Which tests determine Hiatal Hernia size?

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New Member

Date Joined May 2014
Total Posts : 8
   Posted 5/23/2014 8:48 AM (GMT -6)   
Hello everyone,

After undergoing an Endoscopy, I was diagnosed with GERD, which has been "silent" up until recently, as well as a "small" HH.
I did have many many years of spontaneous sever abdominal pain, along with indigestion. I have been on Prevacid which doesn't seem to help with the nose and throat burning. Switched up to Prilosec, so we will see how that goes.

My question is, which test do they use to measure the exact size of the HH? Is it the impending test?

I am 32 yrs old, so I would like to avoid being on pills for the rest of my life. I am very curious in finding out more information about the latest procedures they are doing - LINX, Stretta, and TIF. They all seem to be not possible with large hernias.

Thank you all so much for your feedback.

Regular Member

Date Joined Apr 2013
Total Posts : 254
   Posted 5/23/2014 9:37 PM (GMT -6)   
A barium swallow will be the best option, in addition to a CT scan. However, note that in most cases a hiatial hernia will always be bigger on laparoscopic examination than was estimated during a barium swallow or CT.

Be well and take care!
Nissen Fundoplication April 30, 2013
Pain-Free, Reflux-Free, Sleeping on my back!

Veteran Member

Date Joined Dec 2012
Total Posts : 1147
   Posted 5/24/2014 9:06 AM (GMT -6)   
I think endoscopy is the best. When I had mine, because I was wretching they got a very clear view of how my stomach was herniating through the diaphragm. My barium swallow didn't show any hernia at all. The thing about hernias is they slide so the size can change all the time. My first endoscopy showed as large (but I was incredibly stressed at that time), my second showed a small one.

If it was small during your endoscopy then I think you should be fine with things like the LINX. You can also make your hernia smaller yourself doing things like massaging down the stomach, or dropping down from tip toes onto heels hard. I think thats how I managed to get my hernia down from large to small between endoscopies.
GERD, Anxiety, Depression, Rolling Hiatus Hernia, Esophageal Hypersensitivity

New Member

Date Joined May 2014
Total Posts : 8
   Posted 5/24/2014 9:41 PM (GMT -6)   
Thank you both for the reply. It's much appreciated.
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