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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 paraesophageal hiatal hernias have no symptoms of reflux because the GE junction remains below the diaphragm, but because of the way the stomach has rotated into the chest, there is the possibility of a gastric volvulus, where the stomach twists upon itself.