Hiatal Hernia

At times there is a weakening of the muscles or the wall around the Hiatal region or hiatus which is an orifice. Hiatal hernia may be defined as the herniation or protrusion experienced by the stomach or rather the upper portion of it when it pushes through that orifice or tear or rupture in the diaphragm into the thorax or the chest cavity. It is also called hiatus hernia and isn’t as easy to detect as inguinal hernia.

Symptoms of Hiatal hernia

Hiatal hernia is accompanied by symptoms like a burning sensation, heartburn, chest pain (at times very severe), acid reflux, immediately after meals and these symptoms are located often in the upper part of the stomach.

However, the problem is that in most cases, there are no symptoms to indicate this condition and often the doctor detects a Hiatal hernia condition when the patient goes for his annual routine check up.

Apart from heart burn, some patients do experience regurgitation. This happens because esophagus becomes the receptacle for the stomach acid refluxes which back flow. More on Hiatal hernia symptoms.

Risk factors of Hiatal hernia

The risk factors for Hiatal hernia include stress, substance abuse like cocaine, smoking, heredity, defecation by sitting much in practice in India which puts undue pressure on the abdomen, excessive obesity, constipation and straining to pass stool, violent fits of chronic coughing or puking, multiple pregnancies and deliveries, hard sneezing and bending over to lift very heavy objects or standing for long stretches of time.

Diagnosis of Hiatal hernia

Upper gastrointestinal endoscopy and upper gastrointestinal series of tests are conducted by the doctor to diagnose this problem.

Types of Hiatal hernia

Sliding Hiatal hernia accounts for 95% of the cases. A very rare type of Hiatal hernia is paraesophageal or rolling Hiatal hernia. The third type of Hiatal hernia is a combination of the two.


Laparoscopic surgeries, Nissen fundoplication surgery etc are performed.