Hiatus Hernia

Key Points

Overview

A hiatus hernia happens when a portion of your stomach slides up through an opening in your diaphragm, called the hiatus, into your chest cavity. This condition is very common, particularly in people over 50, pregnant individuals, or those who are overweight. Often, it causes no noticeable symptoms and doesn't require treatment. When symptoms like heartburn or acid reflux occur, they can often be managed with lifestyle adjustments, over-the-counter medications, or prescribed stronger drugs. These treatments aim to reduce discomfort and prevent complications. Surgery is typically considered only if other treatments fail to relieve severe symptoms that significantly impact daily life. This procedure usually involves keyhole surgery to reposition the stomach and tighten the opening in the diaphragm.

Signs and Symptoms

• Painful burning in chest (heartburn)
• Bringing up small amounts of food or bitter fluid (acid reflux)
• Bad breath
• Feeling bloated
• Feeling or being sick
• Difficulty or pain when swallowing

Things That Increase the Risk

• Being over 50 years old
• Pregnancy
• Being overweight
• Unclear exact causes

Diagnosis

• GP assessment of symptoms
• Tests if symptoms do not improve or worsen
• Specialist referral for further evaluation

Treatment & Management

• Eating smaller, more frequent meals
• Raising the head of your bed
• Losing weight if overweight
• Finding ways to relax
• Avoiding trigger foods or drinks
• Not eating 3-4 hours before bed
• Avoiding tight waist clothing
• Stopping smoking
• Reducing alcohol intake
• Over-the-counter antacids or alginates
• Stronger prescribed medicines
• Keyhole surgery (laparoscopy) in severe cases

Prevention

• Maintain a healthy weight
• Avoid smoking
• Limit alcohol consumption
• Eat smaller, frequent meals
• Avoid eating close to bedtime
• Manage stress effectively

Related Diseases

• Gastro-oesophageal reflux disease (GORD)
• Dysphagia
• Indigestion
• Acid Reflux

Available Treatments

Explore our range of treatment options for Hiatus Hernia:

Surgical Options

Learn about surgical procedures available for Hiatus Hernia: