I was diagnosed with a hiatus hernia when I was 15 years of age. I was taking reflux medications from that time on and as soon as PPI's became available, I began taking them. I had regular endoscopes because of gastric flare ups and for the purposes of just keeping a general eye on things, as should happen when you are a long term user of PPI"S. I was having additional problems with pain in my RUQ in 09, which escalated to bloating and general pain in my sternum,in my back and right around my diaphragm, coupled with these weird breathing problems. Ultrasound found dilated common bile duct( never investigated ) and a fraction test showed my gallbladder at 44%. Gp said nothing to worry about. I had already been considering a nissen fundoplication anyway, as it was discovered in 2002 that my small hiatus was now large. I went to a surgeon who said he was happy to do the procedure, but wanted to see an endoscopy of the said hernia. As I was already booked in to see a guy who had done the last 3 scopes, he said it was fine to have it done by him, who is in fact a well respected Professor. Imagine my supprise then, when I find out that I have NO hiatus hernia and just Halicobacter and gastritis. In fact, the 2 scopes before that only showed gastritis. So on the very day, I am laying in pre-op and told I have no hiatus but he will do the fundoplication because of gastritis history. So in Dec 09 I go into surgery thinking that nobody believes that I am sick and simply have some reflux. 4 hours later I wake up in the ward and am visited by the surgeon who tells me that he perfomed a procedure on a large complex hiatus hernia, and to the Professors credit, it would have been difficult to spot because of the size of the tear in my diaphragm. My gallbladder also had some quite a few adhesions, as he also had a look at that. It took a while for alot of the symptoms to subside and I no longer suffered from reflux but had a couple of gastritis flare ups. The op was a success and I was able to function normally again. However, after quite a bit of weight gain and 2 days of heavy lifting on my hobby farm, bang. In Nov 11 I had a terrible feeling of pressure and pain and over a period of time, the same symptoms and a few days later, I was having bouts of reflux again. I managed to get in for a scope with the same surgeon who told me that everything is normal except for there being an increase in my LES of approx 4mm. The reflux has gone but the other symptoms persist, and a ultrasound shows that my common bile duct has dilated some more. I gather when my surgeon gets back from holiday, he may investergate this(as ultrasound was ordered by my GP and viewed by surgeons colleague)but my other concern is, that I felt something when lfting, and as a hiatus was missed by an endoscope and a Professor, what's to say it hasn't been missed again. I have a gnawing pain below my sternum, breathing problems and bloating still and it is difficult to where a bra. Has anyone here ever had a wrap herniation, or problems with a hernia being spotted with an endoscope? My surgeon appoint is on the 12/3 which is an long wait again, as this has been going on since November. I ask my GP for a barium swallow meal, but she bluntly refused.