Treated by Dr. Ravi Chandra Reddy Obili at Dr Ravi Chandra Reddy
A hiatus hernia happens when part of the stomach pushes upward through an opening in the diaphragm—the muscle that separates the chest from the abdomen. Many people have no symptoms, while others experience heartburn, chest discomfort, or difficulty swallowing. Dr Ravi Chandra Reddy evaluates each patient individually to determine the most appropriate management, which may range from lifestyle changes and medication to surgical repair when needed.
The most common type, where the junction between the oesophagus and stomach slides up into the chest. It often causes acid reflux and may come and go.
A portion of the stomach rolls up beside the oesophagus through the hiatus. The junction typically stays in place, but this type carries a higher risk of complications such as twisting or obstruction.
A combination of sliding and paraesophageal features, where both the junction and part of the stomach move into the chest.
Multiple factors can contribute to the development and progression of this condition.
Recognising the signs early gives you more treatment options.
Assessment begins with a detailed history of symptoms and physical examination. When symptoms suggest a hiatus hernia, investigations such as endoscopy or imaging are used to confirm the diagnosis. Not every patient requires all tests; the choice depends on individual presentation.
From conservative to surgical — we always start with the least invasive option first.
A structured, patient-first approach from first visit to full recovery.
Dr Ravi Chandra Reddy takes a thorough history of symptoms, eating habits, and any history of reflux or chest discomfort. A physical examination helps identify signs that may suggest a hiatus hernia.
Depending on the symptoms, endoscopy is arranged to visualise the hernia and assess the oesophagus for inflammation or damage. Imaging such as a barium swallow or CT scan may be used to understand the size and type of hernia.
Treatment is tailored to each patient. Many are managed successfully with lifestyle changes and medication. For those with large hernias or persistent symptoms, surgical options are discussed in detail, including risks, benefits, and what to expect.
After treatment, regular follow-up ensures symptoms are controlled and any concerns are addressed. Adjustments to medication or advice on diet and activity are made as needed to maintain comfort and quality of life.
What to expect at each phase of recovery.
For those managed with lifestyle changes and medication, symptom relief may begin within days to weeks. After surgery, most patients stay in hospital for one to three days and can return to light activities within a week, though individual recovery varies.
A soft or liquid diet is usually advised initially, progressing to normal foods as tolerated. Discomfort, bloating, or difficulty swallowing may occur temporarily. Patients gradually increase activity while avoiding heavy lifting.
Most people resume normal eating and activity within four to six weeks after surgery, though some dietary modifications may remain helpful. Ongoing follow-up helps ensure the hernia remains controlled and symptoms do not return.
Good management often reduces heartburn, regurgitation, and chest discomfort. However, some patients may continue to experience mild reflux symptoms even after treatment, and individual responses vary.
Repairing a paraesophageal hernia can reduce the risk of serious complications such as stomach twisting or obstruction. Not all hernias require surgical repair, and the decision is based on individual risk and symptoms.
Many patients find relief from discomfort and are able to eat and sleep more comfortably. Lifestyle changes and medication remain important even after surgery to maintain results.
While surgical repair is effective, hiatus hernias can recur in a small proportion of cases. Maintaining a healthy weight and avoiding factors that increase abdominal pressure help reduce this risk.
A small, asymptomatic hiatus hernia may cause no problems and does not always require treatment. However, untreated symptomatic hernias can lead to chronic acid reflux, inflammation and scarring of the oesophagus, difficulty swallowing, and bleeding. Paraesophageal hernias carry a risk of the stomach becoming trapped or twisted, which is a surgical emergency. Timely assessment and appropriate management help prevent these complications.
You should seek medical advice if you have persistent heartburn that does not improve with over-the-counter medication, difficulty swallowing, unexplained chest pain, or vomiting. Sudden, severe chest or abdominal pain, especially with vomiting or inability to pass food, requires urgent attention as it may indicate a complication requiring immediate care.
Early treatment means more options and better outcomes. Book a consultation to understand your condition and explore the right path forward.
