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Hiatal hernia – Symptoms and causes – Mayo Clinic

A small hiatal hernia usually doesn’t cause problems. You may never know you have one unless your healthcare team discovers it when checking for another condition. But a large hiatal hernia can allow food and acid to back up into your esophagus. This can cause heartburn. Self-care measures or medicines can usually relieve these symptoms. A very large hiatal hernia might need surgery.