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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:

  1. 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)
  2. Prevention/treatment of constipation
  3. Marked distribution of meals
  4. 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

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