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I believe you're referring to a hiatal hernia. This type of hernia occurs when part of the stomach pushes up through the diaphragm. The diaphragm, which is a large muscle that expands the lungs during an inhaled breath, has a small opening (known as the esophageal hiatus) through which a person's esophagus (food tube) passes on its way to the stomach. But if a muscle tear or weakness occurs in this area, the stomach can push up through that opening and cause a bulge known as a hiatal hernia.

This type of hernia normally doesn't cause any problems if it's small. But if a person has a large hiatal hernia, food and stomach acid can back up into the esophagus and cause heartburn, nausea and acid reflux. The pressure

Although it's not always clear what causes a hiatal hernia, some possible causes are:

  • A persistent and strong pressure on the muscles surrounding the diaphragm, such as from heavy lifting, vomiting or hard and frequent coughing
  • Hard straining during a bowel movement
  • An injury to the diaghragm
  • A heredity factor that causes weakness in the surrounding muscles

People who smoke, are obese or are over 50 years old tend to be more prone to hiatal hernia.

Treatment typically involves medication, and self-help remedies such as avoiding food that causes heartburn, not lying down right after eating, avoiding fatty foods, losing weight (if a person is overweight), and reducing stress. In severe cases, surgery may be required to repair the hernia.

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13y ago

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