Dyspepsia is common in medical and surgical practice that is reported by up to 40% of the general population. It defines an upper gastrointestinal symptom complex characterized by the spectrum of symptoms. However, in one point patient needed endoscopic examination. It is obvious that relations between a hiatal hernia and reflux oesophagitis both significantly played the etiology of dyspeptic symptoms. We would like to study the prevalence of a hiatal hernia among dyspeptic patients in Batticaloa, SriLanka. The descriptive prospective study was conducted in Teaching Hospital Batticaloa, SriLanka from the period of April 2015 to April 2016 in which 95 patient were selected. Complain of dyspeptic symptoms are more common in female 59(62.1%) than male 36(37.9%). In our study, dyspeptic symptoms are more common 44(46.3%) among the age group of more than 50 years-old. The prevalence of a hiatal hernia was seen in 48(50.52%) cases. In the future high sensitive manometry should be a promising method for assessing the association between a hiatus hernia and gastroesophageal reflux disease.