What is hernia: –
Hernia is a condition in which abnormal protrusion of an organ or a part thereof to structures mainly containing it takes place. Normally it is the organs in the abdomen in the covering called abdominal wall. However due to certain reasons and organ audit is of the bowel may stick out which forms a lump under the skin. In other cases the passage communicating between the abdominal cavity and the scrotum may forcibly open either gradually or by rupture of fibre muscles due to sudden strain with the result that intestine lying behind the passage may be forced out. The patient feels intense pain and discomfort for in the region and feels nausea or vomiting. This type of hernia is called inguinal hernia. There are other types of hernia, namely umbilical which is mostly found in small babies in which case hernia cards at the umbilicus or navel.
There is another painful type hiatus hernia, in which overhang of any structure may occur through the oesophageal hiatus of the diaphragm.
Normally diaphragm has got several orifices through which various structures pass. Diaphragmatic hernia which is also called hiatus hernia cards at the point where the oesophagus passes through the diaphragm.
Causes of hiatus hernia: –
i) Congenital, shortness of oesophagus.
ii) Raised intra- abdominal pressure, due to obesity, pregnancy, ascites, kyphosis.
iii) Weakness of the lower oesophageal sphincter with reflux oesophagitis from various causes.
Types of hiatus hernia: –
I) sliding: this is the commonest variety of hernia and about 80% of the cases are of this type. Here the cardia or the oesophagogastric junction rises into the chest taking a part of the stomach with it. This allows free regurgiation of acid contents of the stomach into the oesophagus causing reflux oesophagitis. This type is rarely produces the same terms of hernia.
II) Rolling: it is less common and approximately about 15%. Here the cardia retains its normal position below the diaphragm but some part of, slips through theoesophagal orifices to remain alongside the oesophagus. This type may attain a considerable size.
III) Combined type: about 5% cases give the features of sliding and rolling types may be seen together.
Clinical features of hiatus hernia: –
Generally medial age persons are mostly affected. It is more common in females and the ratio is 3:1. Symptoms may be absent and the disease may be accidentally discovered. Due to regurgitation of acid, heartburn or acid eructation may be accompanied of. Particularly felt after a heavy meal or after stooping forward or lying down. After taking hot drinks or fluids disease aggravated and it is called by ‘hot tea test’. Sometimes the oesophagus may be inflamed or ulcerated which may give rise to retro-sternal pain simulating ischaemic heart disease. Due to pressure of gastric pouch there may be cough, precardial distress, palpitation, angina pain, hiccough etc. Hernia may give rise to ST-T changes in ECG due to displacement of the heart. Sometimes due to slow bleeding from the oesophageal ulcer there may be gradual development of Iron deficiency anaemia.
Sometimes the patient comes in a strangulated condition with severe retrosternal pain and in this case the diagnosis becomes very difficult.
Complications of hiatus hernia: –
a) Oesophageal ulcer.
b) Stricture of oesophagus.
d) Gastric ulceration.
f) Severe bleeding.
g) Nausea and vomiting.
h) Aspiration pneumonia.
Homeomagnet treatment of Hernia: –
We can here by name some of common homeopathic medicine of hernia. But total study of the patient’s symptom is quite necessary to treat such type of disease and the accuracy of the remedy selection can brought the radical cure. Some important Homeopathic remedies are Pulsatilla, Silicea, Nux Vomica, Lycopodium, Cocculus indica, Aurum Met,Lachesis, Carbo veg, Arsenic alb, Tabacum, Plumbum met, Calc carb, Staphysagria etc.
One of the conventional ways to replace hernia in positions to wear a properly fitting support called a truss. Patients who are suffering from hernia should avoid lifting heavy weights or heavy straining. In case of simple hernia, the lump can be pushed back mechanically but quite slowly.
In case of hernia with intense pain, the south pole of the strong magnet should be applied over the hernia and it will provide greet relief of the pain. In addition of the above treatment strong magnets should also be applied over the wrist, which is called the acupuncture point P6. North Pole on the right wrist and South Pole on the left wrist should be applied. According to the symptom some other application may be suggested. Combination treatment of homeopathy and magnet therapy can give a greet result.