The couple is married in the eyes of God when the physical union is consummated through sexual intercourse. The couple is married in the eyes of God when the couple is legally married. The couple is married in the eyes of God after they have participated in a formal religious wedding ceremony.
A Honor Society of Nursing (STTI) answered. Hiatal hernia symptoms can vary from mild heartburn to acid reflux disease. Symptoms may be worse after a large meal or bending forward. Common symptoms include heartburn, chest pain, frequent belching, bad breath, dry cough, nausea, and difficulty swallowing. In severe cases, a portion of the stomach can become incarcerated (trapped) after poking through the diaphragm or hiatus. An incarcerated hernia requires immediate medical attention.
Why does the doctor ask you to turn your head and cough, you ask? So that he can test you for a hernia. But that's the simple answer. The harder answer is in two parts. Part One: Why the cough? When you cough, a vibration will run down your spine. Based on how this vibration gets transmitted down to the base of your spine, which is what the doctor is touching underneath your testicles, will indicate whether or not you have a herniated disc in your spine. Part Two: Why must I turn my head? I've heard two explanations for this. One is that the twisting of your neck will tighten up your spine and improve the accuracy of the doctor's diagnosis. I call this the practical explanation. I've also heard a more utilitarian explanation: do you think the doctor really needs you to cough on him?