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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.
GERD cough could be caused because of factors like the inability of lower esophageal sphincter to work properly. Throwing out gastric acids irregularly from the esophagus due to irregular relaxation of the lower esophageal sphincter may also be a primary factor for Gerd Cough.