Barium Swallow Test for Hiatal Hernia

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Dr. David Kulla, DC, CN, CEAS ll is a well known Chiropractor and CEO of Synergy Wellness Chiropractic and physical therapy working for organizations as a certified ergonomics assessment specialist for the united nations, morgan stanley, goldman sachs, broadway actors, dancers, collegiate and professional athletes with experience spanning over 2 decades in the New York Metropolitan area as a celebrity chiropractor. If you are looking for an experienced, skilled, knowledgable chiropractor nearby in nyc , we are just a subway or cab ride away.
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Dr. David Kulla and the Synergy Wellness team in lower manhattan near gramercy park offers Certified Flexion Distraction Technique by our Chiropractor. Dr. Kulla is also certified in Neurological testing or electrodiagnostic testing (EMG and NCV Testing), and a CCEP Certified Chiropractic Extremities Practitioner adjusting non spinal joints like shoulders, elbows, wrists, hands and fingers. Dr. Kulla also adjusts hips, knees and ankles and feet.
At Synergy Wellness Chiropractic & Physical Therapy New York City office we pride ourselves in patient focused care. We offer other services like custom orthotics, cold laser therapy and our channel features real patients , real experiences and any NYC actors, athletes and celebrities have given us permission to be featured in our videos.
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You will hear LOUD CRACKS or Chiropractic Adjustments with loud CRACKING, The LOUD ASMR CRACKS you hear after a CHIROPRACTIC ADJUSTMENT is merely a byproduct of the joint cavitating, gas bouncing off synovial fluid making that extremely loud chiropractic crack or cracking noise that many people find soothing to watch (aka ASMR). We hope you enjoy our chiropractic and physical therapy youtube channel and spread the word! Thanks for TUBIN in!
Disclaimer: don't try any of these maneuvers or techniques at home on yourself or loved ones unless specifically told it ok to do on yourself or others safely.
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[@mysterydiaz5302]

You are a kind genius….I’m coming to NYC to see you. It’s practically impossible to find a truly kind, honest and truly knowledgeable professional here. I was referred to a Chiro by a guy at the gym. The Chiro was “shucking and jiving about knowing how to treat HH. I left with out HAh help and with horrible fatigue, post nasal drip and the massive destructive coughing thst I had under complete control…..so sad 😢

[@Visitor555]

Doc. Thanks for videos, apreciate the help you give us free via this channel!

[@Synergywellnessny]

Thank you appreciate you!! Really thanks for that nice comment!! Helps me keep going!

[@Alyy4]

Hello can x ray show hiatal hernia instead of barium swallow or endoscopy?

[@vedales8670]

A Barium swallow report?

[@aaronsharp264]

Hey I’ve had trouble swallowing for a couple of years at least. I’ve done a F.E.E.S. test with speech pathologist, and separately a barium swallow (not modified). ENT diagnosed me with LPR (silent reflux). I feel like I have a hard time swallowing solid foods. It feels like food gets stuck in my throat and behind my chest. Could this mean I have a HH?

[@kristyhawes]

My gastoostrpy didnt show a hiatus hernia but I know I have one what is the best way to find this out

[@dondaviau7446]

I had surgery 6 months ago. Looks like mine's Let go I gotta go back again Mine didn't hold.

[@jonathanbryant7166]

You mentioned that he had heart palpitations, is that related to to the hernia, and also where are u located

[@jc012004]

Hey doc, are you selling that scooper tool?

[@Synergywellnessny]

We will be soon

[@FearonlyAllah-fh5kw]

What if my endoscopy was positive for hiatal hernia, but my barium swallow is negative? I have GERD symptoms, mid back pain, chest pain, nausea, etc.

[@Synergywellnessny]

Well then you have a hh and can have that tested with the hh maneuver especially if it’s a sliding type 1. These tests often miss the hh. Not sure why he ran two tests when one was positive.

[@iseeyouiforseeyou8970]

Any colleagues of yours in Europe? I would like to have the hh manuever but it's a biit hard reaching NYC

[@Synergywellnessny]

I would be happy to explain the maneuver to my colleagues across the pond. It’s not difficult. I do have a self help tool coming out soon.

[@iseeyouiforseeyou8970]

@@Synergywellnessny you know what the funny thing is, this hh problem started when i was in NYC, beggining of pandemic 2020, if only i knew you guys were there I'd definitely come. Too bad I'm across the world now

[@Synergywellnessny]

@@iseeyouiforseeyou8970 ironic huh!! Well the irony gets even crazier! I never had a hiatal hernia but always treated them. Then last month I was straining to use the bathrooom and I created a hiatal hernia in myself by not breathing properly and building up the abdominal pressure. Now I am using my own invention on myself successfully. Funny how things work out. We will have that self help tool out soon.

