"A small hiatal hernia usually doesn't cause problems. You may never know you have one unless your doctor discovers it when checking for another condition.But a large hiatal hernia can allow food and acid to back up into your esophagus, leading to heartburn. Self-care measures or medications can usually relieve these symptoms. A very large hiatal hernia might require surgery.
Making a few lifestyle changes may help control the symptoms and signs caused by a hiatal hernia. Try to:
- Eat several smaller meals throughout the day rather than a few large meals
- Avoid foods that trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine
- Avoid lying down after a meal or eating late in the day
- Eat at least two to three hours before bedtime.
- Maintain a healthy weight
- Stop smoking
- Elevate the head of your bed 6 inches (about 15 centimeters)“