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Hi there,This is Dr Basu, experienced Internal Medicine Specialist.I am here to address your concerns and provide great service.
That is considered large sliding hiatus hernia.
This can cause chest pain, eating difficulty and severe acid reflux sometimes.
If you do not have any significant symptoms, then surgery may not be needed.
Otherwise, surgery is recommended in case of severe resistant symptoms.Best wishes,It was my pleasure to help you today.If I have answered all your questions, Please rate my response Excellent (click on the 5th star on top).Please bookmark my profile for fast, reliable authentic answers!This is the link to my profile:http://www.justanswer.com/medical/expert-mysticdoc/