What are the common symptoms of a paraesophageal hernia. How is a paraesophageal hernia diagnosed. What treatment options are available for paraesophageal hernias. Can paraesophageal hernias be cured through surgery. Who is at risk of developing a paraesophageal hernia.

Understanding Paraesophageal Hernias: Causes and Risk Factors

A paraesophageal hernia occurs when the stomach bulges into the chest cavity through an opening in the diaphragm. This condition develops when the small opening connecting the esophagus and the stomach in the diaphragm weakens over time, allowing the stomach to migrate upwards into the chest.

Who is most susceptible to developing a paraesophageal hernia? While anyone can be affected, certain factors increase the risk:

• Obesity: Excess weight leads to increased abdominal pressure
• Multiple pregnancies: Women who have had several children may experience diaphragm weakening
• Genetic predisposition: Some individuals may have a hereditary susceptibility
• Age: The risk generally increases with advancing years

Is there a way to prevent paraesophageal hernias? While not always preventable, maintaining a healthy weight, avoiding heavy lifting, and managing conditions that cause chronic coughing can help reduce the risk.

Recognizing the Symptoms: When to Suspect a Paraesophageal Hernia

The symptoms of a paraesophageal hernia can vary widely from person to person. Some individuals may experience no symptoms at all, while others may find their daily activities severely limited. It’s crucial to be aware of the potential signs:

• Acid reflux: A burning sensation in the chest or throat
• Bloating and early satiety: Feeling full quickly after eating small amounts
• Persistent cough: Often worse at night or when lying down
• Dysphagia: Difficulty swallowing or a sensation of food getting stuck
• Shortness of breath: Due to the stomach pressing on the diaphragm or lungs
• Regurgitation: Undigested food coming back up into the mouth
• Weight loss: Unexplained loss of appetite and weight
• Food aversion: Developing a fear of eating due to severe symptoms

Do these symptoms always indicate a paraesophageal hernia? Not necessarily. Many of these symptoms can be associated with other gastrointestinal conditions. However, if you experience persistent or worsening symptoms, it’s important to consult a healthcare professional for proper evaluation.

Diagnostic Procedures: Confirming a Paraesophageal Hernia

Accurately diagnosing a paraesophageal hernia requires a comprehensive evaluation by a medical professional. Several diagnostic tests may be employed to confirm the condition and assess its severity:

1. CT scan of the chest: Provides detailed images of the chest cavity and organs
2. Esophagogram: An X-ray study that evaluates the passage of liquids through the esophagus
3. Esophageal manometry: Assesses the strength and coordination of esophageal muscles
4. Esophagogastroduodenoscopy (EGD): A fiberoptic scope examination of the esophagus and stomach

Why are multiple tests often necessary? Each test provides unique information about the structure and function of the esophagus and stomach, allowing for a comprehensive diagnosis and treatment plan.

Conservative Management: Non-Surgical Approaches to Paraesophageal Hernias

For patients with mild symptoms or those who are not suitable candidates for surgery, conservative management may be recommended. This approach typically involves lifestyle modifications and medication:

Lifestyle Changes:

• Eating smaller, more frequent meals
• Avoiding lying down immediately after eating
• Elevating the head of the bed
• Losing weight if overweight or obese
• Quitting smoking

Medications:

• Antacids: Neutralize stomach acid for quick relief
• Proton Pump Inhibitors (PPIs): Reduce acid production in the stomach
• H2 receptor blockers: Decrease acid production

Are there any risks associated with long-term use of acid-reducing medications? Recent studies have raised concerns about potential side effects of prolonged PPI use, including increased risk of bone fractures and certain infections. It’s important to discuss the benefits and risks with your healthcare provider.

