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Medical Treatments

Hiatal Hernia Surgery

Hiatal hernia surgery corrects a hiatal hernia, a condition in which part of the stomach bulges through the diaphragm into the chest cavity. While many hiatal hernias are minor and asymptomatic, larger ones can cause discomfort, acid reflux, and other complications that may need medical intervention, including surgery.

What is a Hiatal Hernia?

A hiatal hernia occurs when the upper part of the stomach pushes up through the diaphragm (the muscle separating the chest and abdominal cavities). This condition can lead to acid reflux, heartburn, and other digestive issues as stomach acid moves more easily into the esophagus.

Signs & Symptoms

Not all hiatal hernias cause symptoms, but when they do, common signs include:

  • Heartburn or acid reflux.
  • Chest pain.
  • Difficulty swallowing.
  • Frequent burping or hiccupping.
  • Regurgitation of food or sour liquid.
  • A feeling of fullness after eating small amounts.
  • Shortness of breath (in severe cases).
Causes

The exact cause of hiatal hernias isn't always clear, but common factors include:

  • Aging: Muscles naturally weaken with age, which can lead to hernia development.
  • Physical Strain: Heavy lifting, intense coughing, and frequent vomiting may weaken the diaphragm.
  • Obesity: Excess body weight can strain the abdominal area.
  • Genetics: A family history of hiatal hernias may increase risk.
  • Injury: Accidents or surgeries in the abdominal or chest area can contribute.
When to seek medical attention?

If you experience persistent symptoms that interfere with daily activities, such as chronic heartburn, chest pain, or difficulty swallowing, consult a healthcare provider. Emergency symptoms, like sudden severe chest or abdominal pain, may indicate a strangulated hernia (a potentially life-threatening complication) and require immediate medical attention.

Diagnostics & Tests

To confirm a hiatal hernia diagnosis, a doctor may order one or more of these tests:

  1. Barium Swallow: You drink a barium solution, which coats the digestive tract for X-rays to show the stomach's position.
  2. Endoscopy: A flexible tube with a camera is inserted through the throat to check the stomach and esophagus.
  3. Esophageal Manometry: This measures muscle contractions in the esophagus and the pressure within the stomach and esophagus.
  4. pH Test: This evaluates acid levels in the esophagus, especially if reflux is a concern.
Do’s & Don’ts

Do's:

  • Follow a liquid diet for a few days, then gradually reintroduce soft foods.
  • Eat smaller, more frequent meals.
  • Sleep with the head elevated to reduce reflux.
  • Take prescribed medications as directed to reduce acid and help healing.

​​​​​​​ Don'ts:

  • Avoid heavy lifting or strenuous activities for at least six weeks.
  • Refrain from eating large meals or lying down right after eating.
  • Limit foods and drinks that may cause reflux (caffeine, alcohol, spicy foods).
  • Avoid smoking, as it can delay healing.

Disclaimer:

Our medical content authors have diligently gathered and synthesized information on this topic to offer valuable insights to our readers. Drawing from a range of reputable medical journals and health resources, this content aims to enhance understanding of the subject. It's important to remember that while this information is informative, it should not replace personalized consultation or treatment from a qualified physician. For further details, please refer to our Editorial Policy.

For this topic, our authors used some of the following resources:

  1. https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia
  2. https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/symptoms-causes/syc-20373379
  3. https://www.mayoclinic.org/diseases-conditions/hiatal-hernia/diagnosis-treatment/drc-20373385
  4. https://columbiasurgery.org/conditions-and-treatments/hiatal-hernia
  5. https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-q-and-a-surgery-for-hiatal-hernias/
  6. https://www.metropolisindia.com/blog/preventive-healthcare/understanding-hiatal-hernia-symptoms-causes-and-treatment-strategies#:~:text=traditional%20open%20surgery.-,Hiatal%20Hernia%20Surgery,oesophageal%20sphincter%20to%20prevent%20reflux.

Frequently Asked Questions For Hiatal Hernia Surgery

While it can be considered major surgery, laparoscopic techniques make it minimally invasive with quicker recovery times.

Initially, a soft, low-acid diet is recommended. Gradually reintroduce solid foods, focusing on smaller, frequent meals.

For many, surgery reduces or eliminates acid reflux, but some may need to continue taking medication for long-term management.

