- A bulge in the affected area.
- Pain — which can range from a dull ache to severe pain — especially when coughing, sneezing or lifting heavy objects.
- Bloating or constipation.
What are the health risk factors of an epigastric hernia?
What are the Complications of Epigastric Hernia Surgery?
- Wound infection can be a complication of epigastric hernia surgery. Infections may occur after the surgery if not taken care properly. ...
- Wound hematoma is a complication of epigastric hernia surgery. A firm swelling can be seen if there is bleeding under the skin. ...
- Recurrence of epigastric hernia is a possible complication of epigastric hernia surgery. ...
What is an epigastric hernia and how to treat it?
Treatment for Epigastric Hernia & its Recovery Period, Risk Factors
- Treatment for Epigastric Hernia. Treatment for an epigastric hernia is not an easy task. ...
- Recovery Period/Healing Time for Epigastric Hernia. The recovery period/healing time is good for epigastric hernia. ...
- Risk Factors for Epigastric Hernia. There are few risk factors for epigastric hernia. ...
How to tell if you have a hernia?
- Bloating, pain, and discomfort in the stomach
- A burning sensation in your chest
- Sour taste in your mouth and throat
- Frequent burping
What are the signs of a belly button hernia?
You may have any of the following:
- A bulge or swelling in or near your belly button
- A bulge that gets bigger when you cough, strain to have a bowel movement, or sit up
- Nausea or vomiting
- Constipation
What can be mistaken for epigastric hernia?
Epigastric hernias can be congenital (present at birth) or acquired. They are similar to an umbilical hernia, except the umbilical hernia forms around the belly button and the epigastric hernia is usually between the belly button and the chest.
What aggravates a epigastric hernia?
An epigastric hernia is usually asymptomatic but can present with pain and/or a notable lump just below the breastbone. The hernia can be aggravated by exercise and eating at times. On rare occasions it can also become very painful and irreducible (incarcerated).
What are the symptoms of an upper abdominal hernia?
Signs and Symptoms of a HerniaAn obvious swelling beneath the skin of the abdomen or the groin. ... A heavy feeling in the abdomen that sometimes comes with constipation or blood in the stool.Discomfort in the abdomen or groin when lifting or bending over.A burning or aching sensation at the bulge.More items...
When should I worry about an epigastric hernia?
Emergency symptoms of an epigastric hernia If your epigastric hernia hasn't been treated, you should get medical treatment immediately if you have vomiting or fevers and an increase in abdominal pain. These may indicate a bowel blockage. Surgery to repair an epigastric hernia can lead to certain serious complications.
Where do you feel epigastric pain?
Epigastric pain is pain that is localized to the region of the upper abdomen immediately below the ribs. Often, those who experience this type of pain feel it during or right after eating or if they lie down too soon after eating. It is a common symptom of gastroesophageal reflux disease (GERD) or heartburn.
How do you examine an epigastric hernia?
You will likely be asked to stand and cough so the doctor can see or feel a bulge that indicates a hernia. If you have an umbilical or epigastric hernia, your doctor will often order imaging tests, such as: Ultrasounds. Computed tomography (CT) scans.
Can a hernia cause gas and bloating?
An inguinal hernia can cause someone to feel like they had an enormous meal when in fact they did not. This very common type of hernia can also make you feel bloated accompanied with pain in the groin and lower abdomen. Some of these easy to miss signs of a hernia can be potentially dangerous if not treated.
Where do you feel pain from a hernia?
The symptoms that lead most people to the doctor, and eventually a hernia diagnosis, typically include pain in the abdomen, particularly in the groin area. The pain tends to get worse if you sneeze, cough, lift something heavy or strain. But different types of hernia can cause other symptoms.
Can you have a hernia in the middle of your stomach?
Epigastric Hernia Epigastric hernias are typically small. They occur in the middle of the belly, in the area between the belly button and the breastbone. Some patients develop more than one epigastric hernia at a time. These hernias typically don't cause symptoms, but you may experience pain in your upper belly.
How can I treat an epigastric hernia at home?
The following lifestyle changes can you manage an epigastric hernia:avoid lying down after you eat.replacing large meals with several smaller meals.quit smoking.lift heavy objects with proper form and/or assistance.eat healthy, fiber-rich foods to reduce constipation.
Can an epigastric hernia cause acid reflux?
It rarely causes symptoms, but some people may experience acid reflux and heartburn. Adjusting the diet and taking antacids or alginate products can usually help reduce discomfort. Obesity and older age contribute to the risk of a hiatal hernia, but the exact cause is not clear.
What can I eat with an epigastric hernia?
