Hiatal Hernia

Hiatal Hernia

A hiatal hernia happens when the upper part of the stomach protrudes through the small opening in the diaphragm (the muscle that separates the chest and abdominal cavity). Fortunately, at Nova Bariatrics and General Surgery, we offer different treatment options for hiatal hernia in Irving, Arlington, and Paris. You can discuss your concerns with Dr. Alibhai and get a personalized plan depending on the severity of your condition.


The exact cause of hiatal hernia has not been determined yet. It happens when the stomach bulges through the small opening in the diaphragm, called a hiatus. The esophagus passes through this opening to connect to the stomach. If the opening is weakened or large, the stomach may protrude through it, increasing the risk of acid reflux and heartburn.

Some causes that may contribute to the development of this condition include:

  • Being born with an abnormally large hiatus
  • Injury or trauma to the diaphragm
  • Age-related changes in the diaphragm
  • Obesity
  • Chronic coughing
  • Excessive strain on the muscles
  • Repetitive vomiting
  • Staining during bowel movement


One of the most frequent symptoms of hiatal hernia is heartburn. In fact, this condition is often discovered during tests and examinations for acid reflux or heartburn. During your evaluation, our doctor will first acquire your medical history. It will include questions regarding the onset, duration, and severity of your symptoms. 

To achieve a proper diagnosis of hiatal hernia, we will perform some imaging tests. These may include X-rays and CT scans of the upper abdomen, endoscopy, and esophageal manometry. They help us visualize the extent of the bulge protruding from your diaphragm. 

Treatment of Hiatal Hernia

The treatment options for this condition may vary depending on the size and severity of the hernia. People with small hiatal hernia may not experience any symptoms except occasional heartburn or acid reflux. In this case, we will prescribe medications to improve your gut health.

They may include antacids or drugs that reduce acid production in the stomach. We will also recommend certain diet and lifestyle modifications to help you manage these symptoms. 

Those who experience severe symptoms or are not helped by medicines may require surgical repair. The surgery for a hiatal hernia involves small incisions through which we will pull the stomach down into the abdominal cavity and repair the opening in the diaphragm. 

We may also reconstruct the esophageal valve to prevent acid reflux. Alternatively, this surgery can also be performed through a single incision in the chest. 

Schedule An Appointment With Us

If you experience hiatal hernia symptoms such as heartburn or acid reflux, consult our specialists to achieve proper diagnosis and treatment. Contact our team today to request an appointment.

Skip to content