, 44kcal | ||
Extra virgin olive oil | 15g, 135kcal | ||
Snack 2, about 10% | |||
½ Pear, with peel | 100g, 58kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Dinner, about 30% | |||
Fried / hard- boiled eggs , with boiled potatoes | |||
Chicken eggs | 100g, 143kcal | ||
Potatoes | 200g, 154kcal | ||
Wheat bread | 50g, 133kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Sample Hiatal Hernia Diet – Day 3
Breakfast, about 15% | |||
Muesli , with fruit and dried fruit | 35g, 119kcal | ||
Low-fat milk | 250ml, 125kcal | ||
Snack 1, about 10% | |||
½ Orange , peeled (if tolerated) | 100g, 52kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Lunch, about 35% | |||
Barley salad with lentils and zucchini | |||
Pearl barley | 80g, 281.6kcal | ||
Lentils, canned, drained | 50g, 41kcal | ||
Zucchini | 200g, 32kcal | ||
Extra virgin olive oil | 15g, 135kcal | ||
Snack 2, about 10% | |||
½ Orange, peeled (if tolerated) | 100g, 52kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Dinner, about 30% | |||
Cow ricotta with boiled potatoes | |||
Semi-skimmed cow’s milk ricotta | 200g, 207kcal | ||
Potatoes | 200g, 154kcal | ||
Wheat bread | 50g, 133kcal | ||
Extra virgin olive oil | 10g, 90kcal |
Sample Hiatal Hernia Diet – Day 4
Breakfast, about 15% | |||
Dry biscuits, like Oro Saiwa | 35g, 127.8kcal | ||
Low-fat milk | 250ml, 125kcal | ||
Snack 1, about 10% | |||
½ Pear, with peel | 100g, 58kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Lunch, about 35% | |||
Cold rice with peas and carrots | |||
White rice, glazed | 80g, 286.4kcal | ||
Canned (or frozen ) peas, drained | 50g, 34kcal | ||
Carrots | 200g, 82kcal | ||
Extra virgin olive oil | 15g, 135kcal | ||
Snack 2, about 10% | |||
½ Pear, with peel | 100g, 58kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Dinner, about 30% | |||
Baked sea bass and salad | |||
Seabass, various species | 250g, 242.5kcal | ||
Lettuce | 100g, 18kcal | ||
Wheat bread | 50g, 133kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Sample Hiatal Hernia Diet – Day 5
Breakfast, about 15% | |||
Muesli, with fruit and dried fruit | 35g, 119kcal | ||
Low-fat milk | 250ml, 125kcal | ||
Snack 1, about 10% | |||
½ Apple, with peel | 100g, 52kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Lunch, about 35% | |||
Cold pasta with chickpeas and tomatoes | |||
Semolina pasta | 80g, 284.8kcal | ||
Chickpeas, canned, drained | 50g, 50kcal | ||
Ripe tomatoes | 200g, 38kcal | ||
Extra virgin olive oil | 15g, 135kcal | ||
Snack 2, about 10% | |||
½ Apple, with peel | 100g, 52kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Dinner, about 30% | |||
Grilled turkey breast with spinach | |||
Turkey breast | 200g, 222kcal | ||
Frozen spinach | 200g, 58kcal | ||
Wheat bread | 50g, 133kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Sample Hiatal Hernia Diet – Day 6
Breakfast, about 15% | |||
Dry biscuits, like Oro Saiwa | 35g, 127.8kcal | ||
Low-fat milk | 250ml, 125kcal | ||
Snack 1, about 10% | |||
½ Pear, with peel | 100g, 58kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Lunch, about 35% | |||
Cold rice with hulled lentils and peeled peppers | |||
White rice, glazed | 60g, 214.4kcal | ||
Dried hulled lentils | 30g, 103.5kcal | ||
Peeled peppers | 200g, 44kcal | ||
Extra virgin olive oil | 15g, 135kcal | ||
Snack 2, about 10% | |||
½ Pear, with peel | 100g, 58kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Dinner, about 30% | |||
Baked sea bream and radicchio | |||
Gilt-head bream | 200g, 188kcal | ||
Radish | 100g, 13kcal | ||
Wheat bread | 50g, 133kcal | ||
Extra virgin olive oil | 15g, 135kcal |
Sample Hiatal Hernia Diet – Day 7
Breakfast, about 15% | |||
Muesli, with fruit and dried fruit | 35g, 119kcal | ||
Low-fat milk | 250ml, 125kcal | ||
Snack 1, about 10% | |||
½ Orange, peeled (if tolerated) | 100g, 52kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Lunch, about 30% | |||
Cow ricotta, with Brussels sprouts | |||
Semi-skimmed cow’s milk ricotta | 200g, 207kcal | ||
Brussels sprouts | 200g, 74kcal | ||
Wheat bread | 50g, 133kcal | ||
Extra virgin olive oil | 10g, 90kcal | ||
Snack 2, about 10% | |||
½ Orange, peeled (if tolerated) | 100g, 52kcal | ||
Rice crackers | 30g, 117.6kcal | ||
Dinner, about 35% | |||
Marinara pizza | |||
Pizza with tomato and oregano | 220g, 596.2kcal |