hello dear thanks for your query at HCM Hiatal hernia has often been called the great mimic because its symptoms can resemble many disorders. shortness of breath (caused by the hernia s effect on the diaphragm), heart palpitations due to irritation of the vagus nerve, In most cases however, a hiatal hernia does not cause any symptoms. The pain and discomfort that a patient experiences is due to the reflux of gastric acid, air, or bile. for acid reflux and pain take tab pantoprazole twice daily before meals. that will decerease pain and gastric discomfort. If the hiatal hernia is in danger of becoming constricted or strangulated (so that the blood supply is cut off), surgery may be needed to reduce the hernia, meaning put it back where it belongs. Hiatal hernia surgery can often be performed as a laparoscopic, or minimally invasive, procedure. hope this will be helpful regards