I don't know how you had your sliding Hiatal Hernia diagnosed but mine was done with a barium swallow and I wasn't having any symptoms that day either. It took just a few small swallows of something yucky. A radiologist was watching a screen as I swallowed. It was over in about 5 minutes.

I can tell when it is on the move as I have really hard pain in the chest area and sometimes in the back. I am on PPI also but this is different and I have to manually make the hernia slide back through the opening of the diaphragm and into the tummy. Sometimes that works and often I just have to walk it off.

There is a video on you tube that shows how to manipulate a sliding hernia. I haven't seen it but I am sure you could probably google it on you tube and locate it.

Luck to you.

Mine was seen on an upper endoscopy I believe. I didn't even know I had it until I was reading over my old records and stumbled upon it. Noone ever told me. It makes perfect sense tho. A lot of the symptoms I've been having the past 5 months point to that. I thought it was from my Gastroparesis or IBS. I also wondered if I had SIBO. All those things have symptoms in common. Back in March is when I first started with right sided rib pain/under my breast. that went into my back. Then the nausea started. I had that every day, especially every single am when I first woke up. I alternate between diarrhea and constipation. Lately I get hoarse once in awhile and my voice gets tickled. I now have pain under my left breat/rib that goes into my back. I get stomach cramps also. The symptoms come and go. That's why I lean toward the hernia and it moving around. The other week I did some heavy lifting and I have had bad pain since. I really hope I do have pain tomorrow when I have my endoscopy so it is visible. I don't want the drs. to think I'm making these symptoms up. I have seen the video on you tube and may try it after tomorroe and may also try a chiropracter. I heard they can put it back in place.

Your symptoms sound a lot like acid reflux to me. Unless you have a medium to large HH.

A small sliding HH rarely has any symptoms.. The hoarsness and shortness of breath and tickling can all be atypical reflux. Nausea is usually gastritis.. YOur other symptoms may be IBS.

YOur esophagus does dysfunction with a small HH and that tends to cause acid to come up when it shouldnt.. Then you get all the acid reflux symptoms. They can be silent symptoms, atypical and typical symptoms.

You do have to be careful with heavy lifting but it is more of a heavy feeling you get on the left side.. Discomfort from an HH tends to be on the left side under your sternum but it is rare with a small one.

If yours is a fixed HH it will show up.. most of the time they do show up even if they slide..

I think you read my post on the gerd site about a chiro.. yes try it for sure.. they cant put it back in place but I think they adjust the esophagus so that it functions better. Make sure it is one that has helped people with heartburn. It takes time for it to work and it doesnt work on everyone.. it depends on how large the HH is..

good luck

A hiatal hernia is evident when a part of the stomach protrudes through the diaphragm. Most of the people with hiatal hernia dont have any symptoms. Feeling sick, mouth filled with saliva, unable to swallow, heartburn are some of the common symptoms. But these symptoms tend to come and go and sometimes it is worse even after a meal. So dont worry, consult a hernia surgeon ( http://www.shouldice.com/the_shouldice_repair.htm ) as soon as possible. He will definitely find a solution for your problem.