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Hiatal Hernia

Struggling with heartburn or chest discomfort? Dr. Bharat Pothuri at GastroDoxs in Houston specializes in diagnosing and gently treating hiatal hernias. Learn about causes, symptoms, and compassionate, comprehensive, personalized care-including lifestyle changes, medications, and innovative, advanced surgical options-for lasting relief.

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Bharat Pothuri

About the Expert

Dr. Bharat Pothuri is a board-certified gastroenterologist and the founder of GastroDoxs. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

What Is a Hiatal Hernia?

A hiatal hernia occurs when part of the stomach pushes up through the diaphragm into the chest cavity, often leading to reflux and chest discomfort.

Common Causes and Risk Factors

  • Increased abdominal pressure from heavy lifting
  • Straining during bowel movements
  • Chronic coughing or sneezing
  • Pregnancy
  • Obesity or rapid weight gain
  • Age-related muscle weakening of the diaphragm

Signs and Symptoms

  • Frequent heartburn or acid reflux
  • Chest or throat burning sensation
  • Regurgitation of food or sour liquid
  • Bloating and excessive burping
  • Difficulty swallowing (dysphagia)
  • Chest tightness, especially after meals

Expert Treatment for Hiatal Hernia by Dr. Bharat Pothuri

Dr. Pothuri uses a step-by-step approach:

Medical History and Physical Exam

He reviews your symptoms-heartburn, chest or epigastric pain, regurgitation, bloating-and examines your abdomen and chest to look for tenderness or signs of reflux.

Upper Endoscopy (EGD)

A thin, flexible scope with a camera is passed through your mouth to directly visualize the esophagus, stomach and diaphragm opening. This identifies a hiatal hernia, inflammation or ulcers.

Imaging Studies

  • Barium Swallow X-Ray: You swallow a barium solution, which coats the upper GI tract on X-ray to show the size and position of the hernia.
  • Esophageal Manometry: A small pressure catheter measures muscle contractions and the function of the lower esophageal sphincter to detect motility disorders.

Advanced Testing (if needed)

24-Hour pH Monitoring: A thin probe records acid exposure in your esophagus over a day to confirm reflux severity and correlate it with your symptoms.

Bharat Pothuri
Treatment

Our Team offers a full range of care for hiatal hernia.

1. Lifestyle and Diet Changes

  • Eat smaller meals more often to reduce abdominal pressure
  • Avoid lying down right after eating to prevent reflux
  • Stay away from spicy, fatty, or acidic foods that trigger symptoms
  • Raise the head of your bed to keep acid in the stomach
  • Support smoking cessation and weight loss for symptom relief

2. Medications

  • Antacids for quick relief of heartburn and discomfort
  • H2 blockers to reduce stomach acid production
  • Proton pump inhibitors to promote esophageal healing and comfort

3. Minimally Invasive or Advanced Procedures

  • Laparoscopic hernia repair to restore normal anatomy
  • Nissen fundoplication to reinforce the lower esophageal valve
  • LINX® procedure using a magnetic device to prevent reflux
14K

Patients Treated

Dr. Pothuri has treated more than 14K patients, helping individuals improve their digestive health and overall well-being through expert, personalized care.

20Y

Years of Experience

With over 20 years of experience, GastroDoxs has been a trusted provider of gastroenterology care, focusing on delivering the best outcomes for patients

Bharat Pothuri

About the Author

Dr. Bharat Pothuri is a Board-Certified Gastroenterologist and Hepatologist. With extensive experience in digestive health, he specializes in advanced endoscopic procedures, chronic GI disorder management, and preventive care. Dr. Pothuri is dedicated to providing expert, patient-focused insights to help improve gut health and overall well-being.

Frequently Asked Questions

What are common symptoms of a hiatal hernia?

Heartburn, chest pain, difficulty swallowing, bloating, and burping are common signs to watch for.

Is a hiatal hernia the same as acid reflux?

No. A hiatal hernia occurs when part of the stomach moves into the chest. Acid reflux is stomach acid backing up into the esophagus. They often happen together.

Can I feel better without surgery?

Yes. Many patients improve with lifestyle adjustments, diet changes, and medications prescribed by Dr. Pothuri.

How long does recovery from hernia surgery take?

Most people feel better within 1 to 2 weeks. Complete healing generally takes about 6 weeks.

When should I see a specialist for hiatal hernia symptoms?

See Dr. Pothuri if symptoms persist or worsen despite home care and medications.

Do diet changes really help?

Yes. Eating smaller meals, avoiding trigger foods, and not lying down after eating can reduce pressure and discomfort.

Why choose Dr. Bharat Pothuri?

He is a board-certified gastroenterologist with over 15 years of experience, offering personalized care and the latest treatments for lasting relief.

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