You will be given a passage, and your task is to generate a Yes/No question that is answerable based on the given passage.

Example input: Powdered sugar, also called confectioners' sugar, icing sugar, and icing cake, is a finely ground sugar produced by milling granulated sugar into a powdered state. It usually contains a small amount of anti-caking agent to prevent clumping and improve flow. Although most often produced in a factory, powdered sugar can also be made by processing ordinary granulated sugar in a coffee grinder, or by crushing it by hand in a mortar and pestle.
Example output: is confectionary sugar the same as powdered sugar?
Example explanation: The question is a yes/no question, and it is answerable based on the given passage.
Q: Hiatal hernia has often been called the ``great mimic'' because its symptoms can resemble many disorders. Among them, a person with a hiatal hernia can experience dull pains in the chest, shortness of breath (caused by the hernia's effect on the diaphragm), heart palpitations (due to irritation of the vagus nerve), and swallowed food ``balling up'' and causing discomfort in the lower esophagus until it passes on to the stomach. In addition, hiatal hernias often result in heartburn but may also cause chest pain or pain with eating.
A:
can a hiatal hernia cause heart rhythm problems?