Can a Hiatal Hernia Affect Your Breathing? What You Need to Know

Understanding Hiatal Hernias and Breathing Difficulties

A hiatal hernia occurs when part of the stomach pushes up through the diaphragm into the chest cavity. While many people with hiatal hernias experience no symptoms, some may encounter breathing problems, especially if the hernia is large.

How Hiatal Hernias Can Impact Breathing

Large hiatal hernias can potentially affect breathing in several ways:

Lung compression: When a significant portion of the stomach protrudes into the chest, it can put pressure on the lungs, reducing their capacity to expand fully.

Diaphragm function: The hernia may interfere with the normal movement of the diaphragm, the primary muscle responsible for breathing.

Shortness of breath: Some individuals may experience dyspnea, particularly after eating or when lying down.

Chest discomfort: The pressure from the hernia can cause chest pain or tightness, which may be mistaken for breathing difficulties.

Recognizing Breathing-Related Symptoms

If you have a hiatal hernia and experience any of the following symptoms, consult your healthcare provider:

Persistent shortness of breath, especially after meals
Difficulty breathing when lying down
Increased breathlessness during physical activity
Chest pain or pressure
Chronic cough or wheezing

Diagnosing Hiatal Hernia-Related Breathing Issues

To determine if your breathing problems are related to a hiatal hernia, your doctor may recommend:

Chest X-ray
Barium swallow test
CT scan
Upper endoscopy
Manometry to assess esophageal function

Treatment Options for Breathing Difficulties

If a hiatal hernia is affecting your breathing, treatment options may include:

Lifestyle modifications (e.g., weight loss, avoiding large meals)
Medications to reduce stomach acid
Breathing exercises and techniques
In severe cases, surgical repair of the hernia

When to Seek Medical Attention

While most hiatal hernias don’t cause severe breathing problems, it’s essential to seek medical care if you experience:

Sudden onset of severe shortness of breath
Chest pain accompanied by difficulty breathing
Persistent cough or wheezing that doesn’t improve

Remember, not all breathing difficulties are caused by hiatal hernias, so a proper diagnosis from a healthcare professional is crucial.