How can one fix a hiatal hernia?

Most people with hiatal hernias do not require treatment. When a hiatal hernia is associated with reflux symptoms, such as heartburn, you should eat smaller, more frequent meals; avoid eating for at least two hours before going to bed; and sit up for at least one hour after eating. If lifestyle changes do not relieve the symptoms, your doctor will suggest antacids or acid blockers. Surgery to repair the hernia may be considered for persistent symptoms or inflammation of the esophagus (esophagitis) that does not heal with medication.