Surgical Interventions: Advanced Treatment for Paraesophageal Hernias

When conservative measures fail to provide adequate relief or in cases of large hernias, surgical intervention may be necessary. Modern surgical techniques offer effective and minimally invasive options for treating paraesophageal hernias:

Minimally Invasive Robotic Surgery:

This advanced technique utilizes a robotic system controlled by the surgeon to enhance precision and visibility during the procedure. The benefits of this approach include:

• Smaller incisions
• Reduced postoperative pain
• Faster recovery times
• Lower risk of complications

What does the surgical procedure entail? The surgery involves several key steps:

1. Releasing the hernia scar tissue
2. Returning the stomach to its proper position in the abdomen
3. Closing the diaphragmatic opening with sutures
4. Sometimes, reinforcing the repair with mesh

How long is the recovery period after surgery? Most patients can return home within 2-3 days after the procedure. Full recovery and return to normal activities typically occur within 4-6 weeks.

Potential Complications: Why Timely Treatment is Crucial

While many individuals with paraesophageal hernias may experience only mild symptoms, leaving the condition untreated can lead to serious complications:

• Strangulation: The hernia can twist, cutting off blood supply to the stomach
• Gastric volvulus: Abnormal rotation of the stomach
• Perforation: A hole can develop in the stomach or esophagus
• Bleeding: Chronic irritation can lead to ulceration and bleeding
• Aspiration pneumonia: Stomach contents can be inhaled into the lungs

How urgent is treatment for a paraesophageal hernia? The need for immediate treatment depends on the size of the hernia and the severity of symptoms. Large hernias or those causing significant symptoms should be evaluated promptly to prevent potential emergencies.

Living with a Paraesophageal Hernia: Long-term Management and Follow-up

For individuals diagnosed with a paraesophageal hernia, ongoing management and regular follow-up are essential, whether treated surgically or conservatively:

Post-surgical Care:

• Adhering to dietary restrictions during recovery
• Gradually increasing physical activity as advised by the surgeon
• Attending follow-up appointments to monitor healing
• Reporting any new or recurring symptoms promptly

Long-term Management:

• Maintaining a healthy weight
• Avoiding foods that trigger symptoms
• Practicing good posture and body mechanics
• Regular check-ups with a gastroenterologist

Can a paraesophageal hernia recur after surgery? While recurrence is possible, it is relatively uncommon with modern surgical techniques. However, adopting lifestyle changes and following medical advice can help minimize the risk of recurrence.

Advancing Research: Future Directions in Paraesophageal Hernia Treatment

The field of paraesophageal hernia treatment continues to evolve, with ongoing research aimed at improving outcomes and patient quality of life:

Emerging Areas of Study:

• Novel biomaterials for hernia repair
• Genetic factors influencing hernia development
• Minimally invasive techniques for complex cases
• Long-term outcomes of different surgical approaches

How might these advancements impact future treatment options? As research progresses, we may see more personalized treatment plans, improved surgical techniques, and potentially even preventive strategies for high-risk individuals.

In conclusion, paraesophageal hernias represent a significant challenge in gastrointestinal health, but with proper diagnosis and treatment, most patients can achieve substantial symptom relief and improved quality of life. Whether through conservative management or surgical intervention, the key lies in early recognition and appropriate care. As our understanding of this condition continues to grow, we can look forward to even more effective and tailored treatment options in the future.

If you experience persistent symptoms such as heartburn, difficulty swallowing, or chest discomfort, don’t hesitate to seek medical evaluation. A thorough assessment by a healthcare professional can determine whether a paraesophageal hernia or another condition is the underlying cause, allowing for timely and appropriate treatment.

It Could Be a Paraesophageal Hernia.

Hernias are common, and you likely know someone who has had one at some point in their life. So, perhaps it’s no surprise that the most common esophageal condition I treat is paraesophageal hernia, which is when the stomach bulges into the chest through diaphragm—the primary muscle located along the lower ribs that is used in the process of breathing. Hernia occurs when the small opening connecting the esophagus and the stomach in the diaphragm weakens over time, allowing the stomach to move up into their chest.

