Can a sliding hiatus hernia become strangulated?
Robert Miller
Published Feb 24, 2026
Can a sliding hiatus hernia become strangulated?
In some cases, a hiatal hernia can end up becoming strangulated or constricted. This cuts off the supply of blood, which is considered an emergency. If your doctor determines that this is a risk for you, surgery might be recommended to correct your hiatal hernia.
What can be done for a sliding hiatal hernia?
Treatment
- Antacids that neutralize stomach acid. Antacids, such as Mylanta, Rolaids and Tums, may provide quick relief.
- Medications to reduce acid production.
- Medications that block acid production and heal the esophagus.
Does a sliding hiatal hernia need surgery?
If the hernia causes severe symptoms or is likely to cause complications, then hiatal hernia surgery may be required. Not everyone who has a hiatal hernia will require surgery. Many people will be able to treat the condition with medication or lifestyle changes.
Can a sliding hiatal hernia rupture?
Most are identified during upper gastrointestinal endoscopy. Large paraoesophageal hernias can present acutely with gangrene or rupture of the intrathoracic stomach and are therefore repaired electively if the patient is willing and clinically fit [1].
What does a strangulated hernia feel like?
Share on Pinterest Alongside a bulge, symptoms of a strangulated hernia may include fever, fatigue, nausea, and excruciating pain. One common indication of a strangulated hernia is an easily visible bulge in the areas of the abdomen or pelvis.
How do you know if your hernia is strangulated?
Can a sliding hiatus hernia heal itself?
Can people fix hiatal hernias themselves? It is not possible for a person to make a hiatal hernia go away without medical care. However, hiatal hernias do not require treatment if they are not causing a person to experience symptoms.
How serious is a sliding hiatal hernia?
Complications from a hiatus hernia are rare, but they can be serious. Hiatus hernias that slide in and out of the chest area (sliding hiatus hernias) can cause gastro-oesophageal reflux disease (GORD). This is where stomach acid leaks into the oesophagus (gullet).
What is the difference between a hiatal hernia and a sliding hiatus hernia?
There are two main types of hiatal hernias: sliding and paraesophageal. Ordinarily, your esophagus (food pipe) goes through the hiatus and attaches to your stomach. In a sliding hiatal hernia, your stomach and the lower part of your esophagus slide up into your chest through the diaphragm.
When is a hiatal hernia an emergency?
Get medical care immediately. You are being treated for heartburn or hiatal hernia, and you feel sudden chest or stomach pain, have difficulty swallowing, are vomiting, or are unable to have a bowel movement or pass gas; you may have a hernia that has become obstructed or strangulated, which are emergencies.