A hiatal hernia occurs when part of the stomach pushes up through the diaphragm's opening (the hiatus) into the chest cavity. Small hernias often cause no symptoms, whereas larger ones can lead to reflux, heartburn, and chest discomfort.
Many people with a hiatal hernia experience:
Several factors can contribute to the development of a hiatal hernia:
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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.
The ICD-10 code for a non-traumatic hiatal hernia is K44.9.
Surgery is generally recommended for large hernias, severe reflux, bleeding, or complications that do not improve with medical treatment.
Most patients can resume light activities within 1-2 weeks, with a full recovery typically achieved in 4-6 weeks.
Imaging tests such as endoscopy or a barium swallow will show part of the stomach protruding above the diaphragm through the hiatus.
Yes. Some patients experience mild back or shoulder pain due to pressure and irritation from the herniated stomach.
Yes. Larger hernias can press on the lungs or diaphragm, leading to shortness of breath, especially when bending forward or lying flat.
Key self-care measures include eating smaller, more frequent meals avoiding spicy or acidic foods not lying down after eating raising the head of your bed maintaining a healthy weight and avoiding tobacco.
Focus on balanced, nutrient-rich meals, choose low-impact exercises like walking or swimming, avoid foods that trigger reflux, and seek guidance from your healthcare team or a dietitian.
Hiatal hernia repair surgery repositions the stomach into the abdomen and tightens the diaphragm opening. It can be done laparoscopically (minimally invasive) or via open surgery if needed.
Consult a gastroenterologist if you have frequent heartburn, chest pain, difficulty swallowing, persistent symptoms despite treatment, or any alarming signs like bleeding.