Anyone can develop a paraesophageal hernia. People who are overweight are at greater risk because they have increased abdominal pressure. Women who have had multiple babies sometimes have diaphragm weakening over time, which can result in a hernia, and genetic factors can contribute as well.

Symptoms range from none to severely limiting one’s ability to eat, sleep, or do daily activities. Symptoms can include:

• Acid reflux
• Bloating and early fullness after eating
• Cough
• Dysphagia, or difficulty swallowing
• Shortness of breath from the stomach pushing on the diaphragm or compressing the lungs
• Retching up undigested food
• Weight loss
• Fear of food due to severe symptoms

Some patients rely on over-the-counter antacids to try to manage their symptoms. But if left untreated, in extreme cases, a paraesophageal hernia can cause the stomach to twist along the esophagus and cut off the blood supply. Thankfully, paraesophageal hernias can be treated with medication from a doctor or even cured through advanced, minimally invasive robotic surgery.

LISTEN: Dr. John Lazar discusses paraesophageal hernia treatment in the Medical Intel podcast.

https://ct1.medstarhealth.org/content/uploads/sites/135/2018/09/Lazar-hernia-benign-3.mp3

Diagnosis and treatment of paraesophageal hernia

The only way to know for sure whether you have a paraesophageal hernia is to see a doctor and undergo:

• A CT scan of the chest
• Esophagogram, which is an X-ray to determine if liquids go down the esophagus properly
• Esophageal manometry, which tests how well the esophagus squeezes food down the length of the esophagus
• Esophagogastroduodenoscopy (EGD), which is a fiberoptic scope like a colonoscope that can be inserted into the esophagus and stomach to see any abnormalities

Based on the findings of your tests, the doctor can recommend a variety of treatment options.

Medications

Patients can use antacids such as Rolaids or Tums to neutralize minor stomach acid symptoms. Proton pump inhibitors (PPIs) like Prilosec, meanwhile, are stronger acid-blocking medications. There’s a growing debate regarding long-term injury from using PPIs. This had led many patients to ask whether surgery is right for them.

Surgery

We can cure paraesophageal hernias at MedStar Washington Hospital Center through minimally invasive robotic surgery. We use a robotic system that is completely controlled by the surgeon to help enhance the surgeon’s vision and ability to handle delicate tissues of the abdomen. The surgery entails releasing the hernia scar tissue, which allows the stomach to return to its proper place in the abdomen. Then, the opening in the diaphragm where the stomach herniated through is closed with sutures. Patients are usually back home two to three days after surgery.

I urge you to see your doctor if you experience symptoms of a paraesophageal hernia. What might seem like acid reflux or difficulty swallowing could lead to serious health problems down the road.

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7 Symptoms Of Acid Reflux 7 Symptoms Of Acid Reflux

Most people have experienced the symptoms of heartburn at one time or another. Perhaps you ate too much just before bed and awoke to a burning sensation in your chest. You may have even had some regurgitation of stomach acid into your throat and mouth. While unpleasant, these symptoms are easily treated with antacids or home remedies for most. It’s only an occasional occurrence and is given little thought after the discomfort passes. However, for sufferers of acid reflux disease, these symptoms and others can become a regular occurrence.

When heartburn becomes more persistent, occurring two or more times a week, or if it is resistant to medications, it’s time to see a specialist. Additionally, there are several other symptoms that may suggest acid reflux disease, also known as gastroesophageal reflux disease (GERD). While these symptoms may not be as disruptive as heartburn, they also point to this chronic digestive disorder and should be addressed.