[@iseeyouiforseeyou8970]

@@Synergywellnessny well now i know why i have hh myself. I used to do the same thing, straining & even ignoring my bowels when they obviously were saying Go to the bathroom! Haha. I've also had constipation for a long time. Now I'm feeling better on that side but hh developed...

[@aaronsharp264]

Will someone eventually not need to receive these adjustments and their HH is “permanently” gone?

[@AlejandraGarcia-ho3lq]

No there has been irreparable damage to the diaphragm and the adjustments are not permanent. You have to do them every day along with diaphragm exercises to strengthen those muscles to get a little relief from the symptoms.

[@Kshrieekaant]

I have no pain or no hertburn or no hertburn but there is a feeling of sliding something in chest-abdomen (hitus) area. This feels when I bend or bow and stand up. Please tell me it's hitus hernia or not.

[@Synergywellnessny]

Have an endoscopy done to rule out para esophageal hernia.

[@TomsMods]

audio is terribly quite, good video though:)

[@Synergywellnessny]

Too loud

[@faizamohamedsalim2268]

Where can I buy your tool

[@Synergywellnessny]

We will be taking pre orders soon. Hiatalherniahook.com

[@toronto416.]

@@Synergywellnessny link not working!

[@Synergywellnessny]

@@toronto416. which link?

[@king-bs3wu]

hello sir I have problem what if I had drink barium and my pop doesn't turn white

[@Zhilodine]

Were you able to pass the barium? I have not have a BM despite eating and fear the barium will block me

[@kristyhawes]

Will it test for gerd

[@MariaTrampo]

Yes

[@tsunamisun2369]

This is flawed logic. How would just pushing the stomach down fix a hiatal hernia? The actual problem with a hiatal hernia is that the z line where the esophagus enters the chest cavity is loose for some reason. Just pushing the stomach down will not fix this problem. This Chiropractic technique is easily disproven by sliding hernias. People please don't waste your money on this.

[@JuanLopez-gh1rb]

Because what can pop out can be pushed back in...diapharm is huge muscle....pop back in and train the diaphram to tighten back up....makes sense

[@tsunamisun2369]

@@JuanLopez-gh1rb Yeah it's a nice theory but is it true? I beg to differ. Even in that case you would need to know why your diaphram was week in the first place and address that first, and also strengthen the diaphram BEFORE just pushing the stomach down or else it would just slide back up like it did in the first place. Chiro's do not do any of this.

[@XavierP333]

Here's my crazy story... I began having reflux back in 2019, honestly, I was undergoing lost of stress. in 2020 I went to my general physician because of indigestion, frequent belching. She ordered a breath test for H-pylori. The test came back positive for H-pylori. I took antibiotics and wiped it out. I felt better for a while, however I still had mild reflux. I went back to my same primary Dr, she did a physical exam. I lie down on my back, she gently pressed on my upper abdomen quadrant. She told me: "You got a Hiatal hernia" So she referred me to a gastroenterologist here near the LAX airport. I told the gastroenterologist that my primary Dr. Did a physical exam and she said I have a Hiatal hernia. He started laughing.. So he proceeded with my endoscopy. Before my procedure, I asked the Dr. And his team to notify me if I have a Hiatal hernia. When I got my results the same day, it only stated I had "mild esophagitis and mild gastritis" I got my first endoscopy on October 13 2021. After a month, I spoke with the same Dr that performed my endoscopy the same day. The results were: "Mild esophagitis, mild gastritis and hiatal hernia" So I was confused, why would he say I don't have a Hiatal hernia the day of my endoscopy. that made me feel more nervous and anxious. On April 14 2022, I was referred by my new primary Dr.. to the USC hospital in Los Angeles. They made me do an esophageal motility and manometry test for 24 Hrs. The test came back: "Esophageal region normal, proximal LES from nares, 40.3 cm. Intra abdominal LES length 1.5. Upper esophageal sphincter pressure normal - No hiatal hernia found" On August 29th I was referred to an imaging and X-Ray facility to rule out if I have a Hiatal hernia or not. The X-Ray Dr. Asked me to stand on a small platform and drink the barium fluid. He only noticed a small pinch of reflux while standing up, he didn't see a bulge or any abnormalities, obstruction or lessions on my diaphragm. He even showed me when I drank the barium, the sphincter opens, then closes completely, there's no bulge like the man's X-Ray in your video. It was a normal X-Ray result. The Dr even asked me to lie on my back, the table rotated declined(head facing down, feet up) to check if my sphincter was loose or if my stomach went above my diaphragm and nothing. no reflux on that declined position. The XRay Dr said: "Son, you do not have a Hiatal hernia" I even have my X-Ray image if you would like to check it out. I can reach out to you by email. My image doesn't have a bulge. It appears normal. On September 16th 2022, I got a new endoscopy at the USC hospital in Los Angeles. A new place. New gastroenterologist. The endoscopy findings were: "Normal esophagus, Z line irregular, 40 cm from incisors, no hiatal hernia was found, mild irritation redness on gastric fundus" The gastroenterologist told me everyone has a different Z line shape, some look round, some may be star shaped. Anything that measures above 2 cm below the Z Line is considered a hiatal hernia. However, I did not have that. Everything appeared normal. So THREE new tests ruled out I do NOT have a Hiatal hernia. I still have GERD and upper abdomen aches when I feel anxious or stressed. It's insane how that Man's endoscopy missed that bulge above the diaphragm. Yet, the barium test picked up the hiatal hernia.

