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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.
1 In many cases people that eat very hot or very cold food may trigger an episode. 2  GERD (Gastro esophageal reflux disorder) is a disorder of the bodyâs nerves or motor neurons. GERD can also cause erosion of the esophagus in severe cases.  Compression of the vagus nerve that runs from the body to the brain.