Hiatus Hernia or something more serious?

Posted , 38 users are following.

I suspect I have a hiatus hernia, but I'm also worried it could be something serious and I won't find out until I have an endoscopy, which could be months away. I really need someone to reassure me that I am experiencing a hiatus hernia, and not something more urgent or severe, and possibly give me some tips for dealing with this.

Some background: I started having breathing problems in October, followed quickly by severe throat pain and swallowing difficulties. Several visits to walk-in clinics and the GP later, after misdiagnoses with asthma and mumps, a doctor finally suggested I might be experiencing acid reflux. At the time I was generally only having 'silent' laryngopharyngeal silent, including a sore throat, lump in throat, and trouble swallowing. My symptoms didn't improve with 60 mg of Omeprazole so they began treating me for h. pylori (without confirming it with tests) or possibly an ulcer. Eventually I started having the more recognisable symptoms of acid reflux, although they primarily seem to be concentrated below my breastbone, right at the solar plexus. Eventually I was switched to Lansoprazole, 30 mg 2x a day, and although it's worked better than the Omeprazole my symptoms have never entirely gone away and recently seem to have gotten worse. I've been eating a very bland diet for months, without effect. No caffeine, no alcohol, no tomato sauce, no chocolate, very little sugar, no... just about everything. During a 3 week period at the very beginning I ate nothing but toast, plain whole wheat pasta, and bananas and drank nothing but warm water and still my symptoms didn't improve.

Finally, at the beginning of January my GP referred me to a gastroenterologist, suspecting it might be a hiatus hernia. My pain has been escalating recently and I was very eagerly checking the mail everyday for the appointment letter. However, during a confrontation with a very inept, awful GP at the surgery today, I discovered that the practice may, in fact, not have sent out the referral (the hospital department has no records of my referral, although they explained it could still be processing), leaving me nearly a month behind in my journey to heal this problem.

Because even seeing a gastroenterologist and getting an endoscopy will likely now be months away for me, on top of the three months I've already suffered, I'm becoming a little bit frantic. I'm now worried there's something else wrong with me, like possibly stomach cancer, and that all this medical incompetence will kill me. (These are the same doctors who prescribed me two drugs with a very serious interaction--irregular heartbeat--and then dismissed me as 'overreacting' when I turned up at their office with.... heart palpitations, dizziness, fainting episodes. I only discovered the interaction myself days later when I was checking the interactions on my meds to see if I could take a decongestant. Stopped one of the meds and all the dizziness and cardiac problems disappeared. Anyway, these doctors don't exactly inspire confidence.)

SYMPTOMS

- pain and difficulty with deep breaths (My partner pointed out that I 'raise' my shoulders to breathe. If you hold my shoulders down and try to get me to breathe just by expanding my lungs outward I sputter and cough and can't get a deep breath)

- burning pain concentrated around solar plexus (under breastbone), usually worse after meals, somewhat improved by the lansoprazole: PPIs tend to reduce the burning but not the general pain

- soreness and tightness in throat

- muscular pain in chest, left armpit, left arm, left hand (I don't think this is cardiac: i've had it for months and the pain is worse when I move, press on it.)

I've had a blood test (i'm iron deficient but not anemia), a chest x-ray, a stomach x-ray, and a lung capacity test, all of which were relatively normal. Would the hernia have shown up on one of the x-rays though? That's my concern. If I don't have a hernia I don't know what this is: it seems more complicated than simple GERD.

I apologise if I come off a little frantic. I'm frustrated and exhausted and a little terrifying. I'm seriously considering shelling out the £1,000 or so for a private endoscopy but apparently you also need a referral for one of those too and I don't trust my GP to actually send it out. Money is tight anyway. I'm trying to get into a new GP next week but with their preliminary appointments and wait times I doubt I'll get another referral out for at least 2 weeks. I doubt I'll have the endoscopy before June. I just don't want to find out months later, when my NHS referral finally trickles in, that I've been living with say, stomach cancer they could have treated if they'd caught it earlier. I'd be very young for stomach cancer, I know (I'm in my twenties) but with months to go before diagnosis my mind is running a little wild.

The relentless pain and breathing problems is also tearing my nerves to shreds. I'm crying hysterically several times a day and I keep having fantasies about injuring myself so I'd have to be taken to an A&E and treated, or at least properly examined. Anyone have any strategies for coping with pain, or the wait until diagnosis? Everyone else seems to have been diagnosed fairly quickly with an endoscopy and I'm fighting even to see a gastroenterologist. : (

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  • Posted

    OMG this is terrible!!!, i don't know whats happened to the medical profession, but i have had 2 years of a nightmare with my pain!. I have a sliding Hieitas Hernia and it makes my life a misery. I have constant pain under my right rib, heartburn after any fatty food, tea, salads, tomato based, bread. I don't know what to eat anymore!! I too thought it was Cancer, iv'e had so many tests now i've given up. No a scan will not show a Hernia, only an endoscopy, i've had 3!!!. Hidious, make sure your sidated, i didnt and it was horrific!. I also have GERD but no tablets have helped, so it looks like i have to live with this as they won't help me anymore, let us know how you have got on!
    • Posted

      My doc said if its a haitus hernia I have to take medication ie PPI for life
    • Posted

      Hi Lesly118.  Hope you are feeling better.  I do not recall anything from my endoscopy. I was talking with the nurse about the procedure one minute and the next the doctor about how it went.  Sorry you had bad experiences.  I responded to one of your earlier post but I'm guessing it is being looked over because I mentioned a website.  I know you were diagnosed with the hernia and I have read they have no real symptoms/pain either. What I mentioned before was gall bladder. Given your symptoms, have you checked it. You can look up gall bladder symptoms, the site I mentioned was a good one that gave detailed things and other issued related and the fact that antacid tablets do not provide relief for reflux associated to gallbladder but there are meds for it. Maybe the website will be released once the reply is reviewed by moderator. It is not an advertisement on any behalf. Just an informative site.  Good luck and better health.
  • Posted

    Hi There,

    I have just created an account here in order to reply to your thread as I believe I am in a very similar situation to you.

