Get a second opinion

Check insurance coverage

Get a cost estimate

EMI Calculator


Hiatal hernia is a condition where the upper part of your stomach bulges through an opening in the large muscle that separates your abdomen and chest (the diaphragm). The diaphragm is a dome-shaped muscle located right below the lungs and the heart. 

Your diaphragm contracts and flattens when you inhale. This creates a vacuum that pulls air into your lungs. The diaphragm also increases abdominal pressure to help the body get rid of vomit, urine, and feces. It also puts pressure on the esophagus to prevent acid reflux (the backflow of your stomach contents). 

What Is Hiatal Hernia?

Your diaphragm has an opening called the hiatus, through which the food pipe, or esophagus, passes. A hiatal hernia occurs when your stomach pushes through this opening into your chest. It can affect individuals of any age and gender. However, it is more common in those who are 50 or older.

What Are The Types Of Hiatal Hernias?

Hiatal hernias are generally divided into two types:

  • Sliding Hiatal Hernia: It is the most common type and here your stomach and the lower part of the esophagus slide up into your chest through the hiatus. 
  • Paraesophageal or Fixed Hernia: This type is more dangerous when compared to a sliding hiatal hernia. Here a part of your stomach squeezes through the hiatus in the diaphragm and sits next to the esophagus. This can affect the blood supply to your stomach and can eventually lead to tissue death. This is also called a strangulated hernia.

What Are The Causes And Risk Factors Of Hiatal Hernia?

The exact cause of hiatal hernias is unknown. However, it is believed to occur due to the following:

  • Age-related changes in your diaphragm.
  • Having a large hiatus by birth.
  • Injury to the area due to trauma or a previous surgery
  • Persistent pressure on the surrounding muscles that can occur due to:
    • Persistent cough 
    • Repetitive vomiting
    • Lifting heavy weights
    • Straining during bowel movements

Risk Factors 

  • Advancing age (50 or older)
  • Smoking
  • Obesity

What Are The Common Symptoms Of Hiatal Hernia?

Hiatal hernias that are small generally do not exhibit any signs or symptoms. Hiatal hernias that are bigger may cause symptoms that are similar to GERD (gastroesophageal reflux disease). It is a condition where your stomach contents or acids travel backward into the esophagus. The symptoms of GERD include

  • Difficulty swallowing
  • Heartburn (burning sensation in the upper chest)
  • Sour taste in the mouth
  • Stomach bloating

Though there seems to be a link between hiatal hernia and GERD, one doesn’t seem to cause the other. 

How Are Hiatal Hernias Diagnosed?

For diagnosing hiatal hernias, your healthcare provider would first record your medical history and perform a physical examination. Other methods that are used to diagnose hiatal hernias are:

  • Endoscopy: Here an endoscope or a thin, large, flexible instrument with an attached camera is used to view the upper digestive system.
  • Esophageal manometry: Measures the muscle coordination in the esophagus while you swallow.
  • A pH test: Measures the acid levels in the esophagus
  • Barium Swallow: Here you will be asked to drink liquid barium before taking an X-ray. The chalky liquid gives a clear view of the digestive tract on the X-rays. 
  • Gastric emptying studies: This is basically recommended for those with nausea or vomiting. It analyses how fast the stomach is getting emptied. 

How Is Hiatus Hernia Treated?

Treatment measures for hiatus hernias include lifestyle changes, medications to treat the symptoms, and surgery.

Lifestyle Changes

  • Having small portions multiple times a day
  • Limiting fatty and acidic foods
  • Reducing the consumption of caffeinated and alcoholic beverages
  • Following an active lifestyle
  • Maintaining an ideal body weight
  • Avoid meals 2 to 3 hours before bedtime
  • Raising the level of your head while lying down (this helps gravity act on your stomach contents)
  • Quitting smoking


  • Antacids: They help neutralize the stomach acids. (pantoprazole, rabeprazole, etc.)
  • Proton-pump inhibitors: They act by lowering the production of stomach acids.
  • H2-Blockers: These medications again work by reducing the production of stomach acids and are generally prescribed for the treatment of stomach ulcers.

Surgical Treatment Options

Cases that do not subside with lifestyle changes or medications, or individuals who have severe inflammation or narrowing of the esophagus, will require surgery. The goal of the surgery is to correct gastroesophageal reflux by improving the valve mechanism at the bottom of the esophagus. This valve controls the movement of food through the esophagus into the stomach and prevents its backflow.

During surgery, the stomach and the surrounding tissues are pulled down from the chest cavity into the abdomen. The opening in the diaphragm is made smaller, and the esophageal sphincter (the valve at the junction of the esophagus and the stomach) is reconstructed in order to prevent the stomach contents from moving backward.

This surgery is referred to as “Fundoplication”. It can be performed as either an open surgery or a laparoscopic procedure. There are three types of surgeries to repair a hiatal hernia:

1. Open Surgery: Here the surgeon makes one large incision in the abdomen. The upper part of the stomach called the fundus is wrapped around the lower part of the food pipe or the esophagus. This helps tighten the sphincter which stops the stomach acid from leaking up into the food pipe.

