A hiatal hernia occurs when the upper part of the stomach bulges up through the diaphragm muscle and into the chest cavity. Hiatal hernias are common and generally do not cause symptoms. However, they can cause acid reflux and GERD (gastroesophageal reflux disease). The exact cause of hiatal hernias is unknown, but it is believed to be due to a combination of factors such as aging, obesity, smoking, and increased abdominal pressure. Hiatal hernias can occur in both adults and children, although they are more common in adults. Symptoms of hiatal hernias include chest pain, difficulty swallowing, belching, and regurgitation of stomach acid. Treatment options vary depending on the severity of the hernia and may include lifestyle changes, medications, and surgery. Lifestyle changes may include eating smaller meals, avoiding foods that trigger acid reflux, and avoiding lying down after eating. Medications such as antacids and proton pump inhibitors can be used to reduce stomach acid and relieve symptoms. Surgery may be recommended for severe cases of hiatal hernias, particularly those that are causing severe symptoms. Hiatal hernias are generally not serious and can be managed with lifestyle changes and medications. However, it is important to seek medical advice if any symptoms develop, as they may indicate a more serious problem.