Hiatal Hernia
Understanding Hiatal Hernia
A hiatal hernia occurs when a portion of the stomach pushes upward through an opening in the diaphragm called the esophageal hiatus, entering the chest cavity. Unlike abdominal wall hernias, a hiatal hernia is an internal hernia and is not visible as an external swelling.
Many people with a small hiatal hernia may not experience any symptoms. However, larger hiatal hernias can contribute to acid reflux (GERD), heartburn, difficulty swallowing, chest discomfort, and other digestive symptoms that may significantly affect quality of life.
At Desarda Hernia Clinic, Pune, Dr. Sushil Deshmukh, a dedicated Hernia Specialist in Pune and experienced Laparoscopic Surgeon, provides comprehensive evaluation and treatment for hiatal hernias. Depending on the severity of the condition, treatment may include lifestyle modifications, medications, or advanced laparoscopic hiatal hernia surgery.
What is at Risk?
Several factors can increase the likelihood of developing a hiatal hernia.You may be at a higher risk if you:
- Are over 50 years of age
- Are overweight or obese individuals
- Have chronic acid reflux
- Frequently lift heavy objects
- Have chronic coughing
- Experience repeated straining due to constipation
- Have increased abdominal pressure due to pregnancy
- Smoke
- Have a family history of hiatal hernia
- Age-related weakening of the diaphragm is one of the most common contributing factors.
Symptoms of Hiatal Hernia
Many patients with a small hiatal hernia experience no symptoms. When symptoms develop, they commonly include:
(GERD)
Diagnosis
Hiatal hernias are diagnosed through a combination of clinical evaluation and specialized investigations.
During your consultation, Dr. Sushil Deshmukh will review your symptoms, medical history, and previous treatments. Depending on your condition, investigations may include:
(Contrast X-ray)
(when indicated)
These investigations help determine the size of the hernia, the severity of reflux, and the most appropriate treatment plan.
How We Treat Hiatal Hernia
Treatment depends on the size of the hiatal hernia and the severity of symptoms.
Lifestyle Modifications
Patients with mild symptoms may benefit from dietary changes, weight management, avoiding late-night meals, and elevating the head of the bed.
Medical Management
Acid-reducing medications may help control symptoms of gastroesophageal reflux disease (GERD) associated with a hiatal hernia.
Laparoscopic Hiatal Hernia Surgery
For patients with persistent reflux, large hiatal hernias, or complications, laparoscopic hiatal hernia repair may be recommended. The procedure involves repositioning the stomach into the abdomen, repairing the opening in the diaphragm, and, when appropriate, performing an anti-reflux procedure (fundoplication) to reduce acid reflux.
Personalized Surgical Treatment
Following a detailed evaluation, Dr. Sushil Deshmukh recommends the treatment that best suits each patient’s condition and long-term health.
Recovery After Hiatal Hernia Surgery
Recovery following laparoscopic hiatal hernia surgery is generally smooth, with most patients encouraged to walk within a few hours after surgery.
A gradual progression from liquids to soft foods and then to a regular diet is usually recommended. Patients can typically resume routine daily activities within a short period, while strenuous exercise and heavy lifting should be avoided until advised by the surgeon.
Regular follow-up appointments help monitor healing, symptom relief, and long-term recovery.
Why Choose Dr. Sushil Deshmukh for Hiatal Hernia Treatment in Pune?
Choosing an experienced surgeon is essential for successful treatment of a hiatal hernia, especially when surgery is required.
Frequently Asked Questions
Common questions about hiatal hernia treatment and recovery.
Can a hiatal hernia heal on its own?
No. A hiatal hernia does not disappear on its own. Small hiatal hernias may remain stable and be managed conservatively, while larger or symptomatic hernias may require surgery.
Is every hiatal hernia treated with surgery?
No. Many small hiatal hernias can be managed with lifestyle modifications and medications. Surgery is usually recommended for patients with persistent symptoms, significant reflux, large hernias, or complications.
Is acid reflux always caused by a hiatal hernia?
No. Although a hiatal hernia can contribute to acid reflux, not everyone with GERD has a hiatal hernia, and not every hiatal hernia causes reflux.
How long does recovery take after laparoscopic hiatal hernia surgery?
Recovery varies from patient to patient, but most individuals gradually return to normal daily activities within a few weeks. Your surgeon will provide personalized advice regarding diet, activity, and follow-up care.
When to Seek Medical Attention
Our Treatment Process
Consultation
Detailed evaluation by our hernia experts.
Diagnosis
Clinical examination and necessary tests.
Personalized Plan
Customized treatment plan for every patient.
Mesh-Free Surgery
Advanced Desarda Technique for hernia repair.
Recovery & Follow-up
Guided recovery and regular follow-ups.
Faster Recovery. Better Life.
Healthy eating and lifestyle habits help reduce reflux symptoms.
Medications help control acid reflux and heartburn.
Laparoscopic repair provides safe and effective treatment.
Treatment helps improve digestion and quality of life.
