مريض عنده فتق الحجاب الحاجز. أي نصيحة تقلل أعراضه؟

A client has a hiatal hernia. Which advice reduces symptoms?

1. Sleep completely flat without a pillow
2. Avoid bending and heavy lifting after meals
3. Wear a tight belt around the abdomen all day
4. Drink fizzy drinks to relieve bloating

Answer: B) Avoid bending and heavy lifting after meals. Anything raising abdominal pressure worsens reflux: bending, tight belts, obesity and heavy lifting. Small meals and head-of-bed elevation help.