What is an effective dietary management strategy for patients experiencing a hiatal hernia?

Smaller meals with increased carbohydrates are an effective dietary management strategy for patients experiencing a hiatal hernia because they help reduce the pressure on the stomach and lower esophageal sphincter. By consuming smaller, more frequent meals rather than larger ones, patients can minimize the likelihood of reflux and discomfort associated with the hernia. Carbohydrates, particularly those that are easily digestible, can provide necessary energy without excessively prolonging gastric emptying time, which might otherwise exacerbate symptoms.

In contrast, increased protein intake could lead to a heavier feeling and potentially increase discomfort in the stomach area, while high-calorie diets can contribute to overeating and further pressure on the hiatal hernia. Increased fat consumption is generally not recommended when managing hiatal hernias because fatty foods take longer to digest and can promote reflux symptoms. Thus, focusing on smaller meals with an emphasis on carbohydrates is a well-supported approach to alleviating the symptoms associated with a hiatal hernia.