zippoman

I have been diagnosed (via endoscopy) with a medium sliding hiatus hernia.

I have had reflux for several years and prilosec seems to take care of it.
Because of the reflux my doc had me get the endoscopy since reflux sufferers
are slightly prone to cancer.

I have another problem that I wonder if and how it could be related.
Sometimes after eating any exercise, even walking, can cause quite painful
chest pains. I have be through a lot of cardio tests and eventually had a
pacemaker installed. I am quite sure the pain is not heart related.

Any info would be greatly appreciated.

Thanks

Jerry Burns

howard mccollister

If you are having chest pains that are not cardiac related, it is likely
that your reflux is not adequately controlled. Be aware that medications
such as prilosec don't stop reflux, they only decrease or eliminate the acid
that is being refluxed. This may relieve many, but not all, of the symptoms
of GERD, and it may not decrease your risk of esophageal cancer. The pain
associated with acid reflux (typically "heartburn") may be improved with
prilosec. However, classic heartburn only accounts for about 40% of the
symptoms of GERD.

You are still refluxing alkaline stomach contents into your esophagus, and
this can indeed cause ongoing symptoms such as chest pain. Another
possibility is esophageal dysmotility, which is abnormal contractions of the
esophagus causing chest pain, shoulder pain, neck pain etc ( a long list ).

A sliding hiatus hernia may or may not be contributing to your GERD. The
presence of a hiatus hernia does not automatically mean that you are having
reflux. Reflux can only be diagnosed by ambulatory pH testing and abnormal
esophageal motility can only be diagnosed by esophageal manometry. It is
quite clear that you should have this testing done at this point.

HMc

louise

In article <3fcd2e51$0$98468$45beb828@newscene.com>,
hmac@nospam.net says...

Hi,

Could you recommend a site where ALL the symptoms of GERD
are listed?

I ask because I had a sore throat for 1 1/2 yrs that I was
told couldn't be from GERD because I was already taking
Prevacid.

Finally a new doctor and a proper referral to an ENT
clearly indicated the throat problem is from GERD and it is
being relieved by doubling the dose of Prevacid (I'm taking
60 mg now), plus Gaviscon and more care in my diet - which
has been pretty "GERD good" all along.

I too have chest pain that isn't cardio and I'm wondering
whether a lot of my discomforts might be related to GERD
but I've never known it.

TIA

Louise
--
Louise (louise2002@nyc.rr.com)

richard kaszeta

Louise <notreally@seesignature.com> writes:

Have you had a 24-hour PH test done (either through a nasogatric tube
or with one of the new pills)? I believe that that particular test is
considered to be the best indication of whether you're suffering from GERD.

Multiple things can cause non-cardiac chest pain. In my case, I had
both costochondritis (inflamation of the cartilage in the rib cage)
and GERD, both of which caused chest pain. The GERD got missed for a
long time since the doctors thought the chest pain was only due to the
costochondritis (and kept giving me medication for the costochondritis
that was actually making me worse since it was irritating my stomach).

--
Richard W Kaszeta
rich@kaszeta.org
http://www.kaszeta.org/rich

satman

I was interested to read about the incidence of chest pain and Hiatus
hernia.
I have a severe chest pain that comes on if I walk on a gradient at
anything above a normal pace, it also comes on when I cycle up first hill
of a journey, and then I am ok.
The classic syptoms are of Angina,

I have had endoscopy, chest x ray, and then becuase doctors felt it was
angina an angiogram all test have shown negative.

A tread milll test showed no problems

I am on laprozole but this is third course and to no effect.