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Hiatal Hernia Symptoms and Signs. 1  Bloated Feeling. 2  Burning Feeling in the Chest. 3  Chest Pain.  Difficulty 1  Swallowing. Heartburn. 2  Nausea. Regurgitation.  Shortness of Breath.
Most small hiatal hernias cause no signs or symptoms. However, larger hiatal hernias can cause signs and symptoms such as: 1  Heartburn. 2  Belching. 3  Difficulty swallowing. 4  Chest or abdominal pain. 5  Feeling especially full after meals. 6  Vomiting blood or passing black stools, which may indicate gastrointestinal bleeding.