Understanding Hernias: Hiatal, Inguinal, and More

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April 16, 2026 | Hernia

A Guide for Long Island Patients

Hernias are one of the most common conditions treated in surgical practice. Yet, they are often misunderstood. At their core, hernias are not just discomfort or inconvenience. They are structural issues.

What Is a Hernia?

A hernia occurs when tissue pushes through a weakness in the muscle or connective tissue that normally holds it in place. And more importantly, hernias do not heal on their own.

Hiatal Hernia (Internal)

This type occurs inside the body, when the stomach moves into the chest through the diaphragm. Common symptoms include:

  • Reflux or heartburn
  • Chest pressure
  • Difficulty swallowing

Many patients don’t realize they have a hiatal hernia because symptoms are often attributed to reflux alone.

Inguinal Hernia (Groin)

This is the most common type of hernia. It typically presents as:

  • A visible bulge in the groin
  • Discomfort with activity
  • Pain that improves when lying down

Inguinal hernias are more common in men but can occur in women as well.

Other Types of Hernias

  • Umbilical hernia: Near the belly button
  • Incisional hernia: At the site of previous surgery
  • Femoral hernia: Upper thigh/groin (more common in women)

Why Hernias Should Not Be Ignored

Over time, hernias may:

  • Increase in size
  • Become more symptomatic
  • Lead to complications such as incarceration or strangulation

Early evaluation allows for better planning and outcomes.

When to Seek Evaluation

Patients across Long Island should consider evaluation if they notice:

  • A persistent bulge
  • Ongoing reflux symptoms
  • Pain with activity
  • Changes in digestion or swallowing

Whether internal or external, a hernia is not just a minor issue. It is a structural condition that deserves attention. Understanding the problem is the first step. Addressing it appropriately is the next.

If you’re experiencing symptoms or have concerns about a hernia, the next step is clarity.

Schedule a consultation to understand your diagnosis and the treatment options available to you.

Reference:

Cleveland Clinic. Hiatal Hernia Overview. https://my.clevelandclinic.org/health/diseases/8098-hiatal-hernia