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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.
About GERD. GERD is caused by the regurgitation or reflux of gastric fluid into the esophagus. The most common symptom of GERD is frequent or persistent heartburn two or more times a week. Other symptoms of GERD include chest pain, coughing, wheezing, difficulty swallowing, and an acidic or sour aftertaste in the mouth or throat. Each year, GERD accounts for up to 60 percent of patient visits to the emergency room with chest pain not related to the heart, according to the American College of Emergency Physicians.