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GERD (Gastroesophageal Reflux Disease) Understanding Gastroesophageal refulx Gastroesophageal reflux is characterized by regurgitation of acidic contents of the stomophagus. The risk of acid reflux increases in the presence of a hiatus hernia. Hiatus hernia occurs commonly in obese individuals and in those who are over age 50. Pregnancy may also raise the risk of development of hiatus hernia. Symptoms of Gastroesopheal reflux : The most common symptom of GERD is heartburn.