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Doctor insights on: Esophageal Spasm Hiatal Hernia

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I had a vertical sleeve gastrectomy 16 months ago with hiatal hernia repair. 2 weeks ago I started having esophageal spasms. Should I be concerned?

I had a vertical sleeve gastrectomy 16 months ago with hiatal hernia repair. 2 weeks ago I started having esophageal spasms. Should I be concerned?

Not normal: Esophageal spasms are not normal. Not a reason for emergent concern but please follow up with your surgeon and discuss your symptoms. You might be advised to get a barium swallow or upper endoscopy or both. ...Read more

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below the ...Read more


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Expering severe esophageal spasms, with vomit - parent was diag w/ hiatal hernia w/ identical symptoms, prescript. Antacids 2+ mo w/ no help- nxt?

Expering severe esophageal spasms, with vomit - parent was diag w/ hiatal hernia w/ identical symptoms, prescript. Antacids 2+ mo w/ no help- nxt?

Follow up with MD: You should follow up with your GI specialist, to have symptoms worked up, with endoscopy, perhaps motility studies, and an uper GI series. ...Read more

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What causes a tortuous esophagus if its not a hiatal hernia?

What causes a tortuous esophagus if its not a hiatal hernia?

Motility disorder: It could be a motility disorder such as distal (formerly diffuse) esophageal spasm or a nutcracker esophagus. High resolution Manometry is the test to find out. A small tube is placed into the esophagus and you swallow water 10 times. It measures the valve pressures and the coordination and strength of the muscle contractions. Hope this helps! ...Read more

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I've been diagnosed with a Hiatal Hernia and Nutcracker Esophagus. How do I determine which is causing my symptoms?

Probably nutcracker: IF your symptom is chest pain, its probably the nutcracker. IF you have heartburn and/or regurgitation, its probably the lower esophageal sphincter. IF the her is is large (paraesophageal), the symptoms would be chest pressure and difficulty eating. There is much more info on this, and I hope this helps clarify a couple things or guide your own research. ...Read more

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What causes an irregular z-line other than barrett's esophagus or a hiatal hernia?

Normal variation: The z-line, where the esophagus lining connects to the stomach lining varies quite a bit from person to person. Not everyone has a straight circle -- that's why it's called the "z"-line, because an irregular border is normal. Some things that can make it more abnormal could be reflux of bile or acid into the esophagus, poor esophageal squeezing, or just a normal variation. Good health! ...Read more

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8mm module in lower esophagus found from a endoscopy. I also have a hiatal hernia. Do I have cancer? I'm 23 and relatively try to be healthy.

8mm module in lower esophagus found from a endoscopy. I also have a hiatal hernia. Do I have cancer? I'm 23 and relatively try to be healthy.

Probably not: Especially at your age, most often these are little benign tumors, but it's your physician's job to decide. Esophageal cancers usually look nasty and a physician will be suspicious. Ask whether a biopsy was obtained. If so, chances are it will come back benign from the lab. If your physician didn't think it was worth biopsying, it's almost certainly benign. ...Read more

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Are you more prone to having esophagus polyps after having one with severe GERD and common hiatal hernia?

Are you more prone to having esophagus polyps after having one with severe GERD and common hiatal hernia?

Not true polyp: Esophageal polyps are called pseudopolyp, mean not real polyp, caused by the inflammation driven by the reflux, there are not a true polyp that can turn to cancer and they diseapear with treatment
so try to take care of your reflux, follow the diet, no late meal, or snack, sleep with head elevated, take medication as Rx, avoid caffeine and spicy food, and eat multiple small meal, avoid tight cloth. ...Read more

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Yes I have hiatal hernia and esophagititis stage 3 and a esophagus scricture and I have been on meds. For about 10 yrs. No help I throw up const.

Yes I have hiatal hernia and esophagititis stage 3 and a esophagus scricture and I have been on meds. For about 10 yrs. No help I throw up const.

Stricture: If you have an esophageal stricture from GERD, you are probably a candidate for a surgical antireflux operation & hiatal hernia repair. Make sure this is done by an experienced laparoscopic general or thoracic surgeon. Hope this helps! ...Read more

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I have a hiatal hernia that flared real bad burning pain between shoulders and feels like my esophagus is on fire vomiting yesterday is this normal?