The following foods are low-acid-producing foods and are less likely to aggravate your hiatal hernia symptoms:Bananas and apples.Green beans, peas, carrots, and broccoli.Grains, like cereals (bran and oatmeal), bread, rice, pasta, and crackers.Low-fat or skim milk and low-fat yogurt.More items...•
What causes an epigastric hernia?
Some factors that may cause or exacerbate epigastric hernias include: obesity. pregnancy. coughing fits. heavy lifting. physical labor. intensive training or sports.
What is the stitch for a hernia?
If the area causing muscular weakness is small, the surgeon may stitch it up. These permanent stitches are known as sutures, and they will prevent the hernia from pushing through again. Large areas of muscular weakness may require a patch of nylon mesh, which is stitched in place to cover the hole.
What is a hernia in children?
Treatment for children. Outlook. A hernia is a bulge that results from bodily tissue pushing through the surrounding muscle. The majority of hernias occur in the abdomen, and there are several types of abdominal hernias, including those known as epigastric hernias.
What is the procedure to repair a hernia?
Surgical repair can be carried out under general anesthetic or local anesthetic, depending on the preference of the individual and the advice of the surgeon. Once the anesthetic has taken its course, the surgeon will make an incision in the hernia and insert a laparoscope.
What is the term for a bump in the abdomen that can be seen and felt?
pain. tenderness . an abdominal bump that can be seen and felt. Certain actions, such as straining, crying, or having a bowel movement, may produce or exacerbate these symptoms. The symptoms of some epigastric hernias come and go, which is known as a reducible hernia.
How long does it take for a bulge to heal after abdominal surgery?
Some postoperative pain, discomfort, swelling, and bruising in the abdominal area are normal. Doctors may recommend pain relief for the first 48 hours. A bulge may still be present after the surgery. This is likely to be caused by the suture used to close the abdominal wall and should diminish over time.
Where are hernias located?
Epigastric hernias are lumps or bulges that occur in the upper part of the abdominal wall – in an area known as the epigastrium, which is above the navel and just below the breastbone. Epigastric hernias can be present from birth.
What is an epigastric hernia?
Surgery. Recovery. An epigastric hernia happens when a weakness in the abdominal muscle allows the tissues of the abdomen to protrude through the muscle. It is usually present at birth and is similar to an umbilical hernia, except the umbilical hernia forms around the belly button and the epigastric hernia is usually between ...
What color is a strangulated hernia?
A strangulated hernia can be identified by the deep red or purple color of the bulging tissue. It may be accompanied by severe pain, but is not always painful. Nausea, vomiting, diarrhea, and abdominal swelling may also be present.
How long does it take for a hernia to heal?
Most hernia patients are able to return to their normal activity within two to four weeks. Elderly patients make take longer. The belly will be tender, especially for the first week. During this time, the incision should be protected during activity that increases abdominal pressure by applying firm but gentle pressure on the incision line .
What is the sac in a hernia called?
This tissue is called the “hernia sac.”. The surgeon returns the hernia sac to its proper position, then begins to repair the muscle defect. If the defect in the muscle is small, it may be sutured closed. The sutures will remain in place permanently, preventing the hernia from returning.
Why do my hernias not show up in my life?
For many, a hernia does not cause symptoms until later in life due to obesity, muscle weakness, or strain on the muscular wall of the abdomen.
What is an incarcerated hernia?
An incarcerated hernia is an emergency when it becomes a “strangulated hernia,” where the tissue that bulges outside of the muscle is being starved of its blood supply. This can cause the death of the tissue that is bulging through the hernia.
Can an epigastric hernia be diagnosed with a CT scan?
An epigastric hernia is typically small enough that only the peritoneum, or the lining of the abdominal cavity, pushes through the muscle wall. 1 In minor cases, the issue may be diagnosed during a CT scan or other testing for an entirely different issue, and may never cause symptoms. In fact, many epigastric hernias are diagnosed in adults, ...
How to diagnose an epigastric hernia?
How Are Epigastric Hernias Diagnosed? Doctors can diagnose an epigastric hernia by doing an exam to look for a bump and asking about a child's symptoms, such as pain .
What is an epigastric hernia?
An epigastric (eh-pih-GAS-trik) hernia is when part of the intestines pushes through the abdominal muscles between the belly button and the chest. Many are small, cause no symptoms, and don't need treatment. Larger ones that do cause symptoms won't heal on their own, but surgery can fix the problem.
How to remove a hernia defect?
Remove the fat poking through the hernia defect or push it back into the abdomen. Close the hole or weak spot in the muscle with stitches. Close the incision with absorbable sutures under the skin and tape strips. The strips will fall off on their own in 1–2 weeks.
Why do my babies have hernias?
Babies can be born with this problem, or it can happen later because of weakness in the surrounding muscles or strain on the abdominal wall.
Where is the opening of the intestine?
