For approximately 50% of individuals with a hiatal hernia, symptoms are not present. For those who do experience symptoms, it is usually caused by heartburn, or acid reflux. Many individuals with a hiatal hernia also have gastroesophageal reflux disease, or GERD. For them, their doctors may prescribe a treatment plan that is similar to the treatment for GERD.
The following are some of the treatment options for a hiatal hernia:
- Lifestyle changes for a hiatal hernia
- Diet modification
- Not smoking
- Avoiding alcohol
- Preventing acid reflux during the day
- Preventing acid reflux at night.
Medication, which include:
If surgery is needed:
- During hiatal hernia repair surgery, the stomach and lower esophagus are placed back into the abdominal cavity, and the hiatus (the opening in the diaphram where the esophagus and stomach join) is tightened. The upper part of the stomach (fundus) may be wrapped around the esophagus (fundoplication) to reduce acid reflux.

