May weight lifting cause a hiatal hernia?

Patient

Q: Hello can bench lifting cause a hitial hernia? (weight) My son is 15 years old.. Today he had a Endoscopy.. DR states he has hitial hernia. He goes to gym and benches weights.. Thank you

Doctor

A:   The swallowing tube (esophagus) passes into the stomach through the esophageal hiatus (the opening in the muscle wall below the lungs (the diaphragm). A hiatal hernia occurs when the upper part of your stomach bulges up through the hiatus into your chest cavity. Most hiatal hernias don't cause problems or require treatment. But a large hiatal hernia can cause food and stomach acid to back up into your esophagus (acid reflux), leading to heartburn and chest pain. The possible causes are: injury to the area, being born with a large hiatus, persistent and intense pressure on the surrounding muscles, such as coughing, vomiting, and straining during the bowel movements or lifting heavy objects.

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