I have a hiatal hernia that flared real bad burning pain between shoulders and feels like my esophagus is on fire vomiting yesterday is this normal?

No: It sounds like your hiatal hernia is contributing to severe reflux disease (gerd) that requires treatment. You need to at least have medical treatment with a prevacid-type pill, and possibly surgery to correct the hernia (laparoscopic nissen fundoplication). If the severe pain occurred after prolonged vomiting you may have torn your esophagus - go to the er immediately! ...Read more

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I have a History (esophageal hiatal hernia 3 times). I now have a 11 mm diameter fat containing umbilical hernia (fr. A Cat-scan). Do I need surgery?

I have a History (esophageal hiatal hernia 3 times). I now have a 11 mm diameter fat containing umbilical hernia (fr. A Cat-scan). Do I need surgery?

Surgery: Surgery will be considered once the surgeon you will see. If your surgeon thinks you need surgery I would follow his advice.
Please let me know how things go. ...Read more

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I have really bad reflux with hiatal hernia significant in size. My esophagus is not working properly for surgery. What can I do my last thing to be done was the pressure test for my esophagus and it isn't working properly. I am tired of the pain and tired

I have really bad reflux with hiatal hernia significant in size. My esophagus is not working properly for surgery. What can I do my last thing to be done was the pressure test for my esophagus and it isn't working properly. I am tired of the pain and tired

With: With a large hiatal hernia and years of suffering you woul likely benefit from a discussion with a surgeon who does a good number of anti reflux surgeries. While I can't say you absolutely need surgery, I can say you absolutely should a least have a discussion with a surgeon since it sounds like your problem is at partially due to the anatomy- hiatal hernia. Good luck. ...Read more

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How can you tell the difference between hiatal hernia/gerd symptoms and esophageal cancer symptoms?

How can you tell the difference between hiatal hernia/gerd symptoms and esophageal cancer symptoms?

Get scoped: Symptoms cannot usually differentiate these entities until esophageal cancer is far advanced. If you have had gerd symptoms for a few years, upper endoscopy may be indicated. Consult with a gastroenterologist or surgeon. ...Read more

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Doc found 8mm nodule in distal esophagus. Referred. Me To another doc for ultrasound waited months now going next week, cancer? I have hiatal hernia.

Doc found 8mm nodule in distal esophagus. Referred. Me To another doc for ultrasound waited months now going next week, cancer? I have hiatal hernia.

Usually not: Distal esophageal Ca is a lesion of mucosa most often induced by H.pylori. It pesents with ulceration and then invasion of wall of esophagus with gradual obstruction. US good to look at extent of Ca invasion into muscular wall of esophagus. Many causes of nodule in wall? For which bx indicated. ...Read more

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Have a 8mm nodule in distal esophagus, am I fine? I do have acid reflux from. My hiatal hernia. Going for ultrasound 6 months later. I'm 23. cancer?

Have a 8mm nodule in distal esophagus, am I fine? I do have acid reflux from. My hiatal hernia. Going for ultrasound 6 months later. I'm 23. cancer?

Here are some...: Your Q can not be answered with yes or no, and it would be most logical and beneficial to refer this Q to your treating doc for specific individual details. Besides, following instruction in articles listed in http://formefirst. Com/eNewsletter. Html, http://formefirst. Com/LifeFacts1.html, http://formefirst. Com/LifeFacts3.html, etc. Can be very helpful to handle many daily health-related issues. ...Read more

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Can there be a natural remedy for acid reflux disease, barretts esophagus and hiatal hernia?

Weight loss, elevate: Keeping the intra-abdominal pressures low is the key to keeping food/acid from refluxing into your esophagus. If you keep your head about 30 degrees (using cinder blocks under the bed posts is an inexpensive way to do this) of the parallel, most reflux is prevented. Weight loss also reduces abdominal pressure and keeps the food where it should be. Good luck! ...Read more

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I hope I don't have cancer, 23 yr 2 years of acid reflux from hiatal hernia, doc found distal esophagus nodule 6 months later ultrasound 2days cancer?

