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Hiatal Hernias: The Most Common Questions & Answers

Hiatal hernias, a common condition affecting millions, occur when the upper part of the stomach pushes upward through the diaphragm. While many people experience no symptoms (studies show that only about 9% do!), others may suffer from heartburn, acid reflux, and other discomfort. In fact, GERD is the typical presentation leading to an evaluation for a hiatal hernia. 

This comprehensive guide will delve into the causes, symptoms, diagnosis, and treatment options for hiatal hernias, empowering you to take control of your health.

What is a hiatal hernia?

A hiatal hernia is a condition that occurs when the upper part of the stomach pushes up into the chest through a small opening in the diaphragm, making it easier for acid and other contents to back up (reflux or regurgitate) into the esophagus. 


There are four types of hiatal hernias




What are the symptoms of a hiatal hernia?

In many cases, a hiatal hernia has no symptoms. For those who do have symptoms, those may include: 

Paraesophageal hernias may have more severe symptoms. These can include:


What causes a hiatal hernia?

The exact cause of hiatal hernias is often unknown. However, several factors may contribute to their development, including:


How are hiatal hernias diagnosed?

Because hiatal hernias cannot be routinely diagnosed during a physical exam, diagnostics  commonly used include: a chest X-ray, computed tomography (CT) scan, upper endoscopy or barium swallow (a test that captures images after the patient has taken barium, an element that helps with X-ray imaging).


How are hiatal hernias treated?

Depending on your age and the severity of your symptoms, your doctor may recommend a combination of lifestyle changes, medications, or surgery to treat your hiatal hernia. If you experience heartburn and acid reflux, your healthcare professional may recommend:


Living with a hiatal hernia doesn't have to be a constant struggle. By understanding the condition, its symptoms, and the available treatment options, you can take proactive steps to manage your discomfort and improve your quality of life. Whether through lifestyle adjustments, medications, or natural remedies like RefluxRaft, there are effective strategies to alleviate the symptoms of hiatal hernias. Remember, seeking medical advice and exploring all available options is key to finding the best solution for your individual needs.


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The statements in this blog have not been evaluated by the Food and Drug Administration.This information is for educational and informational purposes only and solely as a self-help tool. We are not providing medical, psychological, or nutrition therapy advice. You should not use this information to diagnose or treat any health problems or illnesses without consulting your medical practitioner. Always seek the advice of your medical practitioner and/or mental health provider about your specific health situation.