[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-142423-en":3,"doc-seo-142423-105":30,"detail-sidebar-cat-0-en-105":91},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":20,"is_downloadable":20,"audit_status":20,"page_count":21,"language":22,"language_code":23,"site_id":24,"html_lang":23,"table_of_contents":25,"faqs":26,"seo_title":27,"seo_description":14,"update_tm":28,"read_time":29},142423,1649267921044,"Ava Thompson","https://us-avatar.wpscdn.com/avatar/1800007509477c92dfb?_k=1786009248482753345",7,"Healthcare","Hiatus Hernia - Overview, Causes, Symptoms and Treatment","Hiatus hernia occurs when part of the stomach moves upward through the diaphragm opening (the hiatus) into the chest. It may be a sliding hernia or a less common type associated with more serious complications. The condition often leads to gastro-oesophageal reflux disease (GORD), with symptoms such as heartburn, regurgitation, swallowing pain, and night cough. Management includes lifestyle measures, medication for acid reduction, diagnostic endoscopy and imaging, and—when needed—laparoscopic surgery such as fundoplication.","Hiatus Hernia  \nWhat Is A Hiatus Hernia?  \nA hiatus hernia occurs when part of the stomach is pushed upwards through the opening in the diaphragm known as the hiatus and into the chest.  \nMost hiatus hernias are known as simple or sliding hernia where the junction between the oesophagus and stomach slides up into the chest. Far less common are hernias where part of the stomach also “rolls” up into the chest. This type of hernia may be associated with more serious complications such as strangulation.  \nWhat Causes A Hiatus Hernia?  \nSome babies are born with a hiatus hernia this is known as a congenital hernia and requires specialist paediatric surgical input. In most cases the exact cause of a hiatus hernia cannot be found. We know that hiatus hernias become more common as we get older. Other associated causes are associated with increased pressure on the muscle of the diaphragm. If this increased pressure is repeated a hiatus hernia may develop. Causes of increased abdominal pressure include:  \n Being overweight  \n Coughing  \n Vomiting  \n Straining to empty bowels  \n Straining to pass urine  \n Lifting heavy objects  \nMany people have a hiatus hernia without knowing and without it being a problem. A Hiatus hernia cannot be seen from the outside like other types of hernia. If a hiatus hernia is not causing any symptoms it doesn’t need any treatment.  \nLarger hiatus hernias may cause symptoms. The commonest symptom of a hiatus hernia is Gastro-Oesphageal Reflux Disease often abbreviated to GORD. This is often called acid reflux or heartburn. The symptoms occur when stomach contents such as acid and sometime food and gas escape upwards into the oesophagus, also known as the food-pipe or gullet.  \nSymptoms of gastro-oesophageal reflux (GORD):  \n Burning feelings behind your breastbone often after eating (heartburn)  \n Bring up small amounts of food or bitter-tasting fluids (acid reflux)  \n Feeling or being sick  \n Bad breath  \n Burping and bloating  \n Difficulty or pain when swallowing  \n Night time cough  \n Waking up with choking feeling You should seek advice from your doctor if:  \n Your symptoms don’t go away after three weeks  \n Your symptoms are very bad or getting worse  \nSimple medicines from the chemist are not helping You should seek urgent advice if you have indigestion / acid reflux and:  \n You have experienced weight loss  \n You are experiencing difficulty swallowing  \n You are being sick (vomiting)  \n You notice any blood in your sick (vomit)  \n You develop upper abdominal pain  \nOnce a hiatus hernia has been diagnosed there are simple things you can do to improve symptoms of GORD:  \n Lose weight  \n Reduce alcohol intake  \n Stop smoking  \n Wear looser clothing  \n Avoid lying or bending over after eating  \n Raise bed head by 15cm  \n Avoid eating immediately before bedtime  \n Use medication to reduce acid  \n Use medication to help the stomach empty.  \nLifestyle Changes  \nChanging your diet can reduce your symptoms. It may help to eat smaller meals several times a day instead of three large meals. Certain foods can increase the risk of heartburn.  \nFive types of food to avoid if you have heartburn:  \n Spicy foods  \n Chocolate  \n Caffeine  \n Onions  \n Citrus fruits  \nMost people won’t need an operation for a hiatus hernia. Your doctor may decide to refer you to see a specialist if they want to confirm what is wrong or if your symptoms are bad and not improving with simple treatments.  \nWhen you see a specialist in the clinic we will take a full medical history including details of any previous illnesses, operations as well as your current medication. Based on this we will decide which further tests or investigations may be necessary. The following tests may be necessary particularly if surgery may be needed.  \nDiagnosis  \nEndoscopy  \nAn endoscopy is usually required to diagnose a hiatus hernia. This involves having a tube passed through your mouth and down into your oesophagus and stomach. It is useful to see if there is any inflammat","cbCaiqpUwE0QhjQ3","https://ap.wps.com/l/cbCaiqpUwE0QhjQ3","pdf",51166,1,3,"English","en",105,"# What Is A Hiatus Hernia?\n# What Causes A Hiatus Hernia?\n# Symptoms of Gastro-Oesophageal Reflux (GORD)\n# When to Seek Medical Advice\n# Lifestyle Changes and Self-Care\n# Diagnosis\n## Endoscopy\n## Contrast X-Ray\n## Oesophageal Manometry and pH Studies\n# Surgery For A Hiatus Hernia","[{\"question\":\"What is a hiatus hernia and how does it happen?