A loosening of this area results in the migration of the upper stomach through the diaphragm into the lower chest. This herniation creates a distortion of the lower esophageal valve, causing an increase of the pressure in the esophagus and the stomach content refluxes from below. This diagram shows a non complicated Hiatus Hernia. Heartburn and chest pain are the major symptoms. These may be associated with belching, sour taste, bad breath, coughing, shortness of breath, and wheezing.
Symptoms are worse after eating, upon lying down, and before bedtime.
This results in difficulty swallowing and bleeding. In certain cases, patients may have unexplained asthma. These tests are very accurate and can be completed in a short time. In the early stages, changes in diet and life style may help some of the symptoms. Eliminating foods such as chocolate, alcohol, coffee, and carbonated drinks may help.