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A hiatal hernia is a condition where the top of your stomach bulges through an opening in your diaphragm. This can happen to people of any age and any gender. A hiatal hernia doesn’t always have symptoms, but when it does they are similar to the symptoms of GERD.
Hiatal Hernia Menu
The esophagus sphincter muscle normally closes tightly. With a hiatal hernia, the sphincter’s new position may keep it from completely closing. The back flow of digestive juices may damage the esophagus.

What is a hiatal hernia?

A hiatal hernia occurs when the upper part of the stomach pushes through an opening in the diaphragm and into the chest cavity. The diaphragm is the thin muscle wall that separates the chest cavity from the abdomen. The opening in the diaphragm is where the esophagus and stomach join.

Who is at risk for developing a hiatal hernia?

A hiatal hernia can develop in people of all ages and both sexes, although it frequently occurs in people age 50 and older. Hiatal hernia occurs more often in overweight people and smokers.

What causes a hiatal hernia?

The most common cause of a hiatal hernia is an increase in pressure in the abdominal cavity. Your abdominal cavity is the space in the middle of your body that holds several organs, including the:

  • Lower part of the esophagus and stomach.
  • Small intestine, colon and rectum.
  • Liver.
  • Gallbladder, pancreas and spleen.
  • Kidneys.
  • Bladder.

This pressure can build up from things like:

  • Coughing.
  • Vomiting.
  • Straining during a bowel movement.
  • Heavy lifting.
  • Physical strain.

There are also other reasons a hiatal hernia could develop. You may experience a hiatal hernia during pregnancy, if you are obese, or if there’s extra fluid in your abdomen.There are also other reasons a hiatal hernia could develop. You may experience a hiatal hernia during pregnancy, if you are obese, or if there’s extra fluid in your abdomen.

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Increased pressure in the abdomen (arrows) causes part of the stomach to push through the diaphragm and into the chest cavity.

What are the symptoms of a hiatal hernia?

Many people with a hiatal hernia never have symptoms. Some people with hiatal hernia have some of the same symptoms as gastroesophageal reflex disease (GERD). GERD occurs when digestive juices move from the stomach back into the esophagus. Symptoms of GERD include:

  • Heartburn.
  • Bitter or sour taste in the back of the throat.
  • Bloating and belching.
  • Discomfort or pain in the stomach or esophagus.

Although there appears to be a link between hiatal hernia and GERD, one condition does not seem to cause the other. Many people have a hiatal hernia without having GERD, and others have GERD without having a hiatal hernia.

Another symptom of a hiatal hernia is chest pain. Since chest pain can also be a symptom of a heart attack, it’s important to contact your healthcare provider or go to the emergency room if you experience any chest pain.

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