If you experience chest pain, bloating and frequent burping, it may be more than simply inconvenient—these symptoms could indicate a hiatal hernia or gastroesophageal reflux disease (GERD). Allison Porter, MD, Chief of Surgery at Skagit Regional Health, sat down with us to share insight into both conditions and how they’re connected.

A hiatal hernia occurs when part of the stomach pushes through the diaphragm into the chest cavity. While this may sound alarming, Dr. Porter explains that it’s fairly common and does not always require treatment. The concern arises when the hernia disrupts the alignment of muscles where the stomach meets the esophagus. This can lead to GERD, a condition where stomach acid or food flows upward into the esophagus, causing heartburn and discomfort.

Treatment for GERD can range from natural remedies and lifestyle changes—like avoiding large meals or sleeping with your head elevated—to taking over-the-counter medications to relieve symptoms. For persistent cases or large hernias, surgical options are available, especially if symptoms interfere with eating or sleeping, or if long-term medication use poses risks.

Dr. Porter emphasizes that a hiatal hernia is not necessarily cause for alarm but should be evaluated to determine the best course of care. “It’s important to get appropriate follow-up to determine if it needs treatment—or if it can 
simply be monitored,” she says.

Same-day virtual visits with a gastroenterology provider are available now, offering you the convenience of discussing your symptoms, treatment plans and continued care from the comfort of your home.

Visit SkagitRegionalHealth.org/digestive to request a visit.