Can you have a hiatial hernia without abdominal swelling?

Yes: Hiatal hernia is internal hernia not visible to the outside so of course you could have a hiatal hernia without abdominal swelling having heart burn would indicate oat likely you have one see your doctor or GI specialist good luck

Yes: Sliding hiatal hernias are the most common of the hernias that occur around the lower esophagus and are commonly associated with reflux. Clinically significant reflux can occur with or without a hiatal hernia and is usually the cause of the symptoms mistakingly attributed to the hernia. Gastro-esophageal Reflux Disease(GERD) can also co-exist with other digestive diseases . GERD medications work.