Hiatus Hernia Treatment in Mumbai

A hiatus hernia occurred when a portion of the stomach pushed up through the diaphragm into the chest cavity. The diaphragm, a large muscle separating the chest from the abdomen, normally had a small opening called the hiatus.

Explained by the Senior Hernia Specialist for Hiatus Hernia Treatment in Mumbai.

Hiatus Hernia Treatment in Mumbai

Brief about Hiatus Hernia

A hiatus hernia occurred when a portion of the stomach pushed up through the diaphragm into the chest cavity. The diaphragm, a large muscle separating the chest from the abdomen, normally had a small opening called the hiatus. This opening allowed the esophagus to pass through and connect to the stomach. In a hiatus hernia, the stomach bulged through this opening, leading to various symptoms and potential complications.

Hiatus hernias were relatively common, especially in people over 50 years old. They ranged in severity from small, asymptomatic hernias to larger ones that caused significant discomfort and required medical intervention.

Hiatus Hernia Treatment in Mumbai

Causes of Hiatus Hernia

Understanding the causes of Hiatus Hernias helped in both prevention and treatment. Several factors contributed to the development of this condition:

  1. Age-related changes: As people aged, the supporting tissues around the hiatus weakened, increasing the risk of hernia formation.
  2. Increased abdominal pressure: Conditions or activities that put excess pressure on the abdomen could lead to hiatus hernias. These included:
    1. Pregnancy
    2. Obesity
    3. Chronic coughing or sneezing
    4. Straining during bowel movements
    5. Heavy lifting or strenuous physical activity
  3. Injury to the area: Trauma to the chest or abdomen could weaken the diaphragm and lead to a hiatus hernia.
  4. Congenital factors: Some people were born with a larger hiatus, making them more susceptible to developing a hernia.
  5. Chronic inflammation: Conditions that caused persistent inflammation in the esophagus or stomach could contribute to the development of a hiatus hernia.

Symptoms of Hiatus Hernia

Recognizing the symptoms of a hiatus hernia was crucial for early diagnosis and treatment. While some people with hiatus hernias experienced no symptoms at all, others reported a range of discomforts. Common signs and symptoms included:

  1. Heartburn: A burning sensation in the chest, especially after meals or when lying down
  2. Regurgitation: The backflow of stomach contents into the mouth
  3. Difficulty swallowing: Feeling like food was stuck in the throat or chest
  4. Chest pain: Discomfort that might be mistaken for heart problems
  5. Bloating and belching: Feeling uncomfortably full or experiencing excessive gas
  6. Nausea and vomiting: Particularly after meals
  7. Shortness of breath: Due to the stomach pressing on the lungs
  8. Anemia: In cases where the hernia led to bleeding in the stomach

It was important to note that these symptoms could vary in intensity and frequency. Some patients experienced mild discomfort, while others faced more severe symptoms that significantly impacted their quality of life.

CT Scan for Hernia Surgery

Diagnostic Procedures for Hiatus Hernia

Various diagnostic procedures were employed to confirm the presence of a hiatus hernia and assess its severity:

  1. Physical examination: A thorough physical exam helped identify potential signs of a hiatus hernia and rule out other conditions.
  2. Medical history review: Discussing the patient’s symptoms, lifestyle factors, and medical history provided important context for diagnosis.
  3. Barium swallow: This X-ray test involved swallowing a contrast liquid to highlight the upper digestive tract, revealing the presence and size of a hiatus hernia in some cases.
  4. Endoscopy: A thin, flexible tube with a camera was inserted through the mouth to examine the esophagus and stomach directly.
  5. Esophageal manometry: This test measured the strength and coordination of the esophageal muscles, helping to assess swallowing function.
  6. pH monitoring: A small device was placed in the esophagus to measure acid levels over 24-48 hours, helping to diagnose related conditions like Gastroesophageal reflux disease (GERD).
  7. CT scan or MRI: These imaging tests provided detailed views of the chest and abdomen, helping to visualize the hernia and surrounding structures.

These diagnostic tools ensured accurate assessment of hiatus hernias, allowing for the development of personalized treatment plans for each patient seeking Hiatus Hernia Treatment in Mumbai.

