Could large hiatal hernia be missed on x-ray?

Yes. A regular chest x-ray should reveal a large hiatal hernia, but if done for another purpose it could be missed. Ct scan can also miss this if they are looking for something else. Very unlikely to be missed on an upper GI contrast study or esophagram. Hope this helps!
Possibly. If large enough it could appear as an air bubble in the chest or hazy density behind the heart. A lateral x-ray usually shows it better. Can still be missed. A large hernia should show up well on a ct scan with oral contrast. If really there and you have symptoms you will probably need upper endoscopy to fully assess.
Assuming a chest. Radiograph, then not usually, especially if it contains air and the chest radiograph included both a frontal and side projection. However, if the stomach had no air in it, it would be difficult to see behind the heart on a frontal radiograph.
Yes. Hiatal hernias can be missed on xray because they are sliding in nature -- very position dependent. They are more prominent when supine and will be less so when upright.

Related Questions

Possible hiatal hernia - how can one tell without an X-ray or some procedure?

Hiatal hernia. This cannot be felt on physical exam so some sort of test is needed to diagnose, ex: x-ray swallow or upper GI endoscopy. This should be diagnosed and properly treated because symptoms of hh are similar to other much more dangerous conditions, such as malignancy. Read more...
Impossible. A hiatal hernia can cause reflux, heartburn, difficulty breathing(if large) after eating. The problem is that all these and other symptoms can be caused by othe conditions. The only way to know for sure is through a barium swallow and or endoscopy. Read more...

Had numerous abdomen x rays and CT scan also chest scan and x Ray and 2 ultra sound of liver and gallbladder could they have noticed a hiatal hernia?

Yes, on chest ct . Hiatal hernia should be able to be visualized on a chest ct unless it is very small . It usually wouldn't be visualized on liver/gallbladder ultrasounds. It might be visualized on x rays if it is large enough. Read more...

Would hiatal hernia cause heavy chest/short breaths and insomnia? I always get to sleep fine but wake up several times in the early morning. X-ray?

Yes. . Only if it is a rather large hernia that is compressing on your heart and lungs. A chest x-Ray wouldn't be a bad start, but I assume that's how it was diagnosed. Good luck, hope this helped. . Read more...

44 fem anxty/panic hiatal hernia center chest pain in betw breast reflux burping EKG chest X-ray labs all good. 40mg Prilosec worried about cause?

The hiatal hernia. This type of hernia causes the reflux. If you're happy with your symptom control on the prilosec, it's ok to continue, but that drug causes oseoporosis, pneumonia, and gastric polyps. As young as you are, i recommend you consider having the hiatal hernia repaired by a surgeon, which ends your reflux for good. Also, if you have "asthma", this may be the reflux and an operation can cure that too. Read more...
Many reasons . Large hiatal hernias referred to as paraesophageal hernias can cause this type of pain. Esophageal spasm could also be a cause. An upper GI contrast study, esophageal manometry, 48 hour ph study, and upper endoscopy should be able to sort out any anatomic imitate physiologic issues if the esophagus and stomach that may be causing your pain. Read more...

If I have a hiatal hernia that goes up and down and if I made the gastroscopy when it was down, the doc may have missed it right? He saw a small one

Don't worry. Small hiatal hernias are very common, and not dangerous. They are sometimes associated with heartburn and/or regurgitation, that are usually well controlled by reducing stress, diet modifications, and sometimes anti-acid medications. Hope this helps! Read more...

Can endoscopy and a CT scan with IV contrast and swallow miss a hiatal hernia? I have tightness in my stomach / lower chest. Worse when standing

Hiatal hernia. Both cy scan and endoscopy will show hiatal hernia. The endoscopy upper, will show a widening of the stomach above the lower esophageal sphincter. Describing your problem you note pain worse when standing which doesn't fit. Ask your doctor to look at ct scan for any hernias. He/she can also review previous endoscopy. Hope this helps. Read more...
No. The possibility that all 3 of those studies missed a hiatal hernia is about that of winning the lottery. Your problem could be from a functional problem with the esophagus, generally referred to as esophageal motility disorders. These are best diagnosed with high resolution esophageal manometry in a center that does a high volume if these to get the best results. Read more...