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When to call the doctor

• When the symptoms of hiatal hernia are new, persistent (won't go away), or severe

• When it is not clear what is causing your symptoms

When to go to the hospital

• When you have chest pressure or pain, especially if you have known heart disease or these coronary risk factors: diabetes, smoking, high cholesterol, high blood pressure, older than 55 years, male gender, or family history of early heart attacks or angina (before age 55 years)

• Vomiting blood

• Dark, tarry stools

• Palpitations (feel heart beating in your chest) or feeling faint

• Cough and fever

• Shortness of breath

• Inability to swallow solid food or liquids easily

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