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Other contributing factors may

Other contributing factors may include obesity, smoking and advancing age.

Although fairly common, especially in those over 50, the majority of hiatal hernias are small and of no consequence. Many are only discovered through tests when your physician is actually looking for something else, such as evidence of acid reflux disease. However, large hiatal hernias can certainly cause their fair share of problems, including allowing food and stomach acids to back up into the esophagus causing heartburn.

Symptoms of hiatal hernia include heartburn, chest pain, burping, and difficulty swallowing (dysphagia). These symptoms occur not as a direct result of the hiatal hernia itself but as a result of what the hernia allows?the backflow of food and stomach acid into the esophagus.
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