\",\"answer\":\"A hiatus hernia occurs when part of the stomach is pushed upward through the diaphragm opening into the chest. Most cases are sliding hernias where the junction between the oesophagus and stomach moves upward.\"},{\"question\":\"What causes a hiatus hernia and who is at higher risk?\",\"answer\":\"Some babies are born with a congenital hiatus hernia, requiring specialist paediatric surgical input. In most people, the exact cause is not found; risk increases with age and with repeated increased pressure on the diaphragm muscle, triggered by factors such as being overweight, coughing, vomiting, straining, and lifting heavy objects.\"},{\"question\":\"What symptoms suggest GORD, and when should medical help be sought?\",\"answer\":\"Common GORD symptoms include heartburn, small regurgitation of food or bitter fluids, nausea, bad breath, burping and bloating, and pain or difficulty swallowing, often with night coughing and waking with choking feelings. Seek doctor advice if symptoms don’t improve after three weeks or are severe/worsening, and urgent advice if weight loss, trouble swallowing, vomiting, blood in vomit, or upper abdominal pain occurs.\"}]","Hiatus Hernia - Overview, Causes, Symptoms and Treatment | PDF",1787680969,8,{"code":4,"msg":31,"data":32},"ok",{"site_id":24,"language":23,"slug":33,"title":13,"keywords":34,"description":14,"schema_data":35,"social_meta":86,"head_meta":88,"extra_data":90,"updated_unix":28},"hiatus-hernia-overview-causes-symptoms-and-treatment","",{"@graph":36,"@context":85},[37,53,68],{"@type":38,"itemListElement":39},"BreadcrumbList",[40,44,48,50],{"item":41,"name":42,"@type":43,"position":20},"https://docshare.wps.com","Home","ListItem",{"item":45,"name":46,"@type":43,"position":47},"https://docshare.wps.com/document/","Document",2,{"item":49,"name":12,"@type":43,"position":21},"https://docshare.wps.com/document/healthcare/",{"item":51,"name":13,"@type":43,"position":52},"https://docshare.wps.com/document/hiatus-hernia-overview-causes-symptoms-and-treatment/142423/",4,{"url":51,"name":13,"@type":54,"author":55,"headline":13,"publisher":57,"fileFormat":60,"inLanguage":23,"description":14,"dateModified":61,"datePublished":62,"encodingFormat":60,"isAccessibleForFree":63,"interactionStatistic":64},"DigitalDocument",{"name":9,"@type":56},"Person",{"url":41,"name":58,"@type":59},"DocShare","Organization","application/pdf","2026-08-29","2026-08-25",true,{"@type":65,"interactionType":66,"userInteractionCount":20},"InteractionCounter",{"@type":67},"ViewAction",{"@type":69,"mainEntity":70},"FAQPage",[71,77,81],{"name":72,"@type":73,"acceptedAnswer":74},"What is a hiatus hernia and how does it happen?","Question",{"text":75,"@type":76},"A hiatus hernia occurs when part of the stomach is pushed upward through the diaphragm opening into the chest. Most cases are sliding hernias where the junction between the oesophagus and stomach moves upward.","Answer",{"name":78,"@type":73,"acceptedAnswer":79},"What causes a hiatus hernia and who is at higher risk?",{"text":80,"@type":76},"Some babies are born with a congenital hiatus hernia, requiring specialist paediatric surgical input. In most people, the exact cause is not found; risk increases with age and with repeated increased pressure on the diaphragm muscle, triggered by factors such as being overweight, coughing, vomiting, straining, and lifting heavy objects.",{"name":82,"@type":73,"acceptedAnswer":83},"What symptoms suggest GORD, and when should medical help be sought?",{"text":84,"@type":76},"Common GORD symptoms include heartburn, small regurgitation of food or bitter fluids, nausea, bad breath, burping and bloating, and pain or difficulty swallowing, often with night coughing and waking with choking feelings. Seek doctor advice if symptoms don’t improve after three weeks or are severe/worsening, and urgent advice if weight loss, trouble swallowing, vomiting, blood in vomit, or upper abdominal pain occurs.","https://schema.org",{"og:url":51,"og:type":87,"og:title":13,"og:site_name":58,"og:description":14},"article",{"robots":89,"canonical":51},"index,follow",{"doc_id":7,"site_id":24},{"code":4,"msg":5,"data":92},[93,97,101,105,110,115,118,122,127,130,134],{"id":20,"doc_module":4,"doc_module_name":46,"category_name":94,"show_sort_weight":95,"slug":96},"Story & Novel",90,"story-novel",{"id":47,"doc_module":4,"doc_module_name":46,"category_name":98,"show_sort_weight":99,"slug":100},"Literature",80,"literature",{"id":52,"doc_module":4,"doc_module_name":46,"category_name":102,"show_sort_weight":103,"slug":104},"Exam",70,"exam",{"id":106,"doc_module":4,"doc_module_name":46,"category_name":107,"show_sort_weight":108,"slug":109},5,"Comic",60,"comic",{"id":111,"doc_module":4,"doc_module_name":46,"category_name":112,"show_sort_weight":113,"slug":114},6,"Technology",50,"technology",{"id":11,"doc_module":4,"doc_module_name":46,"category_name":12,"show_sort_weight":116,"slug":117},40,"healthcare",{"id":29,"doc_module":4,"doc_module_name":46,"category_name":119,"show_sort_weight":120,"slug":121},"Research & Report",30,"research-report",{"id":123,"doc_module":4,"doc_module_name":46,"category_name":124,"show_sort_weight":125,"slug":126},9,"Religion & Spirituality",20,"religion-spirituality",{"id":125,"doc_module":4,"doc_module_name":46,"category_name":128,"show_sort_weight":125,"slug":129},"World Cup","world-cup",{"id":131,"doc_module":4,"doc_module_name":46,"category_name":132,"show_sort_weight":131,"slug":133},10,"Lifestyle","lifestyle",{"id":135,"doc_module":4,"doc_module_name":46,"category_name":136,"show_sort_weight":106,"slug":137},19,"General","general"]