2021.10.28 00:52 Bayr25 Hiatal Hernia or something else?
Stats: 44F 5'6" 240 lbs caucasion, do not smoke or take drugs, I drink occasionally but do not drink excessively
Medical Issues: Hypothyroidism, Type 2 Diabetes, acid reflux, obesity, gallbladder was removed 10+ years ago
Medications: Levothyroxine 50 MCG, Atorvastatin 20MG, Metformin 500MG, Omeprazole 40MG, One a day vitamin and Calcium/D3
Primary Complaint: Extreme epigastric pain that radiates to my chest, back and shoulders with difficulty breathing
First I just want to say thank you for reading this. I'm so sorry this turned into a huge story so I wrote this TLDR version and put it in front of the longer version because I know people are busy:
Starting around the first week of August 2021 I have had severe epigastric pains of varying intensities between a 6 to a 10 on the pain scale. They last between 15 minutes to an hour. Sometimes the pain gets better after 15 minutes and then gets worse again. I have difficulty breathing during them, sometimes the breathing being so bad I feel as though I am actively dying. ER doctor said possible Diaphragm Spasm causes this. They only ever happen first thing in the morning before eating/drinking within 15 minutes of getting out of bed and happen about once a week or week and a half. Had EKG, CT scan with contrast and blood tests to check for clots and heart, liver, pancreas function and all were normal. Is this a Hiatal Hernia that becomes strangulated when I sit/stand up in the morning and then gravity fixes the strangulation? Will an endoscopy 100% catch a Hiatal Hernia if an organ isn't currently trapped in it? Should I head to the ER each time I have the pain/breathing difficulty in case the pain doesn't stop? Why did my Gastroenterologist tell me it couldn't be that?
The first two attacks were the most mild. The third attack had me headed to the hospital because the pain was so severe and I was having trouble breathing so I thought it was a heart attack. The type of pain is very similar to when I had gallstones 10+ years ago, sort of aching or crampy and squeezing, but starts in the center of my body instead of the right side and then follows the top line of my diaphragm across my chest. The breathing trouble is the same as when I had gallstones as well, it feels like I've had the wind knocked out of me and cannot breathe in or out effectively. This is not anxiety, this feels like my diaphragm is not working even though I am focusing on breathing normally. The ER doctor I had seen 10 years ago for my gallstone attacks had a name for it but I don't remember what it was. Well the pain stopped and I felt completely fine when we were only halfway to the hospital so we went home and I made an appointment with my doctor. Over the next five days waiting for my appointment something in my upper left quadrant felt swollen (spleen? pancreas?) and I had a kind of throbbing pain there, diarrhea (which is extremely unusual for me), as well as this really odd sensation that my intestines were cold (not that cold liquid was in them but that cold liquid was flowing around them) sort of feeling like the circulation had been cut off. Side note, this was the only "attack" that had those specific after effects, none of the others had them other than a general soreness and feeling worn out for the day. I explained the severity of my symptoms to my doctor and I do not think she heard me at all, she said it was acid reflux or indigestion or gas or possibly an ulcer even though the pain didn't coincide with eating and the pain was never a burning pain. She upped my omeprazole from 20 to 40 mg, put me on a BRAT diet, told me to not take any ibuprofen/asprin, ordered blood tests and told me to call if that didn't help so she could order more tests. The blood tests were normal except for a slightly elevated white blood cell count (I wasn't sick so I don't know why). A week and a half after strictly following the diet (when someone tells you food is causing you pain you are afraid to eat), I had another attack that was even worse.
