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Watter kosse moet vermy word wanneer mens ‘n mantelvliesbreuk het. Dit is gediagnoseer by my ma van 72 jr en sy kry sulke aanvalle waar sy geweldig naar is en baie pyn het. Dankie vir jou gewaardeerde raad. Groete

- Talana / 20 February 2012


Hi there

I’ll have to answer you in English, I’m afraid – my Afrikaans isn’t quite up to answering this kind of question! I hope it’s ok.

  • Firstly, it’s important that she not overeat at any mealtime. She must rather eat smaller meals more often (5-6 smaller meals). Large meals cause the stomach to get larger, which will push upwards on the hernia causing reflux/heartburn and pain.

  • She must sit up after eating – don’t lie down for a couple of hours afterwards (so don’t eat late at night).

  • Avoid heartburn- & nausea-causing foods: coffee, citrus, alcohol, high amounts of sugar, peppermint, fatty foods, chocolate, tomatoes, fizzy cooldrinks, lots of red meat, etc. Fruit juices must be diluted.

She may need to avoid them totally or only cut down: she’ll need to experiment a bit as there’s no rule about it: everyone’s different. She’ll probably find that eating very dry food could make it worse as well, so making sure there’s a light sauce or juiciness to what she eats can help too.

  • If she is overweight, especially in the middle area, then losing weight will reduce her symptoms a lot.

  • If she smokes, she should stop – it is known to worsen reflux & heartburn.

  • If the pain is intense, stabbing & under her breastbone, & especially if it occurs at night, it might be worth checking for gallstones.

She can try a homeopathic remedy called Sister Lilian NausiCare – it’s for adults too. She can take it 3 x daily, and hourly (or even half-hourly) if it’s bad. This helps with heartburn, nausea, & reflux.

I also recommend she drinks chamomile tea as it helps to heal damaged digestive lining. When one has a hernia like this, stomach acid tends to wash upwards where it shouldn’t be, causing damage to the oesophagus lining, which also results in pain, as well as heartburn. Chamomile can also help with nausea. 2 – 3 cups of chamomile tea. She could sweeten with a bit of honey or sugar) could help too.

I hope this helps!

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Related Questions


Good day Michelle

This is a follow up question on your responds below.

I would like to first thank you for your guidance and advise which is much appreciated. I have managed to buy a monthly supply of all the products you recommended and already I feel much better.

My follow up questions are as follow:

– Is it compulsory to take these vitamins every day for the rest of my life or would this be something that will eventually phase out ?

– When exercise, is it safe for me to use supplements to gain weight such as a mass/muscle gainer ?

– What products are available in the Vital range to assist individuals battling with weight gain and maintenance.

– Vital Voost B complex vs Vit B complex Energy & Nervous stress. What is the difference between the two ? is it recommended that I may only use Vital Voost B complex or may I use the Vit B complex tablets ?

Your help and guidance would be really appreciated.


Good day

and severe symptoms are diarrhea, fatigue, loss of weight for no reason and bloating.

What product can I use ?

Please assist
– Omar / 3 February 2017


Good day,

IBS can be caused by various factors and also worsened with stress. Stress attacks the immune system and make you more susceptible to getting to irritable bowel. It is important to firstly start with a great multivitamin. Our VOOST effervescence are great and it will also be very easily absorbed. There is a Vital VOOST Multivitamin and Vital VOOST Vitamin B that is great for energy and stress support.

It will also help to identify the foods your gut reacts to. In people with IBS it is usually:
•Breads and cereals made with refined (not whole) grains
•Processed foods – chips and cookies
•Coffee, carbonated drinks, and alcohol
•Diets high in protein
•Dairy products, especially cheese

We also have a product called Vital Spasticol-Ease that is great for better absorption and digestion of food to decrease the symptoms of IBS

- Digestive Health / 24 February 2017

Kan die gebruik van Vital Buchu spysvertering aanhelp ?

- Digestive Health / 14 February 2017

hi please help me i want to know , is it good for me to use Vital while breast feeding.

- Digestive Health / 13 February 2017

Hi, I’m Michelle Jooste.

As a registered dietitian, I can help you find the ideal combination of supplements that will support your needs. I’m ready to answer all your nutrition-related questions.

Just ask away, and I’ll get back to you within 2–3 business days.

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