What causes a hiatal hernia to rattle when lying down?

The symptoms of hiatal hernia lying down with a rattling sound are commonly caused by hiatal hernia and reflux esophagus; however, symptoms alone are not enough to diagnose the disease, and it is recommended that the patient consult a doctor in time to find out the cause of the disease.
1. Esophageal hiatal hernia: the stomach of patients with esophageal hiatal hernia is like a bottle of vinegar without a cap, hiccups often occur after eating and are often accompanied by a burning sensation in the back of the sternum or subxiphoid process, a feeling of gastric contents, epigastric fullness, and a rattling sound when lying down.
2. Reflux esophagus: Reflux esophagitis can lead to a feeling of throat obstruction and the symptoms of hiccups. The main causes of reflux esophagitis are damage to the anti-reflux barrier of the esophageal mucosa, duodenal malfunction, esophageal hiatal hernia, and vomiting during pregnancy.
This symptom alone is not enough to diagnose the disease, and it is recommended that the patient consult a doctor to clarify the cause of the disease and give targeted treatment.