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The cheapest insurance against this is buying bacteriostatic water from a source that can confirm what's actually in the bottle manufacturer name, lot number, USP labeling, glass vial with metal-crimp seal, and the explicit "0.9% benzyl alcohol" line

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Upper GI endoscopy depicting hiatal hernia Upper GI endoscopy in retroflexion showing Type I hiatal hernia A hiatal hernia as seen on CT A large hiatal hernia as seen on CT imaging A large hiatal hernia as seen on CT imaging As seen on ultrasound [9] As seen on ultrasound [9] Classification [edit] Four types of esophageal hiatal hernia are identified: [10] Type I: A type I hernia, also known as a sliding hiatal hernia, occurs when part of the stomach slides up through the hiatal opening in the diaphragm