Each time you inhale, the diaphragm contracts, pushing down on digestive organs. Each time you exhale, the diaphragm relaxes. Since you breath roughly 26,000 times a day - the diaphragm contracts very often. The esophagus passes through the diaphragm and into the stomach.

For various reasons, among them shallow breath, the stomach may become adhered to the diaphragm, or protrude through. Shallow or difficult breathing due to pain may also be a sign of hiatal hernia. Other causes include pregnancy, obesity, digestive disorders that create undue pressure on abdominal organs, physical exertion and strain including persistent coughing, and smoking. A barium X-ray may be used to diagnose hiatal hernia.

There are two types of hiatal hernia, sliding and rolling. A sliding hernia is the most common, when the upper part of the stomach protrudes through the diaphragm. A sliding hernia is often small, and produces no symptoms, or intermittent symptoms. It often slips in and out of its correct position. A rolling hernia is rare but more dangerous. It can trap stomach above diaphragm, cutting off the blood supply and causing necrosis or tissue death, a serious condition.

The lower esophageal sphincter is a one way valve that lets food into the stomach. Under the conditions or hernia, it may not function properly, allowing acid from the stomach to escape into the esophagus, causing painful heartburn and acid reflux. Upon palpation with firm pressure, you may notice some discomfort in the upper left quadrant on the abdomen.

Surgery is often used to correct this condition, but it is not statistically successful. Chiropractors can sometimes reset the diaphragm into the proper position. You can also try a home technique while lying on your back with your knees bent or close to your chest. On the exhale push your finger under your left rib cage and pull the stomach down. Easy to digest foods reduce the chances of acid reflux. Avoid carbonated beverages and food that causes gas or bloating.

Images of Hiatal Hernia