I don't think it will make it worse. Constipation and subsequent enemas affect the Lower GI ( Gastro-intestinal) tract , while a hiatus hernia affects the upper GI tract
Hiatus Hernia
You have a sheet of muscle, called your diaphragm, which separates your chest from your abdomen (tummy). Usually, your stomach sits completely below your diaphragm.
When you swallow your food, it passes down a tube called your oesophagus to your stomach. Your oesophagus passes through an opening (hiatus) in your diaphragm. A hiatus hernia usually develops when part of your stomach slides back up through this opening and into your chest. . But having a hernia may allow fluids from your stomach to travel the wrong way, back up your oesophagus. This is what causes any symptoms you have .
There are two main types of hiatus hernia.
Sliding hiatus hernia (by far the most common type). This is when the join between your oesophagus and your stomach (the gastro-oesophageal junction) slides up into your chest, followed by the top part of your stomach. Eight out of 10 people with a hiatus hernia have a sliding hiatus hernia.
Rolling hiatus hernia (also called a para-oesophageal hiatus hernia). In this type, a part of your stomach passes up into your chest to lie alongside your oesophagus. Your gastro-oesophageal junction stays where it should be, below your diaphragm.
A sliding hiatus hernia can cause a problem called gastro-oesophageal reflux disease (GORD). This is when acid in your stomach rises back up into your oesophagus. Sometimes it’s called by a shorter name – acid reflux. You can have GORD without having a hiatus hernia, and you can have a hiatus hernia without having GORD.
The main symptom of GORD is heartburn, which causes a burning sensation in your chest especially on bending or lying. Other symptoms of GORD include:
- sour liquid from your stomach coming up into the back of your mouth
- your mouth filling with saliva
- belching
- bloating
- a night-time cough
- finding it difficult or painful to swallow
There’s a lot you can do yourself to ease the symptoms of a hiatus hernia, and to help stop them from happening again.
Try to lose any excess weight you have.
Avoid large meals. Instead of eating three big meals, aim for several smaller ones throughout the day.
Don’t eat anything for several hours before bedtime.
Raise the head of your bed if heartburn bothers you at night.
Try to avoid things that raise the pressure inside your abdomen. This might include wearing tight clothing around your middle, such as tight belts, and weight training.
If you notice that some foods and drinks make your heartburn worse, try cutting them out. Some of these might include coffee, alcohol, chocolate, spicy food, chillies ,citrus fruits and fruit drinks, tomatoes ( both raw and cooked ), onions and fatty foods.
Stop smoking.
Avoid stress
Reduce Alcohol intake
Take your PPI ( Proton Pump Inhibitors) like Omeprazole , Lansoprazole Pantoprazole, Esomeprazole etc. Proton pumps are tiny substances in the lining of the stomach which help it make acid to digest food. PPI's prevents proton pumps from working properly. This reduces the amount of acid the stomach makes.
Don't miss meals
So if you find that your symptoms are getting worst , then you may need to go to your GP to review your medication and possibly arrange for you to have an OGD ( oesophago-gastroduodenoscopy ) , which is simply called a gastroscopy performed .
RN