Doctor insights on:
Hiatal Hernia Shoulder Pain
Not normally: A hiatal hernia can caused referred pain to the left shoulder rarely but not normally to the right shoulder. One way it could cause some referred pain would be if the hiatal hernia is causing so much irritation to your diaphragm that its spasming on the right, which could lend itself to some referred pain, but this is not very common. I hope this helps! ...Read more
Shoulder pain is multifactorial. It can be from bone issues -- like arthritis. It can be from muscle tendon issues -- like a torn rotator cuff, or when a tendon is inflammed. It can also be from nerve issues -- like a bulging disk in your spine. Each diagnosis ...Read more
Have upper abdomin discomfort and pain, months now. Gp suspects a hiatal hernia. Now noticed referred shoulder pain when press below the ribs centre of abdomin. Does this influence urgency of being seen? Referred to hospital but no appointment yet
Gallstones?: Have you had any imaging done? Upper abdominal discomfort can be many things. Gallbladder disease can present as you describe. That is best evaluated with ultrasound. CT scan may be helpful as well, and will identify a hiatal hernia. The most common symptom of hiatal hernia is heartburn that's hard to treat. ...Read more
I have a large hiatal hernia and have really bad chest and shoulder pain. How does the hernia make u get this pain? Your arm and tummy ain't conected
Referred pain: The nerves that control your diaphragm muscle come from up in your neck. So when those nerves get irritated you feel the pain where they come from, ie your shoulder. Your whole is body is connected in ways that we don't often think about.. ...Read more
I had hiatal hernia surgery in May and am still experiencing Lt shoulder pain like I had when the surgery was done. It is a dull, throbbing pain, but?
Could a hiatal hernia cause back pain just to the right of the spine about 1 inch below the shoulder blade?
Yes: Yes it could. I would have this evaluated as most hiatal hernias do not cause pain unless there is some other problem. The possible problems could range from an early ulcer forming, to a portion of the stomach or other part of the intestine that is partially/intermittently stuck within the hernia and can't get out when it needs to. See a gastroenterologist or a surgeon. ...Read more
I have a large hiatal hernia. Whenever I get severe stomach pains, the pain also travels to my left shoulder. Why is this?
Nerve root: Hello, as babies when we are developing stomach gets its nerve supply through the same nerve root that supplies the shoulder. After we grow the stomach gets pulled down but because the nerve supply is the same, any pain in the stomach or spleen area can radiate to your left shoulder blade. ...Read more
Hiatal hernia repair without fundoplication? No reflux issues, just constant shoulder/chest tight ness and SOB- Due to hernia interrupting diagram???
Hiatal hernia repair without fundoplication possible? I don't have acid reflux problems. But constant shoulder tightness, SOB, andchestpain when relax
I had a surgery for a hiatal hurnia almost two years ago. And I am still having shoulder pain when I breath deeply. What could be causing that?
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
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
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
Complex: Hiatal hernia is a spectrum of disease from mild with no symptoms, to a severe, life threatening condition. Large hernias are also called paraesophageal, and can be associated with progressive symptoms of difficulty swallowing, sensation of food sticking in the lower chest, vomiting, chest pain/pressure, anemia, and weight loss. Consider a consult w/ an experienced laparoscopic surgeon if present. ...Read more
Heartburn: Not all hiatal hernias are symptomatic, but can explain symptoms if present. Commonly have heartburn, sore throat in morning, maybe even chest pain (from esophagus). Gerd (reflux disease) may even make asthma worse. See your doctor. Treatment usually starts with acid-reducing meds, with further studies like endoscopy or radiograph ordered at your doctor's discretion. ...Read more
Essentially No: Unless the hernia is so large that nearly all the stomach is in the chest and a gastric volvulous occurs (rare) needing emergency surgery. Heartburn ; reflux symptoms are usually treated medically. Elective surgery for some situations. Be sure you see a doctor for the proper testing. ...Read more
Surgery isn't usually: Needed. Any time an internal body part pushes into an area where it doesn't belong, it's called a hernia. There are 2 types of hiatal hernias, sliding and paraesophageal. Many times there are no symptoms, other times symptoms can be heartburn secondary to gerd. In sliding hiatal hernias, no surgery would be indicated. In some cases in a paraesophageal hernia, surgery is needed, discuss with md. ...Read more