Hiatus Hernia Symptoms: What to Look Out For

What Are the Common Symptoms of a Hiatus Hernia?

Whether you’re male or female, the symptoms are usually the same. That’s because a hiatus hernia is caused by changes in the position of the stomach, not your gender. However, other factors like age, weight, and gut health may influence how strongly you feel the effects.

Here are the key symptoms to watch for:

1. Heartburn or Acid Reflux - One of the most common signs. Heartburn is the burning sensation felt behind the breastbone when acid moves up from the stomach into the oesophagus (or “food pipe”). It often gets worse after meals or when lying down.
2. Chest Discomfort - Some people describe this as a pressure-like feeling, while others experience a sharper pain. It can sometimes be confused with cardiac symptoms, which is why it’s important to get checked if you’re unsure.
3. Stomach Fullness or Pain - A hiatus hernia can make you feel bloated, tight, or uncomfortable in the upper abdomen — especially after eating. You might also notice more belching or trapped wind.
4. Upper Back Pain - Although not as widely known, some people with a hiatus hernia report upper back discomfort due to pressure or acid irritation.
5. Persistent Cough or Throat Issues - When acid travels up into the throat, it can cause; a chronic cough, hoarseness or a raspy voice, a sensation of a "lump in the throat". These symptoms are often more noticeable at night or when lying flat in bed.

Do Symptoms Differ Between Men and Women?

Not significantly. The physical effects of a hiatus hernia are the same for both men and women. That said, women may be more likely to seek medical help for digestive symptoms, while men might delay — which can lead to a difference in how and when the condition is diagnosed.

In terms of symptoms themselves, both genders typically experience the same range and intensity, though this can vary with body size, muscle tone, or co-existing reflux conditions.

When Should You See a Specialist?

You should seek advice if you’re experiencing:

• Ongoing chest pain or upper abdominal discomfort
• A persistent sore throat, cough, or hoarseness
• Difficulty swallowing
• New or worsening acid reflux, especially if over-the-counter medication isn’t helping
• Symptoms that are disrupting your sleep or daily life

Even if symptoms seem mild, they can point to underlying issues like GORD (gastro-oesophageal reflux disease), which often overlaps with hiatus hernia.

What Are the Treatment Options?

Many people with a hiatus hernia manage their symptoms through:

• Lifestyle adjustments — such as eating smaller meals, avoiding trigger foods, and raising the head of the bed
• Acid-reducing medications — to manage reflux and reduce inflammation
• Avoiding tight clothing — which can place pressure on the abdomen

For moderate to severe cases, or when symptoms don’t respond to medication, minimally invasive surgery may be recommended. At RefluxUK, we specialise in advanced diagnostics and surgical interventions for reflux-related conditions, including hiatus hernias.

Final Thoughts

If you’re experiencing acid reflux, chest pressure, or a persistent cough, it may be more than just occasional indigestion. A hiatus hernia is a common and treatable condition — and the earlier it’s identified, the better the outcome.

Think you might have a hiatus hernia? Book a consultation with one of our specialists today.