People with hiatal hernias are significantly more likely to develop gastroesophageal reflux disease (GERD). This condition occurs when acid reflux becomes a frequent issue. GERD is generally mild and occurs around twice a week, though severe attacks may occur less frequently. Acid constantly entering the esophagus results in irritation of the lining. This can cause difficulty swallowing, chronic cough, laryngitis, and chest pain. In particular, individuals with asthma may notice their condition worsening. Over time, GERD can damage the lining of the esophagus and lead to a pre-cancerous condition called Barrett's esophagus. This is more common in men.

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