A condition in which the stomach pokes out through a hole in the diaphragm into the chest cavity; this condition is fairly common and often does not require surgery, but it can lead to indigestion or other problems.

Most small hiatal hernias cause no signs or symptoms. But larger hiatal hernias can cause:

• Heartburn
• Regurgitation of food or liquids into the mouth
• Backflow of stomach acid into the esophagus (acid reflux)
• Difficulty swallowing
• Chest or abdominal pain
• Shortness of breath
• Vomiting of blood or passing of black stools, which may indicate gastrointestinal bleeding

A hiatal hernia happens when debilitated muscle tissue enables your stomach to lump up through your stomach. It's not in every case clear why this occurs. Be that as it may, a hiatal hernia may be brought about by:

• Age-related changes in your stomach
• Damage to the territory, for instance, after injury or specific kinds of medical procedure
• Being brought into the world with a strangely enormous break

Steady and extreme weight on the encompassing muscles, for example, while hacking, spewing, stressing during a solid discharge, practicing or lifting substantial items

A great many people with a hiatal hernia don't encounter any signs or manifestations and won't require treatment. On the off chance that you experience signs and side effects, for example, repetitive indigestion and heartburn, you may require drug or medical procedure.

Medication

On the off chance that you experience indigestion and heartburn, your primary care physician may prescribe:

Acid neutralizers that kill stomach corrosive. Acid neutralizers, for example, Mylanta, Rolaids and Tums, may give brisk help. Abuse of certain stomach settling agents can cause reactions, for example, looseness of the bowels or here and there kidney issues.

Prescriptions to lessen corrosive generation. These meds — known as H-2-receptor blockers — incorporate cimetidine (Tagamet famotidine (Pepcid), nizatidine (Axid ) and ranitidine (Zantac). More grounded renditions are accessible by medicine.

Drugs that square corrosive generation and recuperate the throat. These meds — known as proton siphon inhibitors — are more grounded corrosive blockers than H-2-receptor blockers and enable time for harmed esophageal tissue to mend. Over-the-counter proton siphon inhibitors incorporate lansoprazole (Prevacid 24HR) and omeprazole (Prilosec, Zegerid). More grounded adaptations are accessible in medicine structure.

Medical procedure

Now and then a hiatal hernia requires medical procedure. Medical procedure is commonly utilized for individuals who aren't encouraged by meds to assuage indigestion and heartburn, or have intricacies, for example, serious aggravation or narrowing of the throat.

Medical procedure to fix a hiatal hernia may include maneuvering your stomach down into your mid-region and making the opening in your stomach littler, recreating an esophageal sphincter or evacuating the hernia sac.

Or on the other hand your specialist may embed a modest camera and unique careful instruments through a few little cuts in your mid-region. The activity is then performed while your specialist perspectives pictures from inside your body that are shown on a video screen (laparoscopic medical procedure).

Now and then medical procedure is finished utilizing a solitary entry point in your chest divider (thoracotomy).