This fourth attack happened at 3:30am (nine hours since I had had anything to eat) after I had gotten up to use the bathroom in the middle of the night. This time it was so severe that I was sure it was a heart attack and my husband called 911. The paramedics did an EKG and told me my heart looked great and my pulse and oxygen were fine and asked if I wanted to go to the hospital in the ambulance or wanted my husband to take me. Meanwhile I'm in so much agony that I can't think let alone talk to them... to me it was just pain and breathe. Anyway, the pain got better and they left. I called my doctor the next day, she scheduled me for an ultrasound in two weeks and gave me a referral to gastroenterology which wouldn't be able to see me for three months! During those two weeks I researched everything I could about my symptoms to try to figure out how I could stop the pain or prevent it from happening. The only thing that made sense to me was Hiatal Hernia... even though it doesn't fully fit my symptoms unless it becomes strangulated and then it is an emergency. Considering my doctor wasn't alarmed and the paramedics didn't think it was an emergency then I doubted that was it. I couldn't wait two weeks dreading each morning because I might be in unbearable pain again so I started reading on how to "fix" it. I was already doing everything you are supposed to (eating smaller meals, avoiding heartburn triggers, no food five hours before bed, started losing weight (lost 15 lbs) and the head of my bed has always been elevated. I read an article on how to prevent hiatal hernia "discomfort" and I thought it was worth a try the next time I felt the pain coming on... bad idea. The morning of my ultrasound I was getting ready to leave when I felt a slight bit of pain. I desperately wanted to prevent the pain and wanted to get to that ultrasound so I followed the advice of that article. I stood on my toes and then dropped to my heels two or three times (I just now realized I never told the ER doctor that, I should have) and then the pain and difficulty breathing hit me so bad I could not breathe in. It was like something was physically holding my diaphragm in place and not allowing it to move. The pain was beyond anything I even thought was possible and I would rate it over a 10 if I could. I ended up going to the ER instead of the Ultrasound. By the time the Doctor saw me the pain was almost gone and I was breathing fine again. We live about 30 minutes from the hospital so it had been nearly an hour since the pain started. I had an EKG, CT scan with contrast and blood tests to check for clots and heart, liver, pancreas function and all were normal. Having her tell me that was so disappointing and frustrating. She said she thought it was an Esophagael Spasm. I looked up what that was (while she was out of the room) and that doesn't make sense either, I never get the pain when I'm eating and it sounds like that is primarily when you would have an issue. I mentioned to the doctor it didn't make sense the next time she came in and she said maybe it was a diaphragm spasm kind of like a charlie horse. I had asked if the CT scan showed a Hiatal Hernia and she said it didn't. She said she would give me a referral to Gastroenterology which I said I already had one but they can't see me for three months but she said it's different if the ER calls them so I got an appointment later that week and they let me go home telling me to come back if I have pain with trouble breathing again. Let me just say I was thankful she listened to me and got me the appointment, there just was not much she could do if everything was fine and my pain was gone. The gastroenterologist said it was probably GERD and I told him this was extreme pain with trouble breathing and that I thought it was a hiatal hernia and he said "no no, it doesn't cause pain unless it's impinged, but maybe it's an Ulcer"... I wanted to scream but he scheduled an endoscopy which I know is the next step. Of course that was three months away (now less). He then told me what everyone else keeps telling me, if I have severe pain (and they say severe like that's not what I've already felt) and trouble breathing then go to the ER. I did, am I just supposed to keep going every time? I can't get a second opinion or endoscopy sooner because I have an HMO and there are no appointments in network until December. I don't think he listened to me at all. He thought my primary complaint was acid reflux or heartburn. Everything that I'm reading says that when this is happening my organs could be strangulated (that is what it feels like) and that if it's not fixed quickly then it will lead to permanent damage and possibly sepsis and death... but I can wait three months for a diagnostic test and then who knows how long before I can get a surgery scheduled? After that attack I didn't have another one for nearly four weeks. I had made a few more small changes like not sleeping on my back, not allowing my chonky cat to lay on my stomach while I'm watching tv before bed, and I raised the head of my bed a bit more. When I had this last attack the pain was only about a 7 and I was able to breathe but it lasted an hour. The only thing that I had done differently was that I did notice that one time I woke up and was laying on my back instead of my side. Oh also, I had salmon for dinner the night before and one of the previous attacks had happened the day after eating salmon as well... I'm assuming that was coincidence since I found no other correlation with food but I thought I would mention it.
If you made it to the end, thank you for reading and I hope you have had a good day!
