Treatment Overview
A sliding
hiatal hernia that causes no symptoms generally needs
no treatment.
If you have symptoms, you probably have
gastroesophageal reflux disease (GERD).
Hiatal hernia and GERD often occur together. Your
symptoms may vary from mild to severe.
If you have severe GERD
symptoms, they often can be treated successfully with medicines. Less commonly,
a sliding hiatal hernia can be surgically repaired through
fundoplication, a procedure in which the hernia is
pulled down from the chest cavity and stitched (sutured) so that it remains
within the abdomen (belly). For more information, see the topic
Gastroesophageal Reflux Disease (GERD).
Occasional or mild symptoms can generally be treated with home treatment,
including lifestyle changes and nonprescription medicines.
If you
have a
paraesophageal or mixed hiatal hernia, surgery
generally is recommended to avoid complications. Consult your doctor.