I too have a hiatal hernia and my stomach is also pushing up in my chest I need surgery but I have heard so many bad things about having a hiatal hernia repair I'm now scared to do it I also deal with chronic constipation that doesn't help much either I have tried to make some life style changes that has helped some but I still have to take PPIs all the time and sometimes that doesn't even help I'm unsure of what to do anymore 😔