Hiatus/Hiatal Hernia Treatment in Bangalore

Hiatal or hiatus hernias are becoming increasingly common, especially in adults over 50. Many people in Bangalore and surrounding areas like Indiranagar, Koramangala, Hennur, Hebbal, Yelahanka, and Whitefield suffer from frequent acidity, chest discomfort, or bloating without realising it could be a hiatal hernia. Dr. Bhushan Chittawadagi, a leading gastroenterologist in Bangalore, specializes in diagnosing and treating hiatal hernias. With over 18 years of surgical experience, he is known for providing the best hiatal hernia treatment in Bangalore through modern techniques at HOSMAT Hospital and Trilfe Hospital.

A hiatal hernia happens when a part of the stomach pushes up through the diaphragm into the chest. The diaphragm has a small opening (hiatus) for the food pipe (oesophagus). When the stomach bulges through this opening, it causes a hiatal hernia.

Dr. Bhushan Chittawadagi, a leading hiatal hernia specialist in Bangalore, explains that there are mainly two types of hiatal hernias:

• Sliding Hiatal Hernia: This is the most common type of hiatal hernia. In this condition, both the lower part of the oesophagus and the upper part of the stomach slide upward into the chest cavity through the hiatus (the natural opening in the diaphragm). This type often causes acid reflux and heartburn because the stomach acid can easily travel back into the food pipe. The symptoms may come and go and are usually worse when lying down or after eating a large meal.
• Paraesophageal Hiatal Hernia: This type is less common but potentially more serious. In a paraesophageal hernia, part of the stomach pushes through the diaphragm and sits beside the oesophagus, while the junction between the oesophagus and stomach remains in its normal position. This hernia type may not cause reflux but can lead to more dangerous complications like stomach strangulation or blockage, where the blood supply to the stomach gets cut off. This often requires surgical treatment to prevent life-threatening situations.

Several factors can lead to a hiatal hernia. Dr. Bhushan Chittawadagi highlights the most common causes:

• Weakening of diaphragm muscles due to age
• Increased abdominal pressure (due to obesity, coughing, pregnancy, or heavy lifting)
• Congenital conditions (born with a larger hiatus)
• Injury or trauma in the diaphragm area
• Chronic constipation or straining during bowel movements

Many people may not notice any symptoms. But when symptoms appear, they are often confused with acidity or gas. Dr. Bhushan Chittawadagi shares the most common signs:

• Heartburn or acid reflux
• Chest pain or discomfort
• Bloating and burping
• Difficulty swallowing
• Feeling full quickly
• Shortness of breath (in large hernias)

At HOSMAT Hospital and Trilfe Hospital, Dr. Bhushan Chittawadagi uses advanced diagnostic methods to accurately detect and assess the severity of a hiatal hernia. Early and precise diagnosis plays a vital role in selecting the right treatment and preventing complications like chronic reflux or oesophageal damage.

Diagnostic Tests Include:

• Upper GI Endoscopy: A thin, flexible tube with a camera is passed through the mouth to directly view the oesophagus, stomach, and the diaphragm opening. This test helps detect inflammation, ulcers, or visible signs of a hernia.
• Barium Swallow X-ray (Upper GI Series): The patient drinks a contrast liquid (barium), and a series of X-ray images are taken. This helps track the barium’s movement and identify the size, type, and location of the hiatal hernia.
• Oesophageal Manometry: A small tube is inserted into the oesophagus to measure muscle strength and coordination. This test is useful in identifying motility disorders that may affect swallowing or contribute to reflux symptoms.

The most effective and permanent treatment for a hiatal hernia is surgery. Depending on the size of the hernia, your overall health, and your recovery goals, Dr. Bhushan Chittawadagi offers different surgical approaches at Hosmat Hospital, Bangalore.

• Open Hernia Surgery: In open surgery, a single larger incision is made in the abdomen or chest to repair the hiatal hernia. This method is generally preferred for large, complicated, or recurrent hernias. A surgical mesh may be used to strengthen the weak area and prevent the hernia from coming back. Though recovery takes slightly longer compared to minimally invasive methods, it remains a safe and effective option when other techniques may not be suitable.
• Laparoscopic Hernia Repair (Minimally Invasive Surgery): This is the most commonly used approach for hiatal hernia repair. Through a few small keyhole incisions, a laparoscope (thin tube with a camera) is inserted, allowing precise repair of the hernia. Patients experience less pain, faster recovery, minimal scarring, and often get discharged the same day or within 24 hours. It is ideal for most patients and offers excellent long-term outcomes.
• Robotic Hernia Surgery: Robotic surgery is an advanced form of minimally invasive surgery. Using robotic-assisted technology, Dr. Bhushan Chittawadagi can perform the repair with greater precision, better control, and improved visualization of the affected area. This technique is especially beneficial in complex or recurrent hernias and provides faster recovery with minimal discomfort. Patients often return to normal activities much sooner compared to traditional methods.

