Could a hiatus hernia or reflux be causing persistent nausea and abdominal pain?

Posted , 7 users are following.

I have had abdominal pain, heartburn, acidity in the throat and nausea for 3 months. The abdominal pain extends from just below the breast bone down to my navel. It isn't a cramp, but feels like someone has punched me and it is this sensation that causes me to feel constantly nauseous.

Following a gastroscopy I was found to have a small hiatus hernia. I understand these themselves don't usually (except in extreme circumstances) cause any symptoms but can cause or exacerbate reflux. PPIs and H2 blockers for acid suppression have reduced the heartburn and acidity in the throat, but they have not helped the stomach pain and nausea, which are the most debilitating symptoms. Likewise, diet and food consumption does not affect these persistent symptoms.

Is it possible that the physical reflux motion or the hernia itself are causing these persistent symptoms?

0 likes, 9 replies

Report / Delete

9 Replies

  • Posted

    did they test for Coeliac disease when they did the test? This can cause a range of symptoms. Otherwise it could be heartburn

    Report / Delete Reply
  • Posted

    hi Thomas

    i too have a small hernia and bad reflux, likewise my doctor says the hernia is too small to be the cause, i am really suffering for past few weeks and ppi dont help much .i have burning in stomach and chest and total abdominal discomfort to point it stops me sleeping. if your symptoms are new did something happen to bring them on like a shock or trauma, i know with me it did, but msybe the hernia makes things worse. what dosage of ppi are you taking?

    Report / Delete Reply
    • Posted

      Hi Kate,

      That's really interesting, thanks for sharing. My symptoms came on after a prolonged period of frequent panic attacks and a traumatic event.

      Yes, from what I've read a hernia can exacerbate reflux. I'm currently on 30mg Lansaproazole (PPI) a day and 300mg Ranitidine (H2 blocker), but i did take 60mg of thr PPI for a time, without any relief.

      Can I ask what your abdominal discomfort feels like?

      Report / Delete Reply
    • Posted

      hi Thomas

      at moment its really bad, i have sore aching stomach with pain going under my ribd on both sides and around my back, burning in my upper chest on and off, a general feeling of discomfort all over, im taking 20 mg of omeprezole morning and night, 150 mg ranitidine twice during day when symptoms are really bad, to be honest im getting very little relief, wish i cud find a cure and get off these horrible ppis.

      Report / Delete Reply
    • Posted

      Hi I get a lot of pain each side just under the ribs also get nagging pain in the centre with boating and wanting burp & like indigestion up the middle do u or anyone else get a sharp pain in the centre of there back after being bent over or arching the back for a few minutes

      Report / Delete Reply
    • Posted

      hiya, im having exactly the same symptoms as you . was diagnosed with Barrats Oesophagus a few years ago brought on by acid reflux and am on omeprazole once a day. the last two weeks have been very uncomfortable and im convinced its something a little more serious based on my symptoms nut am terrified of going to the doctors. hopefully it will settle down again.

      Report / Delete Reply
  • Posted

    I too have a hiatus hernia and sometimes my stomach feels really weird in the center beneath my ribs. It used to feel like a hard ball and it can feel really raw and like a weird wet feeling. I also can get nausea. Can I recommend trying esomeprazole instead of lanzoprazole and alverine which is an antispasmodic. I think if you had both of them, you wouldn't need the ranitidine. Also if you drink alcohol, try giving up for a couple of weeks and see if it helps.

    Report / Delete Reply

Join this discussion or start a new one?

New discussion Reply

Report or request deletion

Thanks for your help!

We want the forums to be a useful resource for our users but it is important to remember that the forums are not moderated or reviewed by doctors and so you should not rely on opinions or advice given by other users in respect of any healthcare matters. Always speak to your doctor before acting and in cases of emergency seek appropriate medical assistance immediately. Use of the forums is subject to our Terms of Use and Privacy Policy and steps will be taken to remove posts identified as being in breach of those terms.

newnav-down newnav-up