<s>[INST] I have a ringed hiatal hernia.  I had a terrible cough and cold and now I have a nausea.  I had a endoscopy  at the end of April and a balloon was inserted during the procedure.  Could my Terrible, Terrible cough have caused a problem with this hernia? [/INST] All. Your symptom  could be because of. Hiatal hernia and  reflux of food.This is because of microaspiration. </s>