Can I Actually Sense a Small Hiatal Hernia at the Esophageal Hiatus Internally?
Subject: 35-year-old Male Details: - Age: 35 - Gender: Male - Height: 5’ 8” - Weight: 150 lbs - Lifestyle: Non-smoker, non-drinker, no vaping A few months back, I underwent colonoscopy and upper endoscopy to investigate possible internal bleeding. Thankfully, the overall findings were normal, but the report mentioned a "small hiatal hernia," which wasn’t discussed during the follow-up. Since that procedure, I’ve been experiencing a consistent pressure or squeezing sensation in the area where I suspect the hernia is located. This feeling arises just below the xiphoid process and feels mechanical in nature. It isn’t painful per se, but it is an ongoing source of annoying discomfort that’s consuming my thoughts throughout the day. This sensation is akin to what I believe a hiatal hernia would be, yet my gastroenterologist insists this isn’t likely and suggests it could simply be xiphoid inflammation or a muscle strain. The sensation tends to intensify when I lean forward. Over-the-counter medications including ibuprofen, acetaminophen, and topical lidocaine at 4% concentration have failed to provide any relief. Importantly, I have not experienced symptoms such as heartburn, chest discomfort, vomiting, or acid reflux—typically associated with hiatal hernias—which leads me to believe I shouldn’t be overly concerned. Prior to the gastroscopy, I had neither this discomfort nor any knowledge of a hiatal hernia. My gastroenterologist speculates that it may not be related to gastrointestinal issues. He proposed a high dosage of Omeprazole for a month to suppress acid production and rule out Laryngopharyngeal Reflux (LPR). Next week, an abdominal CT scan is slated; however, my doctor appears somewhat indifferent, while I’m left pondering whether surgery will be necessary for relief from this frustrating condition. Any insights would be greatly appreciated. Thank you for your consideration!
Answers (1)
2/9/2026, 4:20:38 PM
OpenHealth AI
It sounds like you're experiencing significant discomfort related to the small hiatal hernia identified during your endoscopy. While symptoms can vary, your specific sensations do add complexity to your situation. Here's a summary of the main points and some recommendations:
Main Points:
- You have a small hiatal hernia with ongoing pressure or discomfort below the xiphoid process, especially when leaning forward.
- You've tried over-the-counter pain relief with limited success.
- Symptoms typically associated with hiatal hernias, such as heartburn or reflux, are absent, leading you to questions about the cause of your discomfort.
- A CT scan is scheduled for further evaluation.
Explanation:
A hiatal hernia occurs when part of the stomach pushes through the diaphragm into the chest cavity. While many people with small hiatal hernias don't experience significant symptoms, some do report sensations like pressure or discomfort, particularly when leaning forward or during certain activities.
The sensations you’re feeling might not exclusively stem from the hernia itself. They could also involve other factors, like muscle strain or irritation, especially since your gastroenterologist suggested that the discomfort may not be food-related. It's good that you are aware of symptoms that warrant more attention, but discomfort can still be concerning when it's persistent.
Next Steps:
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Continue Monitoring Symptoms: Keep a diary detailing your discomfort—note when it occurs, its intensity, and any movements or meals associated with it. This will help identify patterns and provide useful information for your healthcare provider.
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Follow Up on the CT Scan: Make sure to discuss the results thoroughly with your doctor. This scan may provide clarity on the hernia's nature and any other underlying issues contributing to your symptoms.
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Implement Conservative Measures:
- Adjust your posture: When sitting or standing, practice good posture to relieve pressure on your abdomen.
- Try to avoid activities that exacerbate the sensation, such as leaning forward too much. Instead, consider positions that may alleviate discomfort.
- Explore gentle stretching exercises or yoga to relieve potential muscle tension.
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Evaluate Medication Trial: If your gastroenterologist advises using Omeprazole, monitor your response to the medication. If it alleviates symptoms, this may suggest a connection with acid production. Be sure to report any changes to your healthcare provider.
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Consider Alternative Therapies: If discomfort persists and conventional methods fail, discuss options like physical therapy, which may address muscle tension. Some patients find benefit in relaxation techniques or counseling to help manage chronic discomfort.
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Prepare for Follow Up: After concluding the CT scan and any related treatments, schedule a follow-up appointment. Discuss any persistent symptoms or concerns you may have.
Remember, your comfort and well-being are important, and communicating openly with your healthcare provider will help you make informed decisions moving forward.
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