1. Bloating and Belching

Frequent swallowing is common with a sore throat or when stomach acid begins to back up into the esophagus. This may lead to swallowing more air, a feeling of being bloated, and frequent belching. This bloating and belching may also be related to inflammation of the stomach lining caused by H. Pylori the bacterium responsible for some stomach ulcers. Quick fixes to reduce belching include:

• Eating and drinking slowly
• Avoid Carbonation and Alcohol
• Avoid gum and hard candy
• Don’t smoke
• Ensure your dentures fit (poorly fitting dentures can cause you to swallow excess air when you eat and drink.)
• Treat heartburn

2. Nausea

Some individuals with GERD may not experience heartburn at all. Rather, they may experience symptoms such as nausea and even severe chest pains. Lifestyle changes in order to help with this include:

• Loose-fitting clothing
• Stay upright while eating
• Elevating your head while you sleep
• Stop smoking

3. Chest Pain

Chest pain in association with GERD is caused when stomach bile enters the esophagus. This pain can sometimes be so severe that it is mistaken for a heart attack. It is critical that chest pain is never ignored and that medical attention is sought immediately when it occurs.

4. Coughing and Wheezing

Respiratory symptoms are somewhat common with GERD. Irritation to the throat and even stomach acid making its way into the lungs can lead to a chronic cough or wheezing.

5. Difficulty Swallowing

Difficulty swallowing, or dysphagia can appear when the continuous cycle of acid reflux causes scarring and narrowing of the esophagus. Swallowing can become painful, and sufferers may feel as though they have a lump in their throat.

6. Sore Throat

As with chest pains or difficulty swallowing, the repeated damage to the lining of the esophagus may also cause a persistent sore throat. This may or may not also be accompanied by hoarseness of the voice.

7. Hiccups

Hiccups occur with involuntary spasms of the diaphragm, which separates the chest from the abdomen, and are often found in conjunction with acid reflux. If you find that you are suffering from any of these symptoms on a regular basis, it may be time to see your physician. Even in the absence of typical heartburn sensations, it is possible to be suffering from GERD. A specialist such as a gastroenterologist will be able to determine if your symptoms are due to GERD and can recommend treatment options to bring relief.

Irritable bowel syndrome causes

Disruption of the normal functioning of the intestine directly affects the functioning of the gastrointestinal tract (GIT) and quality of life.

5 Warning Symptoms That Might Indicate Gut Problems

Violation of the normal functioning of the intestine directly affects the functioning of the gastrointestinal tract (GIT) and quality of life. Frequent bloating, heartburn, uncontrolled gas, heaviness after eating, constipation and diarrhea may indicate that it is time to see a gastroenterologist. Only he can make the correct diagnosis and prescribe treatment.

The most common functional stomach disorder is irritable stomach syndrome (IBS). Approximately 10-15% of people worldwide suffer from its symptoms ¹ . We tell you what symptoms indicate IBS and other diseases, and also understand how to help yourself get rid of discomfort.

1. Frequent bloating

Often this problem is associated with flatulence – the accumulation of gases in the intestines. Gases can accumulate for various reasons. The most common is that they come with food, and the faster you eat, the more gas you swallow. Improper nutrition and individual intolerance to certain foods can also lead to gas formation. For example, if the intestines do not break down lactose well, drinking milk can lead to bloating.

If you notice that bloating appears after you have been nervous at work, this may indicate that you have irritable bowel syndrome. Other reasons include:

• syndrome of excessive bacterial growth in the small intestine;
• functional dyspepsia;
• Crohn’s disease;
• ascites ² .

2. Heartburn

Heartburn is the outflow of hydrochloric acid from the stomach into the esophagus, which causes an unpleasant burning sensation in the chest and leaves a bitter-sour taste in the mouth. It usually appears 10-20 minutes after eating and may be accompanied by belching, nausea, and flatulence.

The causes of heartburn are considered to be an improper diet, regular consumption of fast food and excessive amounts of fried and spicy foods, smoked meats, overly hot drinks and soups. More serious include a number of chronic diseases of the gastrointestinal tract: gastritis, stomach ulcers, cholecystitis, problems with the biliary tract, hiatal hernia ³ .

