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One such cause of GERD is a hiatal (or hiatus) hernia. This is an anatomical abnormality where a hole in the diaphragm allows the upper part of the stomach to enter the chest cavity, sometimes leading to GERD. Pregnancy is also sometimes a cause of acid reflux due to extra pressure being placed on the internal organs.
In acute cases, acid reflux may result in chest pain after eating large meals, lying flat or exercising after eating, and drinking alcohol. In chronic GERD, the pain may be constant, aggravated by the factors just mentioned and often worse at night when sleeping. Other Gastrointestinal Causes.