Not Acid reflux, Hiatal Hernia .. what now?

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New Member

Date Joined Aug 2009
Total Posts : 10
   Posted 9/25/2009 2:34 PM (GMT -6)   
I had an endoscopy the day before yesterday and found out that I don't have a problem with my les, I have a hiatus hernia.
It looks like all of the symptoms are identical for hiatal hernia and Gerd, the treatment is the same, but is everything the same?
For instance, I stopped eating chocolate because its bad for the les, but since my les is not bad, is chocolate any worse then any other food.

As it is now, almost anything I eat causes me problems; as a result, my diet consists largely of peanut butter and jelly sandwiches, for some reason this doesn't seem to bother me.

I'm having a PH study done, but my appointment is not for another two months :(
Still having the breathing issues and all the rest.. it sucks.

Thanks for any input. :)

Forum Moderator

Date Joined Feb 2009
Total Posts : 7188
   Posted 9/25/2009 4:47 PM (GMT -6)   
Hi Paja,
Whether your LES is badly defective or not, the chocolate, caffeine, and peppermint will still relax the muscle. If you're even mildly dealing with a less than perfect LES, then I'd still avoid those triggers. Do they bother you? You could try them and see if they do.
If you're having lots of trouble, though, don't rule out going to a different GI doc. I had to fire my first GI doc before I found someone who could help me out. I'm sure others will be by to give you some ideas and support. This is a great forum, and you'll get lots of help here.
Best wishes!

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 9/25/2009 5:41 PM (GMT -6)   
Have you had a manometry test? When you do the PH ask for the BRAVO. It's the least worrisome of the two. They put it in, you wear a computer for two days and 7 days later it falls off and passes on through.


New Member

Date Joined Aug 2009
Total Posts : 10
   Posted 9/25/2009 11:17 PM (GMT -6)   
So far my GI doc has not been all that forth coming with information.
I have very little consultation time and the info I have gotten, I got from calling back and talking to a nurse.
I haven't had a manometry test, and don't actually know what that is?

As for the PH test, I'm not sure that I have any option about what kind I get, the test was ordered but, like most of my problems, the gi doc never discussed it with me so, I'm having to do my own research to find out info on it.

Chocolate does bother me, but so do many other foods that are not on the lists.
It's hard to think that I can never have chocolate again.
If I end up having the surgery, will I be able to eat like normal people?
Are people able to be active after nissen fundo surgery?

Thanks again for your input :)

Elite Member

Date Joined Jul 2009
Total Posts : 14475
   Posted 9/26/2009 11:18 AM (GMT -6)   
The manometry test is a measurement of your reflexes and pressure in your esophagus.
It's not fun, but it's nessary.
1. They deaden your throat and nose with a spray or gel. No seditation allowed.
2. They feed a long cath. down your nose to your stomach as you swallow water. (you will gag, choke and feel nausea)
3. They lay you slightly back (gagging will ease after they do adjustments).
4. They have you swallow water ten times as the computer reads the measurements.
5. They pull it out quickly and let you rest for a moment.
If you don't fight them and go to your "happy place" during this it is not too bad.

If your GI won't talk to you, you need to find a different doctor or tell him up front you want to know everything.

Different foods affect different people differently. If I eat PP&J I burn. Chocolate doesn't hurt me at all.


Veteran Member

Date Joined Dec 2008
Total Posts : 4961
   Posted 9/26/2009 11:43 PM (GMT -6)   
I agree you should have a PH study and manometry done. I am not sure the EGD is a definitive way to tell if you have GERD or not. Most GERD suffers also have a hiatal hernia. The bravo ph study is easier to tolerate, but has to be placed during an EGD. I have been told that the wired study is more accurate because they can measure exactly where the LES is with manometry and then place the wire exactly where it needs to be for an accurate study. They can only guess where the LES is for sure during an EGD. I also agree that if this GI dr. won't discuss things with you it is time to fire that GI and find someone who will take the time to explain everything you have questions about and then some.

Take care,
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