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The most important reasons that increase abdominal pressure are: Chronic cough and vomiting Persistent constipation Lifting heavy weights Severe clenching during defecation Pregnancy or ascites Types of hiatal hernia There are two main types of hiatal hernia, which are as follows: Sliding hernia A sliding hernia occurs when the stomach and part of the lower esophagus that connects to the stomach push out of their normal place through the diaphragm

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