What is an Epigastric Hernia?

An epigastric hernia is a lump that occurs in the upper middle part of your abdomen (the belly). Specifically, these hernias appear in the region between your breastbone and your belly button. They are a common type of ventral hernia, which is the medical term for a hernia located in the front wall of the stomach area. It is possible for a person to develop more than one epigastric hernia at a time.

These hernias are typically small—roughly the size of a staple or less than half an inch (1 centimeter) long. A larger hernia is about the size of a walnut, or 1 ½ inches (4 centimeters). If the hernia stays small, you may not experience any symptoms. However, you can usually see and feel a larger hernia because it sticks out.

While epigastric hernias are often not a major health problem, larger hernias can lead to serious complications that could be life-threatening.

What are the signs of an epigastric hernia?

An epigastric hernia may not show any signs at all. When symptoms do occur, you might experience:

• A visible bump: A bulge under the skin between your breastbone and your belly button. You may see the bulge clearly when you stand up, but it may disappear when you sit or lie down.
• Dull pain: A steady ache in the upper belly area. This pain can increase as the day goes on.
• Sharp pain: A stinging or searing ache that occurs when you cough, carry something heavy, or strain during a bowel movement.

What causes an epigastric hernia?

This condition happens when fatty tissue or a portion of the intestine pushes through the linea alba. The linea alba is a narrow strip of connective tissue that runs down the front of your stomach. A hole or a weak spot in this tissue allows the internal fat or organs to push through the muscle wall.

Some babies are born with this condition because the hernia developed in the womb. However, most cases are "acquired," meaning they develop over time as you age. Most patients who get these hernias are between the ages of 30 and 50. Common factors that put pressure on the stomach muscles include:

• Thinning of the tissue as you get older.
• A persistent cough that will not go away.
• Frequent constipation and straining.
• Being overweight.
• Lifting heavy objects or weights.
• Pregnancy.

What complications can happen?

An epigastric hernia can become incarcerated or strangulated. Both are very dangerous medical problems.

• Incarcerated: This happens when the hernia gets caught in the stomach muscles and cannot be pushed back into the abdomen.
• Strangulated: This is a medical emergency where the blood supply to the trapped tissue is cut off.

How do doctors diagnose an epigastric hernia?

A doctor will perform a physical exam to check the area. They may also use imaging tests to determine the exact size and location of the hernia. Common tests include:

• Ultrasound: Uses sound waves to see inside the belly.
• CT scan: A specialized X-ray for detailed images.
• MRI scan: Uses magnets to create a clear picture of the tissue.

How do you treat an epigastric hernia?

The only way to permanently fix an epigastric hernia is through surgery. However, you might not need surgery immediately. A doctor may suggest regular exams instead of surgery if:

• The hernia is very small (less than 1 inch or 1 centimeter).
• The hernia does not cause pain or bother you.
• You are not concerned about the appearance of the bulge.

How long does it take to heal after surgery?

Recovery time depends on your specific situation. Many people can return to work or normal activities within two weeks. However, if your job requires heavy lifting, you may need to wait four weeks. Everyone heals differently, so you should talk to your doctor about your specific recovery plan.

What should you expect long-term?

An epigastric hernia can be fixed with surgery, but there is a small chance it could come back or a new one could form. This usually happens if the abdominal muscles are under too much stress. You can talk to your doctor about how to lower the risk of the hernia returning.

Is it possible to prevent an epigastric hernia?

You can lower your risk by following these steps:

• Maintain a healthy body weight.
• Get medical help for conditions that strain the stomach, such as a long-term cough or constipation.
• Take it slow and use proper form when lifting heavy objects.

When should I seek help?

If the bulge in your upper belly is getting larger, call your doctor. Go to the emergency room immediately if you have these symptoms of a "strangled" hernia:

• Sudden, severe pain in the upper belly that gets worse quickly.
• Feeling sick (nausea) and throwing up.
• The skin around the hernia turns red, purple, blue, or black.

What questions should you ask your doctor?

• Why do I have this bulge?
• Is it likely to keep getting bigger?
• What happens if I wait to have surgery?
• Is surgery the best option for me right now?

Why choose Tender Palm Super-Speciality Hospital for Epigastric Hernia Treatment in Lucknow, India?

Tender Palm Super-Speciality Hospital offers advanced Epigastric Hernia Treatment in Lucknow, India, at an affordable cost. We have a team of experienced general and laparoscopic surgeons who provide accurate diagnosis with advanced imaging and precise surgical repair of epigastric hernias occurring in the upper abdominal wall. Our General and Laparoscopic Surgery team has decades of experience in successfully treating Epigastric Hernias in Lucknow, India.

To seek an Expert Consultation for Epigastric Hernia Treatment in Lucknow, India:

Call us at +91-9076972161
Email at care@tenderpalm.com

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