3. Heaviness after eating

The most “harmless” reasons include overeating, as well as eating foods that are difficult to digest, such as mushrooms, beans and fried meat. This feeling can be caused by:

• gastritis,
• functional dyspepsia;
• stomach or duodenal ulcer;
• pancreatitis in chronic form ⁴ .

4. Constipation

The main causes of constipation are considered a sedentary lifestyle, poor diet, insufficient fluid intake. Drugs that reduce bowel activity (diuretics, antiallergic drugs, blood pressure drugs) can also cause a problem. ⁵ .

If there is a constant violation of the stool, accompanied by pain in the abdomen and discomfort – this may indicate IBS ⁶ . People with this disease should stick to a diet, as well as help the intestines to restore nervous regulation with the help of drugs. The drug for course treatment “Kolofort” is designed specifically for this. The first results from taking “Kolofort” do not appear immediately. And this is very significant: the drug acts on the cause – it normalizes fine regulatory mechanisms, and not just eliminates the symptoms. Therefore, in order to consolidate the result, the reception of “Kolofort” must be at least 1 month. Before taking it is necessary to consult a specialist.

5. Diarrhea (intestinal disorder)

Diarrhea is caused by impaired bowel motility due to an unbalanced diet, as a result of severe stress, or the use of certain medications (for example, strong antibiotics), as well as in the presence of IBS. In addition, it may indicate inflammatory processes in the intestines caused by:

• pancreatitis;
• cholecystitis;
• ulcerative colitis;
• neoplasms ⁷ .

Timely diagnosis of the cause that caused any of the above symptoms can prevent serious health problems. Do not treat yourself with folk remedies or advice from the Internet – immediately consult a doctor.

THERE ARE CONTRAINDICATIONS. IT IS NECESSARY TO CONSULT WITH A SPECIALIST

Instructions for medical use of the drug Kolofort No. RU: LP-N (000027) – (RG-RU)

List of sources used

1. Facts About IBS https://www.aboutibs.org/facts-about-ibs.html

2. What causes abdominal bloating? https://www.medicalnewstoday.com/articles/321869#treatments-and-home-remedies

3. Heartburn. Medical Author: Benjamin Wedro, MD, FACEP, FAAEM. Medical Editor: Melissa Conrad Stöppler, MD https://www.rxlist.com/heartburn/drugs-condition.htm#overview_of_heartburn

4. What is stomach heaviness? https://www.healthline.com/health/heavyness-in-stomach#causes

5. Constipation: causes, dangers and treatment. Kristina Khlebnikova https://med.vesti.ru/articles/polezno-znat/zapor-prichiny-opasnosti-i-lechenie/

6. What are the causes of IBS? https://www.aboutibs.org/what-is-ibs-sidenav/what-causes-ibs.html

7. What should you know about diarrhea https://www.medicalnewstoday.com/articles/158634#causes

Digestive problems while exercising? We tell you what to do / Blog of the gastro-hepatocenter

For an athlete, his health and well-being are important – it affects the result of training and competition. Abdominal cramps, nausea, heartburn and other unpleasant manifestations can occur at the most inopportune moment. What causes this and how to avoid it? Let’s figure it out.

Sports medicine experts point out that almost half of the athletes have minor problems with the gastrointestinal tract during training. Common symptoms include:

• nausea
• heartburn
• indigestion
• indigestion
• irritable bowel syndrome.

Digestive problems specific to different sports. For example, fans of running workouts most often consult a doctor about disorders in the digestive system. Gastrointestinal discomfort during running usually does not indicate significant health risks, but such an unpleasant experience can reduce motivation to play sports.

Mechanism of the development of the problem

Different types of training actively load certain muscle groups, for example, when running, quadriceps are actively loaded. There is a kind of competition between the muscles and internal organs for blood flow. Since the needs of the muscles for oxygen and nutrients are higher than those of the internal organs, up to 80% of the blood flow can be sent to the legs during intensive running. As a result, the digestive system has fewer resources to digest and absorb food and water consumed before and during exercise. The stomach gives in, and the pizza that you ate half an hour before a workout may “ask to go out.”

