Possible hiatus hernia?

  Hi, I am a 29 year old female and have a history of excellent health, with the exception of a thyroid problem (hypo).  I rarely drink and have never smoked.  I have been experiencing subtle pains directly below my breastbone for about a year now.  I mentioned them to my doctor once but he could not provide a response and did not do any testing.  The pains occur daily and I cannot connect them with a specific activity.  Additionally, I occasionally experience pains higher in my chest on the left, which have been attributed to my thryoid problem; and lately I have been experiencing gas and sudden diarrhea.  I have also noticed lately that my arms "fall asleep" very easily during the night, which is new for me.  The closest description to the pain below my breastbone that I have been able to find is that of a hiatus hernia.  Does it sound like I may have one?  My symptoms are so vague and seemingly unrelated, I have been reluctant to mention them again to my doctor.  Any assistance you can offer is appreciated.  Thank you.
Dear Christine,
Chest pain is one of the atypical manifestations of gastroesophageal reflux disease. You may benefit from treatment with histamine receptor antagonists such as cimetidine (Tagamet), ranitidine (Zantac) or famotidine (Pepcid). These are currently available over the counter in non-prescription doses. Alternatively, you may try antacids to see if they help you. Diarrhea can be associated with hypothyroidism, but usually when your thyroid studies are abnormal. Lactose intolerance can cause flatulence and diarrhea. Using Lactaid tablets before dairy products or drinking Lactaid milk may help relieve some of these symptoms. Increasing the fiber in your diet may also help. You should review your diet carefully to see if any particular foods bring on your symptoms. Some foods that have been associated with gastroesophageal reflux include: coffee and caffeinated beverages, citrus drinks, onions, peppermint, chocolate, tomatoes, spicy food or fatty foods. Using non-steroidal anti-inflammatory drugs (such as aspirin or ibuprofen) can also irritate the stomach.
A hiatal hernia is an anatomic abnormality where the stomach lies higher in the chest cavity instead of the abdominal cavity. This can weaken the lower esophageal sphincter and allow for gastroesophageal reflux to occur. A hiatal hernia can be seen on upper GI series. Most are asymptomatic and do not require treatment. I hope you find this information helpful.
This response is being provided for general informational purposes only and should not be considered medical advice or consultation. Always check with your personal physician when you have a question pertaining to your health.
If you would like to be seen at our institution please call  1-800-653-6568, our Referring Physicians' Office and make an appointment to see Dr. Muszkat, one of our experts in Gastroenterology.
HFHSM.D.-ym
*Keywords: chest pain, gastroesophageal reflux, hiatal hernia