Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).
I think it is 3.2cm rather then 32cmHiatus hernia
most of the times is asymptomatic and do not cause any problems even if it persist for a long period of times.
However few disease like gastroesophageal reflux disease
, acid peptic disease
are more commonly associated with hiatus hernia
Paraesophageal hernia if very large may ocassionaly may strangulate.
So what all you have to do is:
1.Avoid fatty meals
2. Dont lie down soon after meals for at least half hour
3.Take small and frequent meals, instead of full meals at a time
4. wear loose clothes
5. If you are overweight
or obese do weight reduction with dieting and exercise
6. Take proton pump
inhibitor along with a prokinetic agent for further relief from pain if required
I hope I have answered your query and this will help you. Remain in touch and get-well soon