2. Nissen Fundoplication: Here the surgeon makes multiple small incisions in the abdomen. A laparoscope or a thin flexible tube with a light and camera is inserted through an incision to view and repair the hernia. It is also known as keyhole surgery.

3. Endoluminal Fundoplication (ELF): This procedure does not require any incisions. Here the doctor would place an endoscope through your throat into your esophagus. The surgeon then tightens the area where the esophagus joins the stomach.

Endoscopic anterior fundoplication with the Medigus Ultrasonic Surgical Endostapler (MUSE) is another procedure that is used in the treatment of hiatal hernias. Here, surgical staples are used to attach the fundus (upper part of the stomach) to the lower portion of the esophagus. 

Open Fundoplication Surgery 

Laparoscopic Surgery

Involves one larger incision

Involves multiple small incisions

Longer procedure

Short Procedure

Requires a hospital stay (2 to 3 days)

Requires no hospital stay

Recovery can take longer (5-6 weeks)

Shorter recovery period (2-3 weeks)



What Are The Complications Of Hiatal Hernia?

Though rare, in some cases hiatal hernias can get strangulated. Here the protruding portion of the stomach can get obstructed, and the blood flow to it is cut off. This can lead to tissue death, increasing the chances of infection. This can be a life-threatening situation and will require immediate medical attention. 

Can Hiatal Hernias Be Prevented?

  • Maintain a healthy body weight
  • Have small portions multiple times a day
  • Avoid fatty and acidic food
  • Avoid activities that can strain your abdominal muscles
  • Quit smoking

What Is The Long-Term Outlook For Hiatal Hernias?

Hiatal hernias that are asymptomatic will not require any form of treatment. Severe cases will require a combination of lifestyle changes, medications, and surgery. The treatment plan will differ from person to person. After surgery, most patients no longer require long-term treatment with prescription or over-the-counter antacid medications. However, it is important that you lead a healthy lifestyle where you eat healthily and stay active in order to prevent the recurrence of the hernia.

Why Choose Medfin?

Surgery can be a daunting aspect, and feeling anxious is absolutely normal. The massive amount of information you can get from the internet may confuse you even more. This is where Medfin can help. Leave us the hefty task of finding the best hospital, the finest doctor, and the latest procedure at the lowest cost. Let us take charge while you sit back and focus on your health and recovery. Think surgery! Think Medfin!


What is the Cost of Hiatal Hernia Treatment in Delhi

The cost of hiatal hernia treatment in Delhi can range between ₹70000 to ₹120000. However, the cost of  hiatal hernia treatment can vary depending on several factors such as the surgeon's experience and expertise, the complexity of the procedure, the type of anesthesia used, the facility fees, any additional tests or medications required, and insurance coverage. To know more, please contact a Medfin expert.

Frequently Asked Questions

Medfin offers the latest surgical procedures to ensure that you recover as fast as possible in the least painful way possible.

A hiatal hernia occurs when a part of the stomach pushes the diaphragm (a sheet-like respiratory muscle in the chest area).

Several factors can promote the formation of a hiatal hernia like injury or strain in the abdominal area due to chronic coughing, constipation, and other underlying conditions. People who are obese, smokers and older are more susceptible to develop hiatal hernias.

Symptoms related to it such as acid reflux can be managed through medications like antacids. If the symptoms do not subside or if they aggravate, surgery (open surgery and laparoscopy) may be advised by the doctor.

Hiatal hernia symptoms at times include acid reflux, which may be confused to those that occur during a heart attack. Hence one must visit a doctor immediately to avoid misdiagnosis of the condition.

View All

The power of Medfin in patients' words


Got to know about them from my friend. They got an appointment for only 299. Once the doctor confirmed that I needed the surgery they got me a fixed cost which included ALL the costs. No extra amounts were charged. Thank you Medfin

Suresh Menon
Recommended our service

After my consultation with the doctor, MEDFIN representative got me a fixed package cost that included my mothers initial tests, surgery cost. They also gave me stockings free for Rs. 3000 post the surgery. They kept up their promise they made

Radhika Iyer
Recommended our service

Thank you Medfin. They ensured the whole process from selecting a very experienced doctor to offering the latest procedure at a very reasonable price. They also arranged a follow up post my surgery with the doctor to ensure my recovery was on track. Thank you for being there throughout

Deepa Shree
Recommended our service

Quality healthcare within your reach

Get access to top doctors in your city at just ₹299

Available today

Dr. Anurag Dadustar-users

General Surgery

MBBS, MS - General Surgery General Surgeon, Laparoscopic Surgeon, Proctologist
17+ years Online Consultation
Available today

Dr. Ratnesh Mahajanstar-users

General Surgery

MBBS, MS - General Surgery General Surgeon, Laparoscopic Surgeon
11+ years Online Consultation
Available today

Dr. O P Thakurstar-users

General Surgry

MBBS, MS (General Surgry)
24+ years Online Consultation
Available today

Dr. Amita Jainstar-users

General Surgery

MBBS, MS - General Surgery Laparoscopic Surgeon, General Surgeon
31+ years Online Consultation
Available today

