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A hiatal hernia is a condition in which the top of your stomach bulges through a hole in your diaphragm, causing pain and discomfort. This can happen to anyone, regardless of their age or gender. A hiatal hernia does not always cause symptoms, but when it does, the symptoms are comparable to those of gastroesophageal reflux disease (GERD).A hiatal hernia is a condition in which the top region of your stomach bulges through the big muscle that separates your abdominal cavity from your chest cavity (diaphragm).You have a small opening (hiatus) in your diaphragm through which your food tube (esophagus) flows before connecting to your stomach. It is common for the stomach to push up through that opening and into your chest when you have a hiatal hernia.A minor hiatal hernia, on the other hand, is unlikely to create difficulties. It is possible that you will not be aware that you have one until your doctor discovers it when looking for another condition.A significant hiatal hernia, on the other hand, can cause food and acid to back up into your esophagus, resulting in acid reflux and heartburn. In most cases, self-care practices or drugs can be used to alleviate these symptoms. A big hiatal hernia may necessitate surgical intervention.