So I am thinking that what is going on is that sometimes when I am sleeping part of an organ goes through the Hiatus. When I get up in the morning, gravity starts pulling everything down and sometimes the organ that went through the Hiatus gets pulled back down just fine and other times it gets stuck, is strangulated and causes pain. The stuck organ then continues being pulled and eventually gets pulled back down and that is when the pain stops. The third attack that I had was something on the left hand side that was probably strangulated more and closer to "emergency" than the others which was why I had lingering pain on the left as well as additional symptoms for five days. The rest of the attacks had just some mild pain the day after and that can be anywhere along that line between my abdomen and chest (left, center or right). My understanding of this means that eventually one of these attacks will not stop and will cause permanent damage to the organ being strangulated and could end up with sepsis or death. Does this all make sense? If so, will the endoscopy definitely show a hiatal hernia even if there is not an organ currently poking through the hole? Is there anything I can do to stop the pain? Should I head to the ER for every attack and then just go home if it stops before I get there since it stops being an emergency at that point? And lastly... why do none of my doctors think this could be a hiatal hernia that is occasionally strangling my organs? Or am I just completely clueless and there is something else that is causing this pain?
2021.10.28 00:52 AdmiralAntelope1 Randomly added 100 trillion to circulating supply
Anyone know the reason why 100 trillion coins were added to the circulating supply? And on crypto.com the total supply is showing the same as circulating. What happened?
submitted by AdmiralAntelope1 to SHIBArmy [link] [comments]
2021.10.28 00:52 kuroseiryu Possible prizes for company's Data science training?
Hello everyone! :)
My company organized a Data Science training and I was asked about interesting prizes that could be given to the best performing teams (there was a work related competition).
Do you know what kind of prizes are usually given for this type of training or a bootcamps?
Thanks in advance!
submitted by kuroseiryu to datascience [link] [comments]
2021.10.28 00:52 Silverdome08 Throw Blanket, Furnina Flannel Blanket, 51”x63” with Pompom Fringe, $24. FREE for US product testers. DM for details
|submitted by Silverdome08 to AMZreviewTrader [link] [comments]|
2021.10.28 00:52 BNieman SHIBA INU (SHIB) Flips DOGECOIN (DOGE)!!! Should You Still Invest In SHIB!??
|submitted by BNieman to SHIBArmy [link] [comments]|
2021.10.28 00:52 Swimming-Ambition177 End of season gear maintenance
Yo everyone I know the season is about to start or has started for some of you but I’m wondering if any of you have a end of season gear maintenance you do on your boots, boards, and bindings (washing dirt away, storage must do’s, binding care anything of that nature). Just trying to get into the habit of treating my gear nicely so it lasts me and wanted to see what you guys do so I could take a few of your habits and make them mine!
submitted by Swimming-Ambition177 to snowboarding [link] [comments]
2021.10.28 00:52 Silverdome08 Throw Blanket, Furnina Flannel Blanket, 51”x63” with Pompom Fringe, $24. FREE for US product testers. DM for details
|submitted by Silverdome08 to ReviewRequests [link] [comments]|
2021.10.28 00:52 missyheartsong ?
2021.10.28 00:52 Sephtis_ My two dogs got into a fight and one partially split her eyelid. Will this need stitches and how do I care for it?
2021.10.28 00:52 YoungBek1 Billionaires $ Tax
What do you think of the proposed Billionaires Tax, taxing unrealized Capital gains in the U.S.? If the stock crashes will the IRS give you a big refund? 😉
submitted by YoungBek1 to wallstreetbets [link] [comments]
2021.10.28 00:52 Uonlywish42 Does anyone know where I can get the 2nd one at?
|submitted by Uonlywish42 to starwarscomics [link] [comments]|
2021.10.28 00:52 BugPretend Dancing owl
|submitted by BugPretend to Hololive [link] [comments]|
2021.10.28 00:52 cantileversboxierf9 Non-Wordpress self hosted website builders alternative to Elementor / Divi?
Are there any good (free) alternatives to tools such as Elementor and Divi where websites can be built by basically dragging and dropping various widgets/elements (e.g. columns, text box, buttons, hero image, etc...) and the website is built off of that?
