Hiatal hernia diet Sliding hernias are asymptomatic and consequently need no treatment. Symptoms of hiatal hernia is commonly associated with throwing up into the esophagus as well as the acidic stomach contents might be as follows: heartburn appears after 1 -4 hours after eating and worse when Pivoted ago, after an eructation, and vomiting; pain in the upper chest, abdominal bloating and cramping, worse Pivoted ago, after an eructation, and due to increased abdominal pressure (most generally after meals or at bedtime).Symptoms indicative of complications: difficulty swallowing as a result of falling into the esophagus from stomach acid, especially after a rather hot or incredibly cold food, alcoholic drinks and hearty meals; bleeding (slight or severe) caused by damage to the esophagus or stomach; Severe pain and shock as a result of squeezing the most component of the stomach above the diaphragm, to avoid perforation of the stomach required immediate surgery