    I am 24 and have all of the symptoms of a Hiatius Hernia. I get full very quickly off very small meals, I get bad heartburn and also have problems keeping some foods down. When I burp the food tends to come back up again even after hours of eating.

    I went for a private consultation as my GP wasn't very helpful. The consultant said he isn't concerned about it being anything serious but I too was thinking of paying the £1000 for the endoscopy. I decided against this though as I have been told that if there are any complications with the test or if I require further treatment then I would also have to pay to have this done privately too as thr NHS wouldn't cover anything after I have been private.

    Can I ask what you decided to do in the end? I too was/am still concerned it could be something more serious and unsure what to do next.

    Thanks

    • Posted

      my advice is endoscopy or barium meal? or ulta sound scan . My doc has opted for ultra sound scan. But if on the outside chance  its ulcers then barium or endoscope would show them better than scans
    • Posted

      Hi there,

      thank you for the advice! It's much appreciated smile I am in the process of arranging an endoscopy but looking like it will take another 3 months unless I pay the £1000. I was just worried that if it was something bad then it would worry me having to wait 3 months to find this out!

      unsure how to progress with it really and just wanted advice from others as to whether or not it could be something more serious.

    • Posted

      I would get a second... even third opinion on whether going private will affect your rights for nhs treatment...im sure if they find a problem they would have to try to fix it
    • Posted

      It is not true that you cannot mix private payment and NHS payment. I've done it twice. It used to be, but this changed several years ago.

  • Posted

    Dear crabbier abbot, sorry to hear of your problems and you are still so young. Although I M&A sure there will be physical problems connected to this, perhaps stress relief and relaxation may help also, most problems with the stomach relate to stress in some way, I know mine does.

    good luck

  • Posted

    Hi around two years ago , I had a fits of belching none stop all day and felt really unwell, with breathlessness. I went to A&E because the belching would not stop. They just laughed and saidf indegestion just take gaviscon and sent me home. The continuois burping went on for a few weeks along with some episodes of searing heartburn. I also felt very nauseas in morning but wasn`t vomitting. It was more like morning sickness in pregnancy but I wasn`t pregnant .

    This year when I get really bad gas and heartburn I find I cannot swallowm any bread or food and have had serious choking episodes even with my own saliva.

    My doc put me on Lansoprazole PPI and though it works..I get serious vertigo and dizzy spells on it. So for now I am taking Gaviscon Double Action and this seems to work, til I get my appointment for an ultra sound scan as Doc thinks its a Haitus Hernia. He did feel a large lump ie mass beneath my skin in the center of upper stomach just under my chest. He said it was unusal to be able to feel it like that . He now suspects I have a double hernia.

    • Posted

      Hi I have had the problem with belching. I cured it using digestive enzymes. After about 3years I had an episode following using ibuprofen for inflamed knee. (Think it caused gastritis). Doc sent me for endoscopy and they found hiatus hernia. I thought great found the cause. I now wear braces instead of a belt and eat little and often and avoid gas producing foods like beans. This helped a little but the enzymes work like magic. A follow up visit to the specialist and he asked why I hadn't taken the omoprazole. They made me worse I said.  At this time I had no problems provided I use the enzymes. He said that I had inflammation in my osophagus and put me renetadine 75mg twice a day. (Because he said it will not get better on it's own). I stopped the enzymes and within a week I had severe acid reflux and belching back in force. Needless to say I'm back on the enzymes and doing fine. You don't have to stay on them. You will know when you can stop taking then and when symptoms return just take them again.
  • Posted

    BTW Don`t take Baking Soda in UK its not Bicarbonate of Soda. Baking Soda in USA is bicarbonate of soda.  I found the ordinary brand of Gaviscon didn`t help. I found apple cider vinegar the cold pressed organic recommended one, didn`t help me. What has helped me is Gaviscon Double Action. I tried DGL liquorice and I am sure it helped aswell.
    • Posted

      Dont forget about gaviscon advance- this is different to gaviscon double action
  • Posted

    "At the time I was generally only having 'silent' laryngopharyngeal silent, including a sore throat, lump in throat, and trouble swallowing. "

    I feel for you, I too have a sore throat, limp in throat and tyrouble swallowing even my own saliva. I choke and thats the bit i am scared by. Its like my windpipe closes off for a few secs seems like forever and Iam gasping for air. Its horrendous when that happens as I try to remain calm but its frighterning. The doc said all that would happen is I would pass out and the windepipe flap would open again..better sit down when i choke again . I like you think is it a hernia or cancer? But then I am older and post menopausal

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