Hiatus HerniaTreatment in Mumbai

  1. Treatment approaches included:

    1. Lifestyle modifications: For mild cases, recommended changes included:
      1. Eating smaller, more frequent meals
      2. Avoiding trigger foods that exacerbate symptoms
      3. Maintaining a healthy weight
      4. Elevating the head of the bed while sleeping
      5. Quitting smoking
    2. Medications: Various medications helped manage symptoms associated with hiatus hernias:
      1. Antacids to neutralize stomach acid
      2. H2 receptor blockers to reduce acid production
      3. Proton pump inhibitors (PPIs) for long-term acid reduction
      4. Prokinetics to strengthen the lower esophageal sphincter
    3. Surgical interventions: For larger hernias or those causing severe symptoms, surgery might be necessary:
      1. Laparoscopic Nissen fundoplication: A minimally invasive procedure to strengthen the lower esophageal sphincter and repair the hernia
      2. Open surgery: Traditional surgical repair for complex cases and some exceptional cases
      3. Endoscopic techniques: Newer, less invasive methods for repairing small hernias
    4. Combination therapy: Often, a combination of lifestyle changes, medications, and in some cases, surgery, provided the most effective Hiatus Hernia Treatment.

    Patients were thoroughly informed about the benefits and risks of each treatment option, enabling them to make informed decisions about their care. The goal of treatment was to provide effective symptom relief and improve overall quality of life for those suffering from hiatus hernias.

Laparoscopic Nissen Fundoplication

FAQ Section

Cost and Insurance Information for Hiatus Hernia Treatment in Mumbai

The cost of Hiatus Hernia Treatment in Mumbai varied depending on factors such as the severity of the condition, the chosen treatment method, and the length of hospital stay.

Many health insurance plans covered hernia treatments, including surgical procedures. However, coverage could vary depending on the specific policy and the nature of the treatment. Patients were advised to check with their insurance providers to understand their coverage details.

Cost will be approximately for Laparoscopic Surgery from ₹ 50K – ₹ 1.80L

Assistance was provided in insurance coverage, explaining costs, and exploring payment options.

Dr. Pradeep Shriyan, a seasoned and accomplished laparoscopic and general surgeon, is a trusted professional serving the Mumbai Suburban. With a wealth of experience and expertise, Dr. Pradeep Shriyan specializes in a wide range of procedures.


Whether you require expert care for hernia repair, recurrent hernia or any other related condition, we invite you to schedule an appointment with the highly skilled and trusted professional, Dr. Pradeep Shriyan. With his extensive expertise and experience, Dr. Shriyan is committed to delivering top-notch surgical interventions to address your specific needs.

Take the first step towards improved health and well-being by booking an appointment with Dr. Pradeep Shriyan today.

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Pre-operative Care

• Have nothing to eat or drink 6 Hours before surgery except for prescribed medications you have been told to take with a sip of water.

• Report 2 hours before the Surgery time (OT Procedure)

• Carry Doctor’s Case Paper on which treatment is written at the time of Admission to Hospital

• Carry Insurance Documents with you to the Hospital before Admission

• Do not apply any lotions, perfumes, deodorants, or Nail polish before surgery

• Take off your jewellery including earrings and piercings

• Don’t shave the area, this will be taken care by Hospital nurse

Post-operative Care

1. Take pain relieving and other medications as advised. Pain-relieving medication should be taken with food.

2. Follow-up with the doctor after a period of 10 days.

3. Eat a healthy diet and drink plenty of non-alcoholic and non-caffeinated drinks.

4. Do not operate any machinery, or lift any heavy articles after Surgery

5. Rest for a few days after the surgery is advisable, but keep mobile.

6. Avoid Bath till the dressing and stiches gets dissolve but if Waterproof dressing is used then can take a bath.

Please consult doctor immediately if you experience any of the following symptoms:

• Large amount of swelling under the wound
• Increased drainage from the incision (Operated area)
• Increased redness around the operated area
• Sudden calf pain or shortness of breath
• Foul odour from operated area
• Chest pain
• Fever greater than 38.0 degrees C.