I had a very large hiatal hernia - full stomach and tail of the pancreas in my chest cavity prior to the original surgery. My Toupee Fundoplication failed after 5 months.I had a total herniation with the full stomach returning to the chest cavity. The toupee was intact - I had severe chest pain, with an obstruction in the esophagus (a pill became trapped there). I had been doing a lot of lifting and moving related to my nursing job and the symptoms occurred after moving a patient. I was told there was a lot of mediastinal scarring and that the hernia occurred in a different location. Any way I am about 4-5 weeks post op and am terrified about resuming the normal activity required for my job. The doctor has cleared me to return to full duty now and I am afraid that I am going to cause another occurrence;that maybe my diaphragm is weak. Thoughts?