When esophageal hiatal hernia occurs in the elderly, due to their age and the reduced function of their body organs, they are not suitable for surgical treatment, so they can only choose conservative medical treatment. First, lifestyle changes: 1. reduce the amount of food, mainly high-protein, low-fat diet, avoid coffee, chocolate, alcohol, etc., and avoid eating before lying down or sleeping after meals; 2. take a head-high, foot-low position when sleeping, and elevate the head of the bed when lying down; 3. avoid bending, wearing tight clothes, vomiting and other factors that increase intra-abdominal pressure; 4. obese people should try to reduce their weight, and those with chronic cough and long-term constipation should also try to treatment. Second, the treatment of drugs: for those who have gastroesophageal reflux symptoms such as chest pain, retrosternal burning, acid reflux or postprandial regurgitation, they should be given drugs to inhibit gastric acid, drugs to protect the gastric mucosa and drugs to promote gastric motility, such as the application of omeprazole, Daxil, Crypto, and other drugs.