I don't particularly want to use Wordpress as it just feels too bloated, so want to see if there are any good alternatives.
submitted by cantileversboxierf9 to selfhosted [link] [comments]
2021.10.28 00:52 Traditional-Pop8605 #HowToFindMentalPeace गीता अध्याय 15 के श्लोक 17 में कहा है कि उत्तम पुरुष अर्थात पुरुषोत्तम तो अन्य ही है जिसे परमात्मा कहा जाता है जो तीनों लोकों में प्रवेश करके सबका धारण-पोषण करता है। वह अविनाशी परमेश्वर कबीर साहेब हैं।
|submitted by Traditional-Pop8605 to SaintRampalJi [link] [comments]|
2021.10.28 00:52 Suspicious_Ad3981 I will have Gorou
Me and my fellow Gorou-loving friends got bored so we took pics of the NPC Gorou
who is totally not hostaged in my world until his banner arrives
submitted by Suspicious_Ad3981 to GorouMains [link] [comments]
2021.10.28 00:52 Maleficent-Drink2247 LFG flip another 0 shibarmy 4 life!!!!!
2021.10.28 00:52 Juicytinn [HIRING] VTUBER 2D MODEL RIG
Hi there! I'm looking for someone to refer to after I get the commission of my ready to rig VTuber model! I have an estimated budget of $30 - $50. If you're looking to show me your portfolio or examples, do contact me! Thanks!
submitted by Juicytinn to HungryArtists [link] [comments]
2021.10.28 00:52 ZoolShop Did Manchester United miss out?
|submitted by ZoolShop to CoinTuta [link] [comments]|
2021.10.28 00:52 EWhiskeyM Movies in theaters should play with mandatory subtitles
I just saw a movie yesterday, (Which will remain nameless so the automod doesn’t think this is a movie review!) and really enjoyed it, but goddamn the parts with quiet dialogue were almost completely indiscernible. Loud booming action scenes followed by “mumble mumble emperor, mumble mumble spice” plus the fact that some of the words were not in English made it so I wasn’t sure if I just wasn’t hearing them correctly or if it legitimately was another language
submitted by EWhiskeyM to unpopularopinion [link] [comments]
2021.10.28 00:52 MunkyMastr Boner alert
|submitted by MunkyMastr to Hardcore [link] [comments]|
2021.10.28 00:52 xxgothicxx95 Why are men in their late 20s so chaotic? Me (26F)
I don't know if it's just me at this point or if its the people I am attracting, but it seems like every guy I try to date around my age range or even a few years older is super unstable and does not know what they want. I'm an empath by nature and I have dated guys in their late 20s (some early 30s) and I always run into the issue of either they are not emotionally available (I'd really love a formal definition of that) or they just are at an impasse in life (do not know what job they want/ not good living situation, etc.) . I want to know if it is just the type of guys I'm attracting or if perhaps its just a symptom of that age group. I hate to generalize or categorize anyone, but it seems so common. Any insight is greatly appreciated.
submitted by xxgothicxx95 to relationship_advice [link] [comments]
2021.10.28 00:52 Hambino0400 Pumpkin spice ball 100% catch rate
|submitted by Hambino0400 to funny [link] [comments]|
2021.10.28 00:52 invertedigloo Student loans
I need to quit my job, it’s literally killing me, like to a point where my mental health is far worse than ever before and I’m just not seeing this as sustainable for another week.
My question is simple, 175k student loans, 50/50 private public. I can’t pay them, my house is paid off though. Options? The interest rates are insane and 75k is parent plus that my mother took out and lied to me about (alcoholic)
submitted by invertedigloo to antiwork [link] [comments]
2021.10.28 00:52 clearly_not_an_alt I've been wondering which mark I would hit first, 3K or 100 Crowns.
| Looks like MMR got the win by a hair.|
submitted by clearly_not_an_alt to StorybookBrawl [link] [comments]
2021.10.28 00:52 dmur726 First World Problem: I finally got a Mach-e but can’t get it until tomorrow because it doesn’t have a charge!
I ordered an AWD ER Mach-e in April. It is scheduled for production the week of 11/8 but the dealer called today saying someone didn’t pick up their order, it is configured exactly like mine; would I like it? Well, of course!
I was at work when he called, so I told him I would come get it after work. I called again when I headed over but apparently someone was using the charger so he couldn’t start charging until almost just before I got there. By the time we were done with paperwork the dealership was closing down, and there wasn’t quite enough charge on the car for me to make it to and from work tomorrow and since this car is so much earlier than I expected, we don’t have 240 set up in the garage yet. We decided to leave it with the dealer overnight to get a full charge before the weekend.
So I finally have my car, but can’t drive it yet!
submitted by dmur726 to MachE [link] [comments]