Which treatments are needed for a hiatal hernia?

Life style changes: Most hiatal hernias need no treatment. It is best to remain upright for at least 4 hours following meals, avoid smoking and drinking alchol, try not to drink liquids prior to lying down.

Hiatal hernia: It depends. If you have a hiatal hernia and no symptoms (and no significant silent reflux), you don't need to do anything. On the other hand, if it is bothering you, first try all the different proton pump inhibitors and modify your diet. If the heartburn is still bad, then you may need a laparoscopic Nissen Fundiplication.