Dr. Vikrant Sharma Delhistar-users

General Surgery

MD - Physician, MS - General Surgery, MBBS, Laparoscopic Surgeon, Bariatric Surgeon, General Surgeon
11+ years Online Consultation
Available today

Dr. Saurabh Dixitstar-users

General Surgery

MS - General Surgery, MBBS Laparoscopic Surgeon, General Surgeon
9+ years Online Consultation
Available today

Dr. Sunil Gargstar-users

General Surgery

MBBS, MS - General Surgery, FRCS - General Surgery General Surgeon, Laparoscopic Surgeon
44+ years Online Consultation
Available today

Dr. Mohamamd Zahidstar-users

General Surgery

MBBS, MS - General Surgery General Surgeon, Laparoscopic Surgeon
9+ years Online Consultation
Available today

Dr. Shailender Kumar Jainstar-users

General Surgery

MBBS, MS - General Surgery General Surgeon, Laparoscopic Surgeon, Bariatric Surgeon
28+ years Online Consultation
Available today

Dr. Lokesh Handastar-users

General Surgery

MBBS, MS - General Surgery, MCh - Plastic Surgery Plastic Surgeon, Hair Transplant Surgeon, Plastic Reconstruction Surgeon
13+ years Online Consultation
Available today

Dr. Abhishek Singhstar-users

laparoscopic and general surgeon

11+ years Online Consultation
Available today

Dr. A K Handastar-users

General Surgery

MBBS, MS - General Surgery General Surgeon
47+ years Online Consultation
Available today

Dr. Raj Kumar Singhstar-users

General Surgery

MBBS, MS - General Surgery General Surgeon, Proctologist, Laparoscopic Surgeon
10+ years Online Consultation
Available today

Dr. Nikunj Bansalstar-users

General Surgery

MBBS, MS - General Surgery General Surgeon, Bariatric Surgeon, Laparoscopic Surgeon, Proctologist
22+ years Online Consultation
Available today

Dr. Shalit Ashok Kumar Jollystar-users

General Surgery

MBBS, MS - General Surgery General Surgeon
24+ years Online Consultation

All your questions answered

What is a hernia?

When an organ passes into an opening in the muscle or tissue that keeps it in place, a hernia occurs. In the abdominal wall, for instance, the intestines can split through a weakened area. Most hernias occur between the shoulders and hips in the belly, but they may also develop in the regions of the upper thigh and groin. Most hernias are not life-threatening right away, but they do not go away on their own. 

Often to avoid serious complications shortly, they may require surgery. Many types of hernias can be caused such as inguinal hernia, femoral hernia, hiatal hernia, spigelian hernia, epigastric hernia, diaphragmatic hernia, incisional hernia, and umbilical hernia. The hernia is mostly free from pain and normally harmless. But this is not the case every time. 

There may be times when hernia can cause pain and discomfort. Hernias are very easy to diagnose as it can be identified by just the bulge. Chiropractors and Osteopaths are consulted for hernias as they are the ones responsible for treating the discomfort and pain caused due to hernia through changes in diet or lifestyle and surgery or medications, respectively.

Read more

887 days ago by

Dr. Jayasimha Nagella

Can lying on your stomach cause a hiatal hernia?

There are many causes of hiatal hernia. Out of all, the most common and known cause of hiatal hernia is applying pressure on your abdomen. The pressure can be from anything like lifting a heavy object or simply just lying down on your stomach with your stomach full. 

Lying on your stomach may increase the risk of refluxing the stuff from your stomach to your oesophagus thus, naming this condition as hiatal hernia. There are pretty much high chances of causing hiatal hernia if you are lying on your stomach, but it also does depend upon various factors such as: Pregnant women lying on your stomach have high chances of applying pressure to the diaphragm.

The people who are obese and tend to lay down more on stomach have higher chances of causing hiatal hernia. The people who always tend to lay on their stomach particularly when their stomach is full are more likely to suffer from hiatal hernia. Thus, it is not always true that lying on the stomach can lead to causing hiatal hernia but yes, it can be a possibility when there is a lot of intolerable pressure applied on your diaphragm resulting in discomfort and pain. 

Causing hiatal hernia is dependent on various other factors which are not mentioned above. Hence, if you are pregnant or are overweight and lying on your stomach, there is a very high possibility of you developing a hiatal hernia over time.

Read more

887 days ago by

Dr. Jayasimha Nagella

Why choose Medfin

dots why_medfin

Booking completed

05:30 PM, Wed
  • 01

    Latest procedures

    Suspendisse dapibus id varius velit morbi ipsum. Vitae interdum

  • 02

    Experts doctors

    Suspendisse dapibus id varius velit morbi ipsum. Vitae interdum

  • 03

    Savings upto 50%

    Suspendisse dapibus id varius velit morbi ipsum. Vitae interdum

  • 04

    Advanced technology

    Suspendisse dapibus id varius velit morbi ipsum. Vitae interdum


Think Surgery, Think Medfin.

Medfin has taken the latest medical technologies to ensure consistent quality of advanced surgical care in 45+ cities of India including:

Request a call back

Know more about latest day-care surgeries in Delhi from a Medfin Expert