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An abdominal hernia is a bulge or swelling. It happens when some of the contents inside your abdomen (tummy), such as fat or bowel, push through a weakness in your abdominal wall muscle. The abdominal wall is a sheet of tough muscles and tendons that run between your ribs and your groin (upper part of your leg).n abdominal hernia is a bulge or swelling. It happens when some of the contents inside your abdomen (tummy), such as fat or bowel, push through a weakness in your abdominal wall muscle. The abdominal wall is a sheet of tough muscles and tendons that run between your ribs and your groin (upper part of your leg).
A hiatal hernia occurs when part of your stomach pushes upward through your diaphragm. Your diaphragm normally has a small opening (hiatus) through which your food tube (esophagus) passes on its way to connect to your stomach. The stomach can push up through this opening and cause a hiatal hernia. In most cases, a small hiatal hernia doesn't cause problems, and you may never know you have a hiatal hernia unless your doctor discovers it when checking for another condition. But a large hiatal hernia can allow food and acid to back up into your esophagus, leading to heartburn. Self-care measures or medications can usually relieve these symptoms, although a very large hiatal hernia sometimes requires surgery.