The risk of adverse effects is increased if you eat food immediately before training. Everyone chooses the right time for himself: some can comfortably exercise a quarter of an hour after eating, while others should eat at least 2 hours before training. The higher the intensity of the load, the more blood is redirected from the digestive system to the muscles, which also affects the occurrence of pain in the abdomen.

Does the above mean that you need to give up intense training? Absolutely not, you just need to take into account a number of important recommendations in order to reduce the risks of problems with the digestive tract. In general, there is a lot of individual in this matter, you need to learn how to feel your body and track its reaction to different types of loads and food. The following are general guidelines for avoiding problems that are specific to the most popular sports.

Running

Problems

The main problems when running are:

• abdominal cramps
• diarrhea
• stitching pains in the side

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Even with the softest running style, the impact of the feet on the ground resonates in the lower abdomen, which often leads to abdominal cramps and diarrhea. That is why, during amateur marathons, doctors often record precisely these complaints. Stinging pains in the side are also a common problem among runners. Arise from the effects of gravity and additional load on the connective tissues of the abdominal cavity.

How to deal with

If you experience abdominal cramps you need to ensure the supply of sufficient blood to the intestines – reduce your running speed and wait for the pulse rate to decrease.

If diarrhea develops , it is better to look for a secluded place or dry closet, if available. You should always have the appropriate preparation on hand during training – so you will be calmer.

For stabbing pains in the side need to slow down. Gently tilting the torso to the side, in the direction opposite to the pain, can also help.

How to prevent

• Drinking enough fluids. Every 15-20 minutes of training, you need to drink 110-170 ml of fluid. If the classes are long, then you should alternate the use of plain water and special drinks containing the necessary minerals that are actively lost with sweat.
• Avoid carbonated drinks as they can cause bloating while running.
• Limit your fat and fiber intake on workout days. These types of nutrients are digested more slowly than carbohydrates and proteins, which can create problems when exercising. Foods containing lactose (there is a lot of this compound in milk), sorbitol (found in chewing gum) and caffeine also lead to changes in the digestive system that are undesirable when playing sports. Therefore, these foods should be avoided at least 4 hours before running.

Cycling

Problems

Cyclists most commonly experience the following types of digestive problems:

• heartburn
• burn occurs among cyclists quite often, which is caused by the tilt of the body forward when riding. In our country, cross-country bicycles are gaining more and more popularity, most people have already switched to this type of bicycle technology. The design of these types of bicycles is based on an underestimated handlebar and a raised saddle. Therefore, the tilt of the body in a cyclist is very significant, this increases the pressure on the stomach and intestines, which leads to heartburn. Symptoms of indigestion include abdominal pain, heaviness, and bloating. Indigestion in cyclists is most often due to lack of time to digest food before cycling. At the time of physical activity, the body works to supply blood to the muscles, and not to the digestive organs, which leads to discomfort.

  How to deal with

  When heartburn occurs , bend forward as little as possible. Ideally, you should take a short break, take a strictly upright position, or just walk with the bike for a few minutes. It is important not to consume water or food until the symptoms of heartburn have ended, otherwise there is a risk of aggravating them.

  Help with indigestion Enzyme preparations to help speed up the breakdown of food. Hot chamomile or peppermint tea will also relieve symptoms.

