I have a hiatal hernia that was not fixed at the time of my sleeve that my doctor now thinks is causing reflux/pain problems. Don't know why he didn't fix it at the time of surgery, and said something about converting to a bypass but I do not want that. (I am only 6 weeks out as it is). I have always had GERD/gastritis that was well-controlled as long as I took Nexium daily. That all changed after the surgery, however. Two Nexium daily plus one zantac do not seem to control the problems. I do not have so much burning in my throat as I have a pressure sensation in my chest and my stomach always hurts, burning, gnawing, raw feeling. Hurts after I eat almost anything. I had a scope last week that showed the hiatal hernia, no ulcer. Does anyone know if a hiatal hernia can cause this type of pain and can the hernia be fixed after you have been sleeved without converting to a bypass. Thanks.