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. : (

1 like, 57 replies

57 Replies

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  • Posted

    Hello have similar symptoms, how are you feeling now? It's been over a year - I really hope you found t,he cause and relief!

    best wishes, hope you find the time to reply. Thanks!

  • Posted

    Hi crabbitrabbit just read your post even though it was last year (I am new to this site) wanted to know how you got on ? I have an 2 cm hiatus hernia they say it should not give me any problems but I bloat as soon as I have food or drink just below wher my chest meets and then the acid comes with the wid feels like I going to pop my doctor says ospheal dismoblity which means the the muscle in your tube might be damaged let me know how you got on
    • Posted

      Hi ricky

      Do take your antacids regularily and if you have oarticular triggers like caffeine; tomato or citrus; do avoid them. also dont eat anything close to sleeping hooe it helps

  • Posted

    I know this is a old post, but do you smoke cigarettes? I do and feel the same symptoms as you that get worse after I smoke which in return has made me cut back a lot. I see a Dr soon been to the E.R. 4 times in one month because I thought I was having heart issues. Still think I am but I don't know. One trip to the E.R. Dr said to follow up with primary Dr and prescribed prilosec and ativan because its making me anxious. Did you ever find out what the issue was?

    • Posted

      My problem was my gallbladder was at 0% function and when surgeon removed I had large stones.

      My pain that I suffered with was gone immediately after surgery.

      The constant acid reflux subsided.

      Smoking made it worse from past experience. I haven't smoked since 03. I have suffered with this pain for a very long time.

      I feel better! Very happy my gallbladder was removed.

  • Posted

    Hello crabbitrabbit I think you are suffering from anxiety with acid reflux or GERD. You need PPIs empty stomach in the morning with husk at night to ckear your system. Also you seem to be on pranic healing (solar plexus) if you believe cantact me shall be very happy to help.

    Also hernia is not a disease just a condition which can aggrevate reflux.

    Do feel free to reply for any help

  • Posted

    Even though it has been a year since you posted this, I would recommend that you avoid the wheat.  The reason being that I had similar problems and I did have an endoscopy.  I was told that I had red patches on the stomach lining as well as my throat.  I was put on ranitidine but the problem persisted.  The doctor asked me to go on a FODMAP diet.  I did and discovered that I am sensitive to wheat. Since avoiding wheat I am no longer anemic.  All the time I thought it was my heavy menses but apparently even though they may have contributed, it seems that the wheat was causing the problem.
  • Posted

    I'm curious to know what you ever found out about what was going on with your body.

  • Posted

    Hi

    I see your post was posted over a year ago..did you get to the bottom of your pain?

    I've been experiencing most of what you had for over 20 years ..but not the breathing issues & have had numerous cameras inside me to find the culprit of my pain but to no avail..

    I'm currently going through another examination period at the moment..have yet again had the camera in to have a look but they only found a slight inflation at the entrance to my stomach which they've told me will heal up with the lansoprezol ..( Although I'm already on 60mg per day & have been for a number of months now )

    Tomorrow I'm going for an ultrasound maybe that might show up something..but to be honest I'm not holding out much hope as this is what happened in 1998 .. but now even the pain killers don't have much effect on my pain now.. although the pain has always been directly behind my solar plex it has now started behind my lower breastbone on my right hand side as well .. when it first started around 6 months ago I thought it was a stitch pain but it's got a lot worse since then..sad(

     

  • Posted

    Hi

    What did they finally diagnose about ur stomach and sternum pain?

    I am HAVING THE EXACT SAME SYMPTOMS!

    My EGD and colonoscopy is next week

    Im very scared.

    LITERALLY same symptoms!

    What is this?

    Thank u!

    Megan

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