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May 25, 2012
 

Chest and Shoulder Pain with Hiatal Hernia

Dear Ask The Doctor: Hello, I have been having left shoulder pain that sometimes radiates into my chest area. Mainly around the left nipple. It's not a contant pain, but more like a quick shot that lasts for maybe 3-5 seconds. Feels like if you press on a bruise. I do have a hiatal hernia but I don't have any type of acid reflux. The shoulder and chest pains have been ongoing for several years now and I have had numerous EKG's, CTA scan of my heart, stress tests, and they find nothing wrong with my heart. In fact I just had the CTA scan done in January and was normal with no blockage. Dont quite understand why I keep getting these pains. I also had my gall bladder removed in December of last year thinking it was all caused by that. My gall bladder was not working at all. Please help!

Dear Jeff: There are two types of haital hernias, sliding and paraesophageal. The sliding type produce symptoms related to acid reflux and the paraesophageal type usually shows no symptoms. You may have the paraesophageal type of hiatal hernia, and such types often produces symptoms of irritation like radiating chest pain, stomach pain, indigestion, nausea, vomiting or retching and obstruction. The pain you have described is probably related to the hiatal hernia which can often be severe and incapacitating. You should consult your gastroenterologist who may be able to discuss available options including surgical repair of the haitus to prevent herniation.

There are two types of haital hernias, sliding and paraesophageal.  The sliding type produce symptoms related to acid reflux and the paraesophageal
type usually shows no symptoms.
You may have the paraesophageal type of hiatal hernia, and such types often produces symptoms of irritation like radiating chest pain, stomach pain,
indigestion, nausea, vomiting or retching and obstruction.  The pain you have described is probably related to the hiatal hernia which can be severe and
incapacitating. You should consult your gastroenterologist who may be able to discuss available options including surgical repair of the haitus to prevent
herniation.

 

Last Updated ( Tuesday, 08 March 2011 )
 

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