If a hiatal hernia is not treated on time, it can slowly become worse and lead to several health problems. Dr. Bhushan Chittawadagi, a leading hiatal hernia specialist in Bangalore, warns that ignoring the symptoms or delaying treatment can result in the following complications:

• Chronic Acid Reflux (GERD): A hiatal hernia often causes gastroesophageal reflux disease (GERD). In this condition, stomach acid flows back into the food pipe, causing a burning sensation in the chest (heartburn). Long-term reflux can damage the lining of the oesophagus and affect your daily life.
• Oesophageal Ulcers: When stomach acid frequently touches the inner wall of the oesophagus, it can cause painful sores or ulcers. These ulcers may bleed and cause discomfort, difficulty swallowing, and even lead to anaemia due to slow blood loss.
• Breathing Problems: In large hiatal hernias, the stomach pushes into the chest, reducing space for the lungs. This can lead to shortness of breath, especially while lying down or after meals. People with existing lung conditions like asthma or COPD may feel worse.
• Oesophagitis (Inflammation of the Food Pipe): Continuous acid exposure can irritate and inflame the oesophagus, a condition known as oesophagitis. If left untreated, it can cause narrowing of the oesophagus (stricture), painful swallowing, and even lead to Barrett’s oesophagus, a precancerous condition.
• Strangulated Hernia – A Medical Emergency: In some rare cases, the herniated part of the stomach becomes trapped (incarcerated) and loses its blood supply. This is called a strangulated hernia. It is a life-threatening condition that requires immediate surgery. Symptoms may include severe chest pain, vomiting, rapid heartbeat, and black stools.

When it comes to managing and treating hiatal hernias, choosing an experienced and skilled specialist can make a significant difference. Dr. Bhushan Chittawadagi is widely regarded as one of the best hernia specialists in Bangalore, offering advanced, patient-centric care at HOSMAT Hospital and Trilfe Hospital. Here’s why patients from Bangalore and nearby regions trust him for their hernia treatment:

• Over 18 Years of Surgical Experience: Dr. Bhushan Chittawadagi brings more than 18 years of expertise in gastrointestinal and laparoscopic surgery. His deep understanding of digestive disorders, combined with surgical precision, ensures patients receive world-class care for even the most complex hiatal hernia cases.
• Specialist in Minimally Invasive (Laparoscopic) Hernia Surgery: He is known for performing laparoscopic hiatal hernia repairs, a modern approach that involves tiny incisions, less pain, minimal scarring, and faster recovery. His surgical techniques result in shorter hospital stays and quicker return to normal life.
• Associated with Top Multi-Speciality Hospitals in Bangalore: Dr. Bhushan Chittawadagi practices at HOSMAT Hospital and Trilfe Hospital, both known for their advanced diagnostic and surgical facilities. These centres are well-equipped with cutting-edge technology, ensuring safe and effective treatment under one roof.
• High Success Rate with Hernia Surgeries: Having performed hundreds of successful hiatal hernia surgeries, Dr. Bhushan has built a solid track record of patient satisfaction and clinical excellence. Each procedure is tailored to the patient’s condition, ensuring the best possible outcome.
• Comprehensive & Compassionate Care: From diagnosis to post-operative recovery, Dr. Bhushan and his team provide end-to-end care. He spends time educating patients about their condition, discusses all treatment options, and ensures they feel confident and supported throughout the journey.
• One of the Best Gastroenterologists in Bangalore: Dr. Bhushan Chittawadagi is not only a top hernia surgeon in Bangalore but also a highly reputed gastroenterologist. This dual expertise gives him a clear advantage in managing digestive system-related hernias with a holistic perspective.
• Trusted by Patients Across Bangalore and Beyond: Patients from across Bangalore – including Indiranagar, Koramangala, Yelahanka, HSR Layout, Hebbal, and even nearby towns like Mysore and Tumkur – travel to consult him for the best hiatal hernia treatment in Bangalore.

Hiatal hernias do not get better on their own. If left untreated, they can worsen over time and may cause severe complications such as persistent reflux, difficulty swallowing, chest pain, or even strangulation of the stomach. These conditions can become a medical emergency. If you’re in Bangalore and searching for the best hiatal hernia treatment, consult Dr. Bhushan Chittawadagi at Hosmat Hospital today. With early treatment, you can avoid pain, complications, and long recovery periods. If you suspect a hiatal hernia or have already been diagnosed, Dr. Bhushan Chittawadagi is here to help you with advanced treatment options and complete care. Call us or book an appointment at Hosmat Hospital, Bangalore, for expert hiatal hernia treatment.