I have been diagnosed with small hiatus hernia

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I have intermittent severe pain in the stomach area . It is usually worse in the morning on waking up. I had my gallbladder removed because it was thought that this was probably causing my pain. The gallbladder was in fact diseased and had gallstones in it but the pain didn't go away. My energy levels have almost returned but because all blood tests and a scan showed no other problems I had a full endoscopy, ie both gastroscopy, and colonoscopy. A small sliding hiatus hernia was found but the biopsies I had taken have not yet been reports on. I am 74 and a very keen gardener so I do a lot of bending and stretching which doesn't seem either to make my pain better or worse. My gallbladder op was end of January. I can't make any rhyme or reason for the pain and would be grateful for any one else's experiences of hiatus hernias. I do wake up with a croaky voice often but I don't suffer from reflux. I don't drink and I am a pretty healthy weight. I don't have constipation or other bowel problems.

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7 Replies

  • Posted

    Hi mvwaugh

    i have read about the problems you are having with your small sliding hiatus hernia

    in particular the pain and discomfort you are having when you wake up in the morning.

    you might want to try a few simple things like not eating before going to bed and raising your mattress at the head of your bed or raise your pillows so your chest is raised, reducing the posiblity of your stomach sliding through the the small hiatus (hole)in your Diaphragm and into your chest whilst you are sleeping in a horizontal lying position which can cause stomach acid to run out of your stomach and burn the bottom of your osoephagus(sever Heartburn) as a keen gardner you can aviod  bending down to much by using a kneeling pad  to reduce the instance of having to stand up and bend down all the time small hernias can become bigger through time in the abscence of surgical repair  you must look at ways of reducing pressure on the diaphragm whilst carrying out daily living tasks .to reduce the instance of your small hernia becoming bigger

    .you may want to find ou more informationt from your gp what size of hernia you have.e.g  1cm or 2.5cm or  i was informed i had a small 5cm hiatus hernia which is two and a half inches. i have had a lot of surgery in the past to repiar hiatus hernias which unfortunately were  unsuccessful i do hope that your get some relief from your current symptoms .

    • Posted

      Thank you so much for your reply.  In answer to the question of how big the hernia is, it was found to be 5cms long. I do use a kneer for gardening but unfortunately I have a not so good left knee which doesn't help.  I am taking omeprazole 20mgs night and morning which I think does help a bit but I am not too happy about that longer term as I gather it means that the stomach acid being less, essential nutients a

      re not absorbed as well.  I learnt that in particular osteoporosis can become another issue to contend with.  I had a bone scan last year and it was considered to be okay.  I am also hypothyroid so energy levels are not always what I would like but this may just be an age related problem and post surgery which even if keyhole takes a lot longer to recover from.  Again thanks for your suggestions, the bed head raising one is certainly something which I may ask my husband to address for me. I am interested that your surgery repair to the Hernia has not been terribly successful, I had read that this can be done but I was going to ask my surgeon who did the gallbladder removal whether this was an option. Maggie

    • Posted

      Thank you so much for your reply.  In answer to the question of how big the hernia is, it was found to be 5cms long. I do use a kneer for gardening but unfortunately I have a not so good left knee which doesn't help.  I am taking omeprazole 20mgs night and morning which I think does help a bit but I am not too happy about that longer term as I gather it means that the stomach acid being less, essential nutients a

      re not absorbed as well.  I learnt that in particular osteoporosis can become another issue to contend with.  I had a bone scan last year and it was considered to be okay.  I am also hypothyroid so energy levels are not always what I would like but this may just be an age related problem and post surgery which even if keyhole takes a lot longer to recover from.  Again thanks for your suggestions, the bed head raising one is certainly something which I may ask my husband to address for me. I am interested that your surgery repair to the Hernia has not been terribly successful, I had read that this can be done but I was going to ask my surgeon who did the gallbladder removal whether this was an option. Maggie

    • Posted

      Hi maggie

      i recieved your reply. you have the same size of hernia as me 5cm get a ruler and mark a 5cm line on a piece of

       

    • Posted

      hi maggie

      sorry for break in my reply i was interupted. i had undergone 4 operations in 3 years to try and repair my hernia. unfortunately for me there was no such thing as keyhole surgery back in the 90,s and all my proceedures were open which caused further complications such as broken ribs collapsed lung large scar across chest chronic post operative pain a  thoracotomy to repair a hiatus hernia is a major operation  however with keyhole surgery alot of the surgical complications are erradicated . and recovery time is a lot quicker.i had a patch placed on my fourth operation to strengthen the diaphragm in 1993 which lasted until 2012 (19years) when i was diagnosed with a 5th reocurrent hernia.

      i am not trying to scare you only trying to make you aware that the option for surgery should not be taken lightly . i was clearly an individual with a high propensity for reoccurrence. hence the amount of surgery i had in the past. your symptoms would need to that bad that it interfered with  your quality of life before any surgeon would consider an operation 

      the operation to repair an hiatus is called a nissun fundoplication it involves pulling down any abdominal contents from the chest cavity above the diaphragm sewing up the hole in your diaphragm and finallywrapping your stomach around your osoephagus like wrapping a scarf around your neck which tightens up the the valve at the top of the stomach which prevents acid leaking into your osoephagus and burning the lining of your osephagus

      laproscopic repair is alot less traumatic to undergo and has a higher success rate. having been through the mill myself i am only informing you what is involved i hope it is of some help to you

      Andrew

       

  • Posted

    Thank you very much for sharing your experiences with me.  It does sound as if you have had a very traumatic time.  I hope that the latest repair does the trick and you don't have to go through any more surgery.  I am not really thinking that this will be necessary for me, I am hoping that with the aid of the Omeprazole and possibly bedhead raising I may live out my days relatively comfortably.  Thanks again.  Maggie
    • Posted

      that is the approach i should have taken 25 years ago  today i have chronic neuralic pain from repeat surgeries and a 5cm hernia i do hope that you can get future relief from the steps you mentioned. all the best for the future Andrew.

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