Esophageal hiatal hernia is a symptom caused by the entry of tissue or organs from the original abdominal cavity into the thoracic cavity through the esophageal hiatus in the diaphragm. The exact cause of esophageal hiatal hernia is not well understood and may be related to congenital underdevelopment of the diaphragm, as well as increased abdominal pressure and decreased diaphragmatic tone from various causes. Hiatal hernia may cause heartburn, acid reflux, difficulty swallowing, abdominal fullness, vomiting, epigastric discomfort, and in some cases, shortness of breath and palpitations. Treatment of hiatal hernia of the esophagus should first eat a small amount of food, avoid overeating, medication can choose to promote gastrointestinal peristalsis of the drug as well as inhibit gastric acid secretion of the drug treatment, such as mosapride, omeprazole and so on. If the effect of oral medication is not good, you can cooperate with the treatment through surgery, such as esophageal hiatal hernia repair, laparoscopic surgery and so on. Hiatal hernia should be treated under the guidance of a doctor, and medications should be used as prescribed by the doctor.