Like all surgeries, risks include infection, bleeding, and issues with swallowing. However, serious complications are rare, especially with laparoscopic procedures.

Most patients can return to light activities within a week. Still, full recovery and return to normal activities can take up to 6-8 weeks.

Best Hospitals in Hiatal Hernia Surgery

Explore All Hospitals in Hiatal Hernia Surgery
Max Super Speciality Hospital, Saket, New Delhi – JCI-accredited multispecialty hospital offering world-class healthcare with cutting-edge infrastructure.
Max Super Speciality Hospital, Saket

Press Enclave Road, Saket, New Delhi

BLK-MAX Super Specialty Hospital, Delhi – State-of-the-art medical facility
BLK-MAX Super Specialty Hospital

Pusa Road, Radha Soami Satsang, Rajendra Place New Delhi, 110005 India

Accord Superspeciality Hospital, a leading healthcare facility in Faridabad, offering advanced treatments with modern infrastructure.
Accord Superspeciality Hospital

Budena Village, Sector 86, Faridabad, Haryana 121002, India

High-tech medical equipment at Artemis Hospital, Gurgaon, ensuring accurate diagnostics and advanced treatment solutions.
Artemis Hospital

Artemis Hospitals Sector 51, Gurugram 122001 Haryana, India

SHALBY Sanar International Hospital, Gurugram – trusted healthcare destination for global patients via VivaVel.com
SHALBY Sanar International Hospitals, Gurugram

Golf Course Rd, Parsvnath Exotica, DLF Phase 5, Sector 53, Gurugram, Haryana Gurgaon, 122022 India

PARAS Health, Gurugram – top multispecialty hospital for international patients via VivaVel.com
PARAS Health, Gurugram

C-1, Sushant Lok- 1, Sector-43, Phase- I, Gurugram, Haryana, 122002

Top Doctors in Hiatal Hernia Surgery

Explore All Doctors in Hiatal Hernia Surgery
Ram Chandra Soni
  • Dr. Ram Chandra Soni
  • Chairman
  • Gastroenterology & Hepatology
  • 22 Years Experience
  • Accord Superspeciality Hospital

Dr. Ram Chandra Soni is one of the leading Gastroenterologists in Faridabad, India. He has vast experience in Advanced Interventional Endoscopy and Gastroenterology. ...

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Pradeepta K Sethy
  • Dr. Pradeepta K Sethy
  • Director Of Gastroenterology Department,...
  • Medical Gastroenterologist
  • 23 Years Experience
  • Manipal Hospital (E.M. Bypass), Kolkata

Dr. Pradeepta Kumar Sethy is a highly experienced gastroenterologist with over 23 years in the field, currently serving as the Director of the Gastroenterology Department at ...

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Nidhi Rawal
  • Dr. Nidhi Rawal
  • Consultant
  • Pediatric Gastroenterologist
  • 13 Years Experience
  • Madhukar Rainbow Children's Hospital

Dr. Nidhi Rawal is a highly regarded Pediatric Gastroenterologist and Hepatologist based in New Delhi. She has 11 years of experience in her field. She specia...

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Vivek Vij
  • Dr. Vivek Vij
  • Chairman
  • Gastroenterology And Hepatobiliary Scien...
  • 15 Years Experience
  • Fortis Escorts Heart Institute

Dr. Vivek Vij is an accomplished liver transplant surgeon credited with developing living donor surgery and implementing safety protocols to achieve a 100% donor safety profi...

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Subrat Kumar Acharya
  • Dr. Subrat Kumar Acharya
  • Executive Director, Gastroenterology
  • Gastroenterology And Hepatobiliary Scien...
  • 42 Years Experience
  • Fortis Escorts Heart Institute

Dr. Subrat Kumar Acharya is the Executive Director of Gastroenterology & Hepatobiliary Sciences at Fortis Escorts, Okhla Road, New Delhi. He is a renowned Gastroe...

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Pankaj Puri
  • Dr. Pankaj Puri
  • Director Gastroenterology
  • Gastroenterology And Hepatology
  • 33 Years Experience
  • Fortis Escorts Heart Institute

Dr (Brig) Pankaj Puri is the Director of Gastroenterology and Hepatology at the Fortis Escorts Liver and Digestive Diseases Institute, Okhla, New Delhi. He completed ...

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