Hiatal Hernia Surgery - Symptoms, Treatment & Expert Care
A hiatal hernia occurs when a part of the stomach pushes through the diaphragm into the chest cavity. This can cause discomfort, acid reflux, and difficulty swallowing. While small hiatal hernias may not require treatment, larger or symptomatic cases often need medical attention, including surgery.
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What is a Hiatal Hernia?
A hiatal hernia occurs when a part of the stomach pushes upward through the diaphragm into the chest cavity through the hiatus — a small opening where the food pipe (esophagus) passes before connecting to the stomach.
At Heptacare Health, we offer advanced diagnostic and surgical solutions for hiatal hernias with a patient-first approach, ensuring long-term relief and fast recovery.
Symptoms of Hiatal Hernia
Heartburn or acid reflux
Chest pain or discomfort
Difficulty swallowing
Regurgitation of food or liquids
Shortness of breath
Bloating or burping after meals
Causes of Hiatal Hernia
Several factors may contribute to the development:
Age-related weakening of the diaphragm
Chronic coughing or straining during bowel movements
Injury or trauma to the abdominal area
Increased pressure in the abdomen (due to obesity, pregnancy, or heavy lifting)
Types of Hiatal Hernia
Sliding Hiatal Hernia
Most common type, where the stomach and esophagus slide in and out of the chest through the hiatus.
Paraesophageal Hiatal Hernia
Less common but more serious — part of the stomach squeezes through the hiatus and stays there, increasing the risk of complications like strangulation.
Diagnosis at Heptacare Health
Our expert gastroenterologists and surgeons use modern tools to diagnose hiatal hernias:
Upper GI Endoscopy
Barium Swallow X-ray
Esophageal Manometry
pH Test (Acid Monitoring)
We create personalized treatment plans based on your specific condition.
Hiatal Hernia
What are the different hiatal hernia types?
There are two main types: sliding hiatal hernias and paraesophageal hiatal hernias. Most people have the sliding kind, which is type 1. All of the other three types are paraesophageal hernias.
- Type 1: Type 1 — also called a sliding hiatal hernia — is by far the most common type, accounting for 95% of all hiatal hernias. In this version, the part of your esophagus that connects to your stomach slides up through the widened hiatus at times and then slides back down.
- Type 2: Types 2-4 are called paraesophageal hiatal hernias. “Paraesophageal” means “beside the esophagus.” In type 2, the upper part of your stomach pushes up through the hiatus alongside your esophagus, forming a bulge next to it. This is also called a rolling hiatal hernia.
- Type 3: Type 3 is a mix of the first two types. The part of your esophagus that connects to your stomach — the gastroesophageal junction — slides up through the hiatus at times. And another part of your stomach also bulges through, alongside the gastroesophageal junction at times.
- Type 4: Type 4 is rare, but it can be more complicated. In this version, the hiatus is wide enough for two different organs to herniate through it. The hernia involves your stomach together with another abdominal organ, such as one of your intestines, your pancreas or your spleen.
Hiatal Hernia Treatment Options at Heptacare Health
1. Lifestyle and Medication (for Mild Cases):
Dietary changes
Weight management
Acid-suppressing medications (PPIs, antacids)
2. Surgical Treatment (for Moderate to Severe Cases):
When lifestyle changes and medications fail, surgery is often recommended — especially for paraesophageal hernias.
Laparoscopic Fundoplication is the most common and effective surgery:
Minimally invasive
Short hospital stay
Quicker recovery
Low risk of recurrence
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Most Frequently Asked Questions by Hernia patients
Most patients feel only mild pain or bloating for 1–2 days, which is well managed with medicines. Compared to open surgery, laparoscopy has much less pain and scarring.
Delaying treatment can make the hernia bigger, more painful, and risk serious complications such as obstruction or strangulation, which can be life-threatening.
Most hernia surgeries take 30–60 minutes. In many cases, patients can go home the same day (day-care surgery).
Yes, light walking is encouraged the same day or next day. It helps recovery and prevents complications.
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