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Conditions and Diseases > Acid Reflux Forum > Tests to confirm or exclude a hiatus hernia
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Q: Tests to confirm or exclude a hiatus hernia
asked by: DoctorQuestion on July 18th, 2008
My primary care physician thinks I have a hiatal hernia because I have had a mannometry test and it shows everything is normal but my pressure in my LES is 20mm and it shoud be 70mm. He said this is common with hiatal hernias. Mycoughing was so bad with the virus I almost threw up from it. Is it possible to have a hiatal hernia after gastric bypass? I know I have 3 incisional hernias. This all came on very sudden I am very scared. How can a hiatal hernia be detected after gastric bypass. I have dysphagia to solids and esophagitis If I didn't take protonix I would really be in trouble.


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Dr. Nikola Gjuzelov , MD
replied on July 24th, 2008
Acid Reflux Answer A4450
Current medical status: after a virus and a lot a coughing i had terrible gerd all of a sudden in 9 days I could not swallow food it was as if it would go down but after about 10 seconds would get stuck. I have had gastric bypass 4 years ago.
Current medical treatment: protonix 40 mg twice daily I havent eaten solid food in 4 months because I cant I have had 2 endoscopes one revealed a stricture that formed in two months between my 2 endoscopes it was stretched and broke but still could not eat. This all exploded after the virus and use of Biaxin. I have never had any problems before this with gerd. I pretty much ate whatever I wanted. This all happened very suddenly.I have also had 4 barium swallows and an MRI

Manometry is not enough to diagnose hiatus hernia. You can request an upper GI series (barium enema) or upper endoscopy (gastroscopy) to prove or exclude hiatus hernia.


Besides a possible hiatus hernia, strictures can also cause your digestive symptoms.
It doesn’t seem likely to me that a viral infection could be the reason for your digestive symptoms.


You can consult a gastroenterologist about this.





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