Hernias

Question 1

what is a hiatal hernia

Answer 1

• regurgitation of acid into esophagus bc upper part of stomach herniated up thru diaphragm

Question 2

with a hiatal hernia, the gastric contents move in the ____ direction at the ____ rate

Answer 2

• wrong direction
• right rate

Question 3

what S&S of hiatal hernia

Answer 3

• GERD –> heart burn & indigestion
• symptoms after eating & then laying down

Question 4

what is treatment for a hiatal hernia

Answer 4

main goal: want stomach to empty quicker
- HOB up during and after meals
- increase fluids
- increase carbs
- decrease protein

(think: “hi”atal hernia = everything high (except protein))

Question 5

what is dumping syndrome

Answer 5

• gastric contents dump too quickly into duodenom

Question 6

dumping syndrome often occurs when?

Answer 6

• after gastric surgery

Question 7

with dumping syndrome gastric content moves in the ___ direction at the ___ rate

Answer 7

• right direction
• wrong rate

Question 8

what are S&S of dumping syndrome

Answer 8

• drunk symptoms
• shock syndromes (due to decreased BG)
• acute abdominal distress symptoms (NV, diarrhea, borborygmi, cramping, etc.)

Question 9

what is treatment for dumping syndrome

Answer 9

• HOB flat and turn to the side to eat
• decrease fluids, no fluids w meals, 1-2hr before
• decrease carbs
• increase proteins

(think: when everything’s low, the stomach empties slow)