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Dr Usman Javaid
Dr Usman Javaid
Gastroenterologist
Upper Digestive

Hiatal Hernia — treatment in Lahore

Also known as: Hiatus Hernia · Diaphragmatic Hernia

A hiatal hernia occurs when part of the stomach pushes upward through the diaphragm into the chest cavity. Small hiatal hernias are common and often silent; larger ones can worsen acid reflux and chest discomfort.

Dr Usman Javaid
Medically reviewed
Dr Usman Javaid · MPH, FRSPH (UK)
Last reviewed
Evidence-based

Overview

When part of the stomach pushes upward through the diaphragm, it can worsen GERD and cause chest discomfort. Most are managed medically; some need surgical referral.

Signs & symptoms of Hiatal Hernia

If you recognize one or more of these, it may be worth a consultation:

  • Persistent reflux
  • Chest or upper-abdominal discomfort after meals
  • Trouble swallowing in some patients

Causes & risk factors

Several factors can contribute to Hiatal Hernia. Identifying yours guides the treatment plan.

  • Age-related weakening of the diaphragm
  • Obesity
  • Chronic coughing or straining
  • Pregnancy
  • Previous trauma or surgery

How Hiatal Hernia is diagnosed

We order tests selectively — only what changes the plan.

  • Upper GI endoscopy
  • Barium swallow
  • pH study in selected patients

Treatment options

Treatment for Hiatal Hernia is personalized — the right plan depends on your symptoms, test results, and life situation.

  1. 1 Treat reflux symptoms with lifestyle and PPI
  2. 2 Weight loss
  3. 3 Surgery for large or paraesophageal hernias

Frequently asked questions about Hiatal Hernia

Do all hiatal hernias need surgery? +

Most small hiatal hernias don't — they're managed medically. Large hernias (especially paraesophageal types) and those causing refractory symptoms may need surgical repair.

Dr Usman Javaid
Author & medical reviewer

Dr Usman Javaid

Gastroenterology & Medicine Diplomat · DIP (Gastro) UK · DIP (Hepatology) UK · DIP (Diabetes) UK · MCPS FM-TC · MPH · FRSPH (UK) · FRCP (Colombo) · Organ Transplant Advisor · CHPE (NUMS) · Preventive Medicine Specialist · Owner of Javaid Poly Clinic.

This page was medically reviewed by Dr Usman Javaid on . Content is updated when new evidence or guidelines emerge.

Medical disclaimer: This page is for educational purposes and does not replace medical consultation. If you have symptoms of Hiatal Hernia or any other condition, please book a consultation. In emergencies, call 1122 or visit your nearest emergency department.

A clear plan starts with a careful conversation.

If something feels off — pain, reflux, fatigue, jaundice, weight change — don't wait it out alone. Book a consultation and let's understand it together.

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