A new question is answered every 9 seconds


Resolved Question:


I am now confused..
1st endoscopy showed 2 cm hiatal hernia - doc said not a concern, also pathology came back as eosinophilia ( only did lower stomach sampling). Doctor kept trying different ppi's that did not work

I decided to get another opinion from Mayo Clinic specialist. A second endoscopy was done within 6 weeks. it showed a large para esophageal hernia and no eosinophilia issues ( only in stomach). T

Then had a manometry test who he'd concluded absence of peristalsis in lower esophagus. mayo specialist scheduled appt with surgeon.

This morning had barium swallow. That doctor said he did not see the para esophageal hernia.

Now, I am waiting for my next appt with Gatrologist to discuss all tests and then the following day meeting with surgeon.

But, I am now very confused as to why the endoscopy showed the para esophageal hernia and the barium swallow did not.. Which one is more reliable? Can this be something else?

Thank you.


Category: Gastroenterologist, Surgical

Ask Your Own Question

Category: Gastroenterologist, Surgical
Dr. Lokesh HM is online now

Expert:  Dr. Lokesh HM replied 4 Days.

Hello Wendy,
Thank you for your query at DoctorSpring.com
I understand your concern.
Both Endoscopy and barrium studies are accurate in detecting paraesophageal hernia if properly done.

Might be while doing barrium study specific maneuver might not have been done to delineate the hernia.Also in endoscopy personal variations will be there.

Other possibility would be Achalasia cardia with diverticulum (by considering your monometry and other investigation reports)

Please provide your symptoms and the report of your barrium study finding.
Dr. Lokesh

Dr. Lokesh HM
Category: Gastroenterologist, Surgical
Fellowship: Minimal Access Surgery (FMAS)
Fellowship: Pancreato-Biliary surgery (FPBS), SGPGI Lucknow, 2012
Senior Residency: MCh, Sanjay Gandhi Post Graduate Institute of Medical Sciences (SGPGI) Lucknow, 2011
Junior Residency: MS, PGIMER, Chandigarh, 2008
Medical School: MBBS, MS from Post Graduate Institute of Medical Education and Research (PGIMER) Chandigarh, 2007
Dr. Lokesh HM and 4 other Medical Specialists are ready to help you

Make informed and better medical decisions.

We believe that getting medical questions answered and getting qualified opinions from certified Doctors should be easier.

Specialists from
UK, US, Ind,
Aus & NZ

48000+ consults
in 2015

98.1% Satisfied

100% Satisfaction

How it works

  • Submit question, upload files, if any
  • Consult is assigned to a specialist
  • Doctor replies, Mean response time: 2 hours
  • Intimation by email, ask follow-ups

Recommendations based on

About DoctorSpring.com

Doctor Spring is a novel online Doctor consultation platform where you can get your medical questions answered by leading Doctors. Just Submit your question and rest assured that you will consult a Doctor easily. Once you submit the question, the Doctor from the concerned specialty will reply within hours. You can always ask more questions or add details with follow-up question options and make it an online doctor chat. You may use this service to consult a specialty or for getting medical second opinion. All paid services come with a MEDNET quality assurance and 100% money back guarantee.

DoctorSpring in News


Make informed and better medical decisions.

Close x

Your account has been deleted.

PS: You can unsubscribe from emails from DoctorSpring, by going to
Unsubscribe link provided in them.