How do I know if I have Hiatus Hernia?

A hiatus hernia, also known as hiatal hernia, is a condition where a portion of the stomach protrudes through the diaphragm into the chest cavity. It occurs when the opening (hiatus) in the diaphragm, which allows the esophagus to pass through, becomes weakened or enlarged. Hiatus hernias are quite common and can affect people of all ages, although they are more prevalent in individuals over the age of 50.

There are several symptoms that may indicate the presence of a hiatus hernia:

• Heartburn: This is the most common symptom associated with hiatus hernia. It is characterized by a burning sensation in the chest, often after eating or when lying down. The stomach acid refluxes into the esophagus, causing discomfort.


• Regurgitation: Some individuals with hiatus hernia may experience the backflow of stomach acid or food into the mouth, resulting in a sour or bitter taste.


• Chest pain: Although less common, chest pain can occur due to the herniated stomach pressing against the diaphragm or irritating the esophagus.


• Difficulty swallowing: Hiatus hernias can sometimes lead to dysphagia, making it challenging to swallow food or liquids.


• Belching and hiccups: Excessive belching or frequent hiccups may be indicative of a hiatus hernia.


• Feeling full quickly: Some individuals may experience early satiety or a sensation of fullness even after consuming small amounts of food.

If you suspect you may have a hiatus hernia, it is important to consult with a healthcare professional for an accurate diagnosis. They will typically perform a physical examination and may order additional tests such as an upper gastrointestinal (GI) series, endoscopy, or esophageal manometry to confirm the presence of a hiatus hernia.

Treatment options for hiatus hernia:

In most cases, hiatus hernias do not require treatment unless they are causing significant symptoms or complications. Lifestyle modifications can often help alleviate symptoms. These may include:

• Eating smaller, more frequent meals


• Avoiding trigger foods that worsen symptoms (e.g., spicy or fatty foods)


• Keeping an upright posture after meals


• Elevating the head of the bed while sleeping


• Weight loss for individuals who are overweight or obese


• Over-the-counter antacids or acid-reducing medications

In severe cases or when complications arise, surgical intervention may be necessary to repair the hernia and prevent further complications.