[@XavierP333]

@@musiclamp_ Ask your Dr. To refer you to get a "esophageal manometry test and 24 Hour PH impedance" This test rules out the measurement region of your esophagus. If there's any abnormalities, say even if your LES is not where it's supposed to be, it will pick it up in the readings, without a doubt. It will be able to rule out if you have a hiatal hernia or not. Hopefully you don't have a hiatal hernia. It will also pick up the motility and muscle contractions in your entire esophagus region. The 24 PH study will reveal the acid exposure on your esophagus as well. Last but not least, get an H-pylori breath test to rule out if your GERD/reflux, abdominal aches isn't linked to a bacterial infection. Because H-pylori can mimic the exact symptoms as a hiatal hernia. ------------------------------------ I forgot the mention that the first gastroenterologist that supposedly found a "small hiatal hernia" in my first endoscopy, did not take a photo of the actual "hernia" so I asked him: "Why didn't you take a photo of the actual hernia if that was my main concern?" He looked at me and 'shrugged' his shoulders, which I found very unprofessional. I did a research about the first gastroenterologist who performed my endoscopy, they were a lot negative reviews about him. One review stated that he didn't recognized an ulcer in a patient and he punctured it during an endoscopy, this patient bled internally, the gastroenterologist left before the ambulance arrived. Another review stated that he tore and punctured a woman's colon as he performed a colonoscopy. Other reviews stated that he's always late, other reviews stated that he is very rude. To be honest, he didn't even introduce himself before my Endoscopy procedure. In my conclusion, this Dr. Isn't someone I'm willing to rely On the other hand, I had a follow on October 13 2022 with my new gastroenterologist, to go over my endoscopy results. She stated this: " You have normal acid exposure to your esophagus, you have no more Esophagitis, there's slightly irritation on your stomach but no gastritis. Your stomach did contract in an "angry manner" the stomach should contract slowly and calmly. Biopsy came back negative for H-pylori, no other bacteria infection. I didn't see any hiatal hernia when I did your endoscopy. Everything is normal. Your stress and anxiety is most likely the root cause of your GERD. Your esophagram barium test and esophageal manometry test shows everything is normal. So there's no hiatal hernia. You have to learn how to cope with stress, otherwise, I can prescribe you very low dose of antidepressants to relax your vagus nerve. When the vagus nerve is in constant 'fight or flight' mode, the sphincter doesn't close shut properly. This explains why your stomach isn't in a relaxed state most of the time. This explains why your upper abdomen region is tense. Otherwise no hiatal hernia." ---------------------- I really hope you get those two tests I mentioned you above 1) esophageal manometry test with 24 PH impedance. 2) H-pylori breath test I truly hope you don't have a hiatal hernia. Keep me posted. Take care friend. Good luck 🤞🏻

[@XavierP333]

@@musiclamp_ Do you happen to have your photos of your endoscopy that shows you if you have a hiatal hernia or not? Also, do you have a photo of your X-ray barium test?

[@XavierP333]

@@musiclamp_ Would you like to exchange X-ray and endoscopy images? That may help you determine if you have a hiatal hernia or not. Of course, that's only if you're comfortable of exchanging. It's not necessary. You can cover or crop any personal information. I can provide you an X-ray image and my endoscopy photo of the gastro-esophageal junction. If so, I can provide you my email. Again, no pressure.

[@XavierP333]

@@musiclamp_ What's your email? I can send you some of my test results. You can then reply. I took photos of my gastro-esophageal junction and my X-Ray barium. I can email them to you if you like

[@physicsguy993]

It's a sliding hiatus hernia, they keep sliding up and down