Re: hiatus hernia
The nurse was right in that a hiatus hernia typically doesn't result in noticable symptoms. You will find on many HealthBoard threads that there are many people who feel the same that you do.
The most common type of hiatus hernia is a sliding one. In this instance, a small portion of the stomach slides up through your hiatus, or small hole in your diaphragm where your esophagus goes through to connect to your stomach. It then slides back down into a normal position. This is the type that typically doesn't result in symptoms.
There can also be paraesophageal hernia which could cause symptoms and is more serious. It is much more rare in occurance. I would imagine your EGD would have given you this information if that was the case.
It sounds like you might have other things going on in addition to the hernia. Do you have a follow-up appointment with your GI doc? I've had follow-ups a week out each time that I had EGD's and for my Colonoscopy. At that time, my GI doc discussed the results more thoroughly and also discussed my next course of actions. Did they do any biposies during your testing? I got results from mine at that time too. They tested for other things in order to rule out what may or may not be causing my symptoms. In addition to the testing done during the EGD, they also took several blood and stool samples during the time they were trying to figure things out. They tested for ulcers, h. pylori, celiacs, c. diff., etc...
Typically with a small hernia, they won't do much about it. They may want to monitor it over time. In my case, I had a Barium Swallow. It is an x-ray that they watch while you swallow various substances with Barium. They are able to watch your chewing and swallowing processes to see if there are any problems. That is where they found my hernia. They were also able to confirm that I had food and acid refluxing up that was irritating my lungs.
If you have reflux, they may also do a pH test. There are two types. One they stick a tube down your nose and esophagus for 24hrs to monitor your refluxing incidents. It isn't as bad as it sounds. I've had it done twice. In the other, they use a small capsule to monitor your reflux. I think it usually monitors for 48 hours.
By the way, in addition to the reflux, I had everything else ruled out over the course of months and was eventually officially diagnosed with IBS for my digestive issues.
Last edited by MountainReader; 05-02-2009 at 10:40 AM.