I was DX'd with a Hiatal Hernia 18 years ago. There are two kinds of HH. Sliding is the most common and the other usually will require surgery at some point. There is a weatlh of information on the net about both.
As long as you take your Nexium or Prolesc, you will be pretty comfortable. GERD is a factor, but it can be a factor without HH.
Every now and then if I have eaten to much of something I know causes acid, and I lay flat at night, I can
get a mouth or thought of Bile. It burns badly and even though it is gone, the after effects linger for hours.
The other problem that can happen is pain in your chest. I have had two major episodes of pain that was so bad, that I ended up in the hospital getting checked for a heart attack. Not a pleasent experience. However,
since I have heart problems in my family, I don't mess around with it, even if I feel foolish when they tell me
it was just my HH acting up.
One last comment. I do, every now and then, swallow and it feels like I have the item stuck in my throat. It is very uncomfortable and hurts like the ****ens. But with a bit of liquid and grit of teeth...it goes away. Doctor says there is nothing I can do about it. Its not the size of the item or anything like that. Just happens.
Diet will make a huge difference as was mentioned, as will your sleeping habits. Pizza loaded with everthing
gave me terrible heartburn before I was DX'd with HH......therefore, I know that even with my nexium I risk
heartburn and perhaps bile and even diarriha. With that knowledge, I may have 1 or at the most 2 pieces of
plain chees pizza. Usually I am fine. There are a ton of personal food stories, but the point is that diet did and still does play a role in your hearburn and now your HH. Even with meds, I still have a bottle of anti-acids in my car and at home and at the office. Just in case. And I sleep on two pillows at night. The worst thing you can do, is sleep flat or on a single pillow(unless its a big monster). You can imagine your mouth, a long tube hooked to it (Esophagus)that is hooked on the other end to battery acid and you have no way to stop it from
coming down that tube if your head is lower than your stomach.
Most of the time it is manageable and life goes on, providing you use your head and have it looked at, everytime you have a physical. They can get worse as you grow older, but for the most part of the years
I have had mine, it has been a releive to get rid of most of the heartburn and even with the few stressful things that have happened because of it, live a pretty normal life.