Hello, On your history it seems recurrence of hiatus hernia, symptoms may include Symptoms. Most small hiatal hernias cause no signs or symptoms. But larger hiatal hernias can cause: - Heartburn - Regurgitation of food or liquids into the mouth - Backflow of stomach acid into the esophagus (acid reflux) - Difficulty swallowing - Chest or abdominal pain - Shortness of breath - Vomiting of blood or passing of black stools, which may indicate gastrointestinal bleeding Sliding hiatal hernia: This is the more common type of hiatal hernia. It occurs when your stomach and esophagus slide into and out of your chest through the hiatus. Sliding hernias tend to be small. They usually don’t cause any symptoms. They may not require treatment. Since you are complaining of nausea so it s better to consult doctor because nausea , vomiting or unable to pass gas is medical emergency for hiatus hernia. Simple treatment includes: - Over-the-counter antacids to neutralize stomach acid - Over-the-counter or prescription H2-receptor blockers that lower acid production - Over-the-counter or prescription proton pump inhibitors to prevent acid production, giving your esophagus time to heal Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jagadish Golabavi