What actually causes a hiatal hernia?
Research explores a link that isn't discussed typically along with a common prescribed drug that can exacerbate your risk. 

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Your "gut bugs" or more properly referred to as your gut microbiome, encompasses 40 to 100 trillion organisms, primarily bacteria. The makeup of your microbiome can influence your risk of developing a hiatal hernia. When there is a prevalence of 'bad bugs' it is called dysbiosis.

The good news is that rebalancing of the bacteria can go a long way to reversing those symptoms.

Specifically there are 4 main mechanisms occuring: 
Gas production, motility issues, improper pressure gradients and inflammation.

Dysbiosis creates gas, bloating and increased intra-abdominal pressure. Gas is created from fermentation of undigestion carbohydrates in your large intestine which create gas as a byproduct.

Gas produces bloating and both increase the pressure within your abdomen. The increased pressure pushes upwards on your stomach and your diaphragm, resulting in reflux as well as compromised anti-reflux barriers within your diaphragm hiatus (opening where the esophagus passes through).

Dysbiosis also aggravates your vagus nerve which slows digestion and interrupts the proper functioning of various sphincters or valves in your digestive tract, but most particularly the LES (lower esophageal sphincter) which prevents acid reflux from occurring. The slowed digestion further results in gas production and increased pressure causing a negative cycle of recurring symptoms.

Risk factors for hiatal hernia including obesity, bloating, slowed digestion and constipation - all conditions that are worsened if not caused by dysbiosis.

When you're diagnosed with either reflux, hiatal hernia, gastritis, esophagitis or Barrett's, the "solution" provided you is a PPI medication. While there are benefits to reducing the irritation acid causes with a PPI, it is staggering to realize that PPIs worsen and can primarily be the cause of dysbiosis.

If that frustrates you I understand. And it can feel that there's no solution, but in fact there is. Dysbiosis can be addressed successfully naturally. When the root cause is identified gut imbalance can shift to balance and reducing if not eliminating the PPI need can occur.

It's something we do here regularly as a part of our hiatal hernia programs. 

If you'd like help we're here for you. The best next step is to contact us for a consultation and then we can determine if what we do is a good fit for you. Call 727-335-0400.

#guthealth #hiatalhernia #rootcausemedicine 

Clinical References
1. Haworth JJ, Boyle N, Vales A. The prevalence of intestinal dysbiosis in patients referred for antireflux surgery. Front Med (Lausanne). 2021;8:713689. doi:10.3389/fmed.2021.713689 PMC8599257

2. Crucillà S, et al. Functional abdominal bloating and gut microbiota: An update. Microorganisms. 2024;12(10):1669. doi:10.3390/microorganisms12101669 PMC11357468

3. Hiatal hernia: Symptoms and causes. Mayo Clinic. Updated 2022. Available at: Mayo Clinic Hiatal Hernia

4. Chen S, et al. Esophageal microbial dysbiosis impairs mucosal barrier integrity via toll-like receptor 2 pathway in patients with gastroesophageal reflux symptoms. J Transl Med. 2024;22:1145. 

5. Bonavina L, et al. The association between gastroesophageal reflux disease and hiatal hernia: pathophysiology and surgical perspectives. Ann Laparosc Endosc Surg. 2021;6:35. 

6. Okereke C. Associations of the microbiome and esophageal disease. J Thorac Dis. 2025;17(2):29591. 

#guthealth #acidreflux #hiatalhernia #rootcausemedicine 

Disclaimer: The information provided in this video is inte