How to Treat Hiatus Hernia?

  • December 18, 2023
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How to Treat Hiatus Hernia?

What is a Hiatus Hernia?

A hiatus hernia, also known as a hiatal hernia, is a medical condition that occurs when a portion of the stomach protrudes through the diaphragm and into the chest cavity. The diaphragm is a muscular barrier that separates the chest cavity from the abdominal cavity and plays a crucial role in breathing. When a hiatus hernia occurs, it can lead to various symptoms and discomfort, making treatment necessary to alleviate these issues.

Why Does Hiatus Hernia Occur?

Hiatus hernias typically develop when there is a weakening or disruption of the muscles and tissues that normally keep the stomach in place below the diaphragm. Several factors can contribute to the development of a hiatus hernia:

  1. Age: Hiatus hernias are more common in older adults because the muscles and tissues in the diaphragm tend to weaken with age.
  2. Obesity: Excess body weight can put pressure on the abdominal area, increasing the risk of a hiatus hernia.
  3. Pregnancy: The pressure exerted on the abdominal area during pregnancy can lead to the development of a hiatus hernia.
  4. Chronic Strain: Frequent heavy lifting, coughing, or straining during bowel movements can weaken the diaphragm muscles and contribute to hernia formation.
  5. Genetics: Some individuals may have a genetic predisposition to develop hiatus hernias.

How to Treat Hiatus Hernia?

Treating a hiatus hernia aims to manage symptoms, prevent complications, and, in some cases, repair the hernia itself. The treatment approach can vary depending on the severity of the hernia and the symptoms experienced. Here are some common treatment strategies:

Lifestyle Modifications:

  1. Dietary Changes: Avoiding large, heavy meals, spicy or acidic foods, and carbonated beverages can help reduce symptoms like heartburn and acid reflux.
  2. Weight Management: Losing excess weight through a balanced diet and regular exercise can alleviate the pressure on the abdominal area and improve hernia symptoms.
  3. Posture: Maintaining good posture can help prevent the hernia from worsening. Avoid slouching or lying down immediately after eating.


  1. Antacids: Over-the-counter antacids can help neutralize stomach acid, reducing heartburn and acid reflux symptoms associated with hiatal hernias.
  2. Proton Pump Inhibitors (PPIs): These prescription medications reduce stomach acid production and are effective in managing acid-related symptoms.
  3. H2 Blockers: Another class of prescription medications that can reduce stomach acid production and alleviate symptoms.


  1. Fundoplication: In severe cases or when other treatments fail, surgical intervention may be necessary. Fundoplication is a procedure where the top of the stomach is wrapped around the lower esophagus to prevent acid reflux. This surgery can be done laparoscopically, reducing recovery time.
  2. Hiatal Hernia Repair: The surgeon may also repair the hernia itself by repositioning the stomach below the diaphragm and tightening the hiatus. This can be done during a fundoplication procedure or as a standalone surgery.

Treatment Benefits:

  1. Symptom Relief: Treating a hiatus hernia can significantly reduce or eliminate symptoms such as heartburn, acid reflux, and chest pain, improving overall quality of life.
  2. Prevention of Complications: Managing the hernia can prevent complications such as gastroesophageal reflux disease (GERD), esophageal ulcers, and strictures.
  3. Improved Comfort: Lifestyle modifications and medications can provide relief from discomfort and pain associated with hiatal hernias, allowing individuals to lead a more comfortable daily life.
  4. Long-Term Health: Addressing a hiatus hernia can contribute to better long-term health by reducing the risk of complications and improving overall digestive function.
  5. Surgical Options: Surgical procedures offer a permanent solution for individuals with severe hiatus hernias, providing lasting relief from symptoms and preventing further herniation.

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