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Hiatal Hernia Symptoms and Signs. 1  Bloated Feeling. 2  Burning Feeling in the Chest. 3  Chest Pain.  Difficulty 1  Swallowing. Heartburn. 2  Nausea. Regurgitation.  Shortness of Breath.
Type IV hiatal hernia: In type IV hiatal hernias, other organs in addition to the stomach (colon, small intestine, spleen) also herniate into the chest (see image below). Hiatal Hernia Causes & Symptoms Causes. The exact cause of hiatal hernias is unknown. They are mostly caused by weakening of the muscles of the diaphragm around the esophagus.