Do you suffer with acid reflux? Do you also experience heart palpitations or shortness of breath or anxiety?

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Perhaps you've had an endoscopy or other testing and nothing showed up. 
Your symptoms are NOT in your head.
The fact is: small sliding hiatal hernias often go undetected.

Don't ignore your symptoms just because your test looks normal. You may very well have a very small hiatal hernia that hasn't yet been detected or you DO have one and you've fallen within the 40% false negative rate of endoscopies. That's right - endoscopy misses hiatal hernias 40% of the time.

A barium swallow can also miss a hiatal hernia. Manometry testing is most accurate, but not easily accessible for most of us.

If you have the symptoms of reflux, shortness of breath, bloat, gas, heart palpitations or anxiety, the odds are that you have a hiatal hernia. [NOTE: when I mentioned heart and breathing symptoms in the context of hiatal hernia I'm assuming that heart and lung disease has been ruled out. That should always be the first step when you experience such symptoms.]

The sooner you address the root cause of your symptoms the easier it will be to remedy them. So waiting and continuing to suffer just because a test doesn't agree with what your body is telling you, is a poor approach.

There's an addage in medicine - actually 2 of them.
1. Treat the patient, not the test.
2. Absence of evidence is not evidence of absence.

What to do
Hiatal hernia symptoms mostly revolve around inappropriate pressure issues: pressure on your stomach, pressure on your diaphragm, pressure on your heart. The pressure is coming from down and pushing upwards, the exact opposite direction that occurs in a healthy digestive tract.

The solution therefore is to identify the causative factors creating the incorrect pressure.

It frequently is one or more of the following:
dysbiosis - too many bad bugs in your gut
insufficient stomach acid or pancreatic enzymes
constipation
food sensitivities
toxicity from mold, heavy metals or other environmental  or viral loads
vagus nerve irritation
lifestyle habits such as overeating, eating too quickly, eating late at night, and more.
physical imbalance of the diaphragm, postural imbalance. 

These are mostly all able to be managed and addressed naturally.
Finding a clinician who is adept at such treatment is mandatory.
If you'd like help we're here for you. The best next step is to contact us for a consultation and then we can determine if what we do is a good fit for you. Call 727-335-0400.

References:
J.M. Levey, D.A. Katz (2012). Reliability of Upper Endoscopy for Diagnosing Hiatal Hernia. American Journal of Gastroenterology 

Y.S. Khajanchee et al. (2013). Diagnosis of Type-I hiatal hernia: a comparison of high-resolution manometry and endoscopy. Diseases of the Esophagus 

(MDPI) Identification of Sliding Hiatus Hernia by High-Resolution Manometry vs Endoscopy (2022). Journal of Clinical Medicine 

S. Tolone et al. (2018). High-resolution manometry is superior to endoscopy and radiology in detecting hiatal hernia. United European Gastroenterology Journal 

P.J. Kahrilas (2021). High-resolution manometry findings with hiatus hernia. (In A-leS / A-MeGroups publication) 

K. Kostic et al. (2015). High-resolution manometry has low sensitivity but high specificity for hiatal hernias. American Journal of Gastroenterology 

A. Laracca (2021). Optimal workup for a hiatal hernia. AL-Es Surgical Forum / AMeGroups 

#hiatalhernia #guthealth #acidreflux #rootcausemedicine 

Disclaimer: The information provided in this video is intended for educational purposes only and is