  Prevention

  • If you are prone to heartburn, it’s a good idea to take a remedy for heartburn on the road. Of course, over-the-counter heartburn medications should not be overused, as they have significant side effects. In case of regular occurrence of such problems, it is necessary to contact a gastroenterologist, who will help adjust the drug treatment, give recommendations regarding nutrition and exercise regimen.
  • Work on your posture while riding. Try to keep your back straight, not arched. This will reduce pressure on the internal organs. Make sure the saddle and handlebars are at the correct height. There are specific guides for cyclists on this subject, use them if necessary.
  • Be careful with your food while cycling. Energy bars and sports snacks are very popular among cyclists. Unfortunately, some people get addicted to them and consume excessive amounts of food while driving, which leads to digestive problems. If the workout lasts less than an hour, then it is better not to eat any snacks at all. For workouts longer than 60 minutes, consume 200-300 calories every hour in the form of sports drinks, bars, and snacks. This must be done, since the reserves of glycogen (“fuel” for muscles) in the body are depleted after long workouts, and the breakdown of fats does not have time to compensate for the energy needs of the athlete.
  • To prevent indigestion, chew food thoroughly: solids 30 to 40 times, soups, purees and cereals at least 10 times. Take enough time to eat, do not be distracted by conversations and extraneous activities. Snacking while driving also adversely affects the functioning of the digestive tract – it is better to stop and find a quiet place to eat.

  Swimming

  Problems

  The most common digestive problems among swimmers are:

  • abdominal cramps
  • belching
  • bloating
  • nausea

  Some swimmers forget to exhale when their head goes down. Having emerged, they are forced to do a very quick exhalation and inhalation. As a result, the likelihood of involuntary swallowing of air and even water increases. Filling the stomach with air leads to belching, and swallowing water can lead to abdominal cramps.

  How to fight

  Helps relieve nausea and stomach cramps slowing down and rolling onto your back, since most of the unpleasant digestive symptoms when swimming occur in the prone position. You can also try swimming with your head constantly above the water for a while, that is, without temporarily submerging, as required by the standard breaststroke stroke , crawl and other styles.

  If you experience belching and bloating leave the pool and do a short session of the special breathing technique. Carminative drugs will also help (in the event of a single problem), helping to reduce the formation of gases in the gastrointestinal tract and remove them from the body.

  Prevention

  • Practice your breathing technique. Proper technique allows you to get more oxygen while swimming while avoiding swallowing air and water. Turn your head sideways instead of forward when you exit the water to inhale to reduce the risk of swallowing water. Under water, do not hold your breath, but slowly exhale the air until your mouth comes to the surface.
  • Wear a swimming cap. This is especially important when swimming in open water, this approach reduces the impact of waves on the head, causing disorientation and swallowing water and air.

  Strength training

  Problems

  Weightlifters commonly experience the following indigestion while exercising:

  • heartburn
  • indigestion

  Some people hold their breath when bending over a weight to lift it. This puts pressure on the stomach and can cause heartburn and indigestion. This is why weight lifters, such as powerlifters, are more likely to experience heartburn than other sports.

  How to fight

  Heartburn during exercise can be helped by a couple of sips of water. Also, in agreement with the gastroenterologist, it is possible to take a remedy for heartburn.

  In case of indigestion during training, stop exercising and take medication. containing enzymes. The drugs are suitable for a particular case, if indigestion appears constantly during sports activities, you should consult a specialist.

  Prevention

  • Practice breathing while lifting weights. Lifting the weight should be accompanied by exhalation, and lowering the weight by inhalation.
  • Sleep on an incline. Sometimes an additional pillow helps, but in case of problems with the spine, another method is needed.
  • Limit the size of dinner, try not to eat late. Digestion slows down during sleep, so a heavy late dinner can lead to heartburn during a morning workout.
  • Avoid foods that cause heartburn. These include chocolate, citrus fruits, coffee, mint, and onions.

  Natural Digestion Remedies

  Below are natural remedies to help restore balance to the digestive system that has been disturbed by exercise. These beneficial herbal remedies exist in the form of dietary supplements, but it is better to consume them as a tea.

  Heartburn and bloating

  Try chamomile tea, which has anti-inflammatory properties and is great for drinking at night. This plant has a calming effect on the entire digestive tract.

  Nausea

  Try brewing ginger root.