Can a paraesaphageal hiatel hernia cause sharp pains in upper and lower left stomach belly button area. Hurtsmost wen sitting up and laying flat.

This is important. Fact that is not commonly known. Most hiatal hernias are the sliding type, which is usually not life-threatening. Paraesophageal histal hernia, a much less common type, in contrast can become incarcerated or strangulated, a surgical emergency. So if you are having pain, go now to see a surgeon who can determine if you need to have surgical repair of your hernia.
Yes it can. Para esophageal can give symptoms you described , unlike sliding esophageal hernia can strangulate stomach, abdominal contents can enter into chest cause multiple complications , should be repaired as son as possible to prevent complications. In pic d.