A bad cardia closure is generally referred to as an esophageal hiatal hernia, which does not need to be treated when asymptomatic, and can be given lifestyle changes, conservative treatments, and surgical treatments when symptomatic.
A hiatal hernia generally does not require treatment when it is asymptomatic. When symptoms occur (acid reflux, chest pain, nausea, vomiting, etc.), the following treatments can be given:
1. Lifestyle changes: for example, the head of the bed should be elevated, the amount of food should be reduced, high-protein and low-fat food should be the mainstay, lying down after meals and eating 2 to 3 hours before bedtime should be avoided, and obese people should lose weight.
2. Conservative treatment: aluminum thioglycollate can be given to protect the esophageal mucosa, cimetidine, ranitidine, omeprazole and other acid-suppressing agents to alleviate the symptoms and heal esophagitis and ulcers, domperidone to accelerate gastric emptying and so on.
3. Surgical treatment: esophageal hiatal hernia repair and laparoscopic surgery can be given.
Treatment should be given under doctor’s guidance when cardia closure is not good, not self-medication.