Hiatal Hernia - Symptoms

Not ready to share? Read other Patient Comments

What symptoms have you experienced with hiatal hernia?

Share your story with others:

MedicineNet appreciates your comment. Your comment may be displayed on the site and will always be published anonymously.Patient Comments FAQs

Enter your Comment

Tell us a bit about your background to make your comments more useful to other MedicineNet users. (Optional)

Screen Name: *

Gender of Patient: Male Female

Age Range of Patient:

I am a: Patient Caregiver


* Screen Name will appear next to the published comment. Please do not include your full name or email address.

By submitting your comment, and other materials (collectively referred to as a "Submission") to MedicineNet, you grant MedicineNet permission to use, copy, transmit, publish, display, edit and modify your Submission in connection with its Web site. MedicineNet will not pay you for your Submission. You represent that you have all rights necessary for MedicineNet to use your Submission as set forth above.

Please keep these guidelines in mind when writing your comment:

  • Please make sure you address the question asked.
  • Due to the overwhelming number of comments received, not all comments will be published.
  • When selecting comments to publish, our staff will choose those that are educational and complement the topic. Please try to stay on topic.
  • Your comment may be edited. We would typically edit comments to make them clearer and more readable. We will remove personal information such as last names, email and web addresses, and other potentially harmful information.
  • We will not notify you if your comment has been published. We suggest that you check back on the topic article regularly.
  • We do not provide medical or healthcare advice, treatment, or diagnosis.

Thank you for participating!


I have read and agree to abide by the MedicineNet Terms and Conditions and the MedicineNet Privacy Policy (required).

To prevent our systems from spam, please complete the following prior to submitting your comment.

Please select the black square:

What are the signs and symptoms of a hiatal hernia?

By itself, a hiatal hernia causes no symptoms, and most are found incidentally when a person has a chest X-ray or abdominal X-rays (including upper GI series, and CT scans, where the patient swallows barium or another contrast material). It also is found incidentally during gastrointestinal endoscopy of the esophagus, stomach and duodenum (EGD).

Most often if symptoms occur, they are due to gastroesophageal reflux disease (GERD) where the digestive juice containing acid from the stomach moves up into the esophagus.

The stomach is a mixing bowl that allows food and digestive juices to mix together to begin the digestive process. The stomach has a protective lining that prevents acid from eating away at the stomach muscle and causing inflammation. Unfortunately, the esophagus does not have a similar protective lining. Instead it relies on the lower esophageal sphincter (LES) located at the GE junction and the muscle of the diaphragm surrounding the esophagus to act as a valve to prevent acid from refluxing from the stomach into the esophagus. In addition to the LES, the normal location of the GE junction within the abdominal cavity is important in keeping acid where it belongs. There is increased pressure within the abdominal cavity compared to the chest cavity, particularly during inspiration, and the combination of pressure exerted within the lowermost esophagus from the LES, the diaphragm and the abdominal cavity creates a zone of higher pressure that keeps stomach acid in place.

In the situation of a sliding hiatal hernia, the GE junction moves above the diaphragm and into the chest, and the higher pressure zone is lost. Acid is allowed to reflux back into the esophagus causing inflammation of the lining of the esophagus and the symptoms of GERD.

These symptoms may include the following:

  • heartburn: chest pain or burning,
  • nausea, vomiting or retching (dry heaves)
  • burping
  • waterbrash, the rapid appearance of a large amount of saliva in the mouth that is stimulated by the refluxing acid

Symptoms usually are worse after meals. These symptoms may be made worse when lying flat and may resolve with sitting up or walking.

In some patients, reflux into the lower esophagus sets off nervous reflexes that can cause a cough or even spasm of the small airways within the lungs (asthma). A few patients may reflux acid droplets into the back of their throat. This acid can be inhaled or aspirated into the lung causing coughing spasms, asthma, or repeated infections of the lung including pneumonia and bronchitis. This may occur in individuals of all ages, from infants to the elderly.

Most paraesophageal hiatal hernias have no symptoms of reflux because the GE junction remains below the diaphragm, but because of the way the stomach has rotated into the chest, there is the possibility of a gastric volvulus, where the stomach twists upon itself. Fortunately, paraesophageal hernias are relatively uncommon. However, volvulus is a surgical emergency and causes difficult, painful swallowing, chest pain, and vomiting.

Return to Hiatal Hernia

See what others are saying

Comment from: panama8, 35-44 Male (Patient) Published: December 12

I got off a five hour plane trip at 2:15 and by 3:30 I felt as if something in my chest exploded and the pain I felt led me to believe I was having a heart attack. I was rushed to the hospital but all my enzymes were fine and a heart attack was ruled out and Hiatal Hernia was the cause. The pain is excruciating and really mimics a heart attack. I am now afraid to eat or to lay down on my bed I use four pillows. The burping and nausea is also present.

Was this comment helpful?Yes
Comment from: DDee, 55-64 Female (Patient) Published: January 27

I think I have hiatal hernia. I have, for years, had episodes where I am unable to swallow anything, even saliva. Other times, I start eating, and I have to run, throw up, then am unable to eat for a while. This has been going on now, since mid-90s. I went to the emergency room the one time I simply felt as if food was stuck in my esophagus, and I was not able to throw it up, or get it down after 8 hours.

Was this comment helpful?Yes

Stay Informed!

Get the latest health and medical information delivered direct to your inbox FREE!