Unlikely: Acid reflux can lead to cancer but it takes 20 to 30 years of persistent reflux before we can suspect that complication. Your problem is likely to be unrelated to acid reflux. But your doctor will provide you some answers. Ultrasound is not always reliable. So an Endoscopy is done as a preferred test to examine the esophagus from inside and check it out more reliably. ...Read more

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Large hiatal hernia with moderate to severe gastroesophageal reflex disease with erythema and ulceration in the lower and mid third of the esophagus?

Large hiatal hernia with moderate to severe gastroesophageal reflex disease with erythema and ulceration in the lower and mid third of the esophagus?

Take Precautions: With that kind of esophageal damage, your dr should have you on reflux medications. You should also have planned follow ups to be sure the treatment is working and the ulcerations are resolving. You should also discuss long term treatment options (medication, surgery). ...Read more

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I was diagnosed with chronic esophageal inflammation, stomach ulcer and hiatal hernia. Will that cause chest pain L side? Card. Said heart was fine

I was diagnosed with chronic esophageal inflammation, stomach ulcer and hiatal hernia. Will that cause chest pain L side? Card. Said heart was fine

Its possible: Depends on the size of the hernia. It also depends on the characteristics if the pain. Could also be esophageal spasm. Ask your doctor if an esophageal Manometry test is appropriate, and/or a referral to a GI doctor. Hope this helps! ...Read more

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Symptoms: vomiting blood, 2 egds reveal hiatal hernia, severe inflammation of esophagus and duodenum. Weight loss of 15 lbs in 2 months. What's wrong?

Symptoms: vomiting blood, 2 egds reveal hiatal hernia, severe inflammation of esophagus and duodenum. Weight loss of 15 lbs in 2 months. What's wrong?

Maybe paraesophageal: This coul be due to a large hiatal hernia known as a paraesophageal hernia. This generally requires surgical repair by a surgeon with extensive experience in laparoscopic hiatal hernia repair. ...Read more

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Painful spasms and twisting pain directly under left ribcage on bending. I have a hiatal hernia. Any relation?

Spasms: Probably not related to your hiatal hernia but definitely in need of attention by your doctor.

If there is a long wait period to see the doctor please go to the nearest Emergency Room. ...Read more

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How is a hiatal hernia repaired?

How is a hiatal hernia repaired?

Laparoscopic Surgery: A hiatal hernia is an enlargement of the normal hole in the diaphragm muscle thru which the esophagus passes to enter into the abdomen. A hiatal hernia may lead to gerd by virtue of the stomach yo-yo-ing up thru the hiatus into the chest. Surgical repair involves three key steps: return the stomach to the abdominal cavity, tighten the hole in the diaphragm, and create a new valve to rx reflux. ...Read more

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Could hiatal hernia get smaller?

Could hiatal hernia get smaller?

No: Hiatal hernias don't resolve. Fortunately, most do not cause symptoms or problems. They often enlarge with time, but not always. ...Read more

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How is a hiatal hernia diagnosed?

How is a hiatal hernia diagnosed?

X-RAY, Endoscopy, etc: A hiatal hernia is an enlargement of the hole in the diaphragm thru which the esophagus passes to enter the abdominal cavity. This commonly leads to the stomach "yo-yo-ing" up into the chest, which may cause gerd (reflux). This can be seen by ct scan and by upper endoscopy. ...Read more

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Hiatal hernia how can I cure it?

Operation: The only "cure" or a hiatal hernia I to have it surgically repaired. I would look for a general or thoracic surgeon with extensive experience performing thi procedure laparoscopically. You may need some testing before operation as well. ...Read more

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How do you know you have a hiatal hernia?

Scope vs X-ray: There are multiple ways to make this diagnosis, but the most common ways are upper endoscopy (a camera inserted into your mouth and stomach) or some type of x-ray. Often you will drink a dye and have an "esophagram" test. Ct scans can often show large hiatal hernias as well, but may not show a small one. Talk to your doctor to see what's best for you. ...Read more

Esophagus (Definition)

This is the muscular structure built like a tube that connects your throat to the stomach though which food ...Read more


Dr. David Earle
1,453 Doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more