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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Upper GI X-ray Showing Hiatus Hernia. Discomfort In The Upper Rib Cage, Throat Tightness And Heartburn. Proper Diagnosis?

3 years ago I had a upper gi xray series and it showed a very small hiateal hernia . I m having discomfort under the left upper rib cage under the breast and tight throat and heartburn . Today I had an endoscopy and the md said he didnt see my hiateal hernia. Is it possible for a small one to show on the barrium xrays and not shown when the endoscopy was done ?
Sat, 30 Mar 2013
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Critical Care Specialist 's  Response
Hi thanks for your question.
Hiatus hernia means a portion of your stomach enters into the chest through loose lower esophageal sphinter and produce symptoms of acid reflux into esophagus.The symptoms you have described are of hiatus hernia.It is possible that during upper G I endoscopy a small hiatus hernia was not visualised.You can take treatment for reflux disorder and repeat upper G I endoscopy after sometime to confirm hiatus hernia.
Hope this answers your question.
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Upper GI X-ray Showing Hiatus Hernia. Discomfort In The Upper Rib Cage, Throat Tightness And Heartburn. Proper Diagnosis?

Hi thanks for your question. Hiatus hernia means a portion of your stomach enters into the chest through loose lower esophageal sphinter and produce symptoms of acid reflux into esophagus.The symptoms you have described are of hiatus hernia.It is possible that during upper G I endoscopy a small hiatus hernia was not visualised.You can take treatment for reflux disorder and repeat upper G I endoscopy after sometime to confirm hiatus hernia. Hope this answers your question.