With an epigastric hernia, the opening is near the center of the abdomen (belly), between the bottom of the breastbone (sternum) and the belly button. This area is called the epigastrium. Epigastric hernias happen because ...
Can epigastric hernias cause pain?
Most epigastric hernias don't cause symptoms. When they do, a child might have: a small bump or swelling above the belly button. discomfort or pain. The pain may get worse when the child stands, sneezes, coughs, or strains to go to the bathroom.
What is this Lump on my Belly?
Mary is a 25-year-old female who recently had her first baby. She has always been slightly overweight and has never been very active or fit. Recently she noticed a lump on the upper part of her belly. She panicked when she first saw it, but then it seemed to have gone away. So she didn't think much of it.
What is an Epigastric Hernia?
Mary's doctor examined her and told her that she had a hernia. A hernia, which can be located in many different areas of the body, is when part of an organ pushes through a muscle wall that contains that organ.
Treatment for an Epigastric Hernia
Mary asks her physician if anything needs to be done for her hernia since it is small and painless at this time. He recommends that she get it repaired to prevent the likelihood of further complications.
What causes an epigastric hernia?
Conditions, behaviors and activities that put strain on or weaken the abdominal wall can also cause umbilical or epigastric hernias. These include: Smoking. Diabetes. Using steroids or other medications that can compromise the immune system. Heavy lifting or other strenuous activities.
What tests are done to check for a hernia?
If you have an umbilical or epigastric hernia, your doctor will often order imaging tests, such as: Ultrasounds. Computed tomography (CT) scans. Magnetic resonance imaging (MRI) scans.
What is the procedure to repair a hernia?
Laparoscopic hernia repair: This is a minimally invasive procedure in which small incisions, a tiny video camera, special surgical tools and a piece of plastic mesh are used to repair the hernia. Robotic hernia repair: This procedure is similar to laparoscopic repair.
What is an umbilical hernia?
What is an umbilical or epigastric hernia? Umbilical or epigastric hernias occur when a part of the intestine pushes through an opening in the abdominal, or stomach, muscles.
Why does my umbilical hernia expand?
In most cases, it is not known why an umbilical or epigastric hernia develops in adults. The primary risk factors are being overweight or having prior pregnancy, either of which can cause an opening in the abdominal muscles to expand over time.
When do hernias resolve?
These types of hernias are most common in infants and will typically resolve on their own within the first five years. (Although if you suspect your child has one, you should consult with your pediatrician.) Sometimes, however, umbilical and epigastric hernias are diagnosed or develop later in childhood or in adulthood.
How do you know if you have a bulge in your sleeve?
Pain — which can range from a dull ache to severe pain — especially when coughing, sneezing or lifting heavy objects. Bloating or constipation.
What are the side effects of an epigastric hernia surgery?
Examples include feeling sick as a result of the general anaesthetic or painkillers. Complications of epigastric hernia surgery: Complications are unexpected problems that can occur during or after the operation.
How to prevent epigastric hernia?
Lifestyle measures may help to prevent an epigastric hernia from developing. The most important advice is to use lifting equipment for heavy loads. Use safe lifting and carrying techniques and avoid excessive or repeated straining.
What is the name of the hernia in the abdomen?
An epigastric hernia occurs when part of the fat or intestine protrudes through a weak spot in the abdominal muscles. It appears as a soft swelling above the area of the navel (umbilicus). This type of hernia is usually small and often may not cause any pain or discomfort. The size of the opening in the abdominal wall may be quite small so it is ...
How to treat a small hernia?
General anaesthesia is usually used although local anaesthetic can be used for small hernias. Surgery is generally performed through a small 2-5 cm incision over the hernia. The procedure involves freeing up the hernia and returning the contents of the hernia (usually fatty tissue) back to the abdomen.
Where is the Scottish Hernia Centre?
The Scottish Hernia Centre in Glasgow is Scotland’s premier private specialist hernia centre, where highly trained nursing and medical staff work within a state of the art hospital enabling our surgeons to safely treat even the most complex hernia within a safe and comfortable high tech environment.
Does Richard Molloy have an epigastric hernia?
Yes. Richard Molloy undertakes epigastric hernia surgery on a regular basis at the Scottish Hernia Centre, based at Ross Hall hospital Glasgow . At the initial consultation, your hernia and any other medical problems will be assessed before discussing the surgical options for repair.
Can you get a hernia on one side?
Surgery at Ross Hall. Scotland’s premier hopsital. As many as 3 in 10 patients who get a hernia on one side will subsequently get a hernia on the opposite side. Most patients are fully active within days of the operation.
What is an epigastric hernia?
Epigastric hernia. Abdominal ultrasound of a midline epigastric hernia. An epigastric her nia is a type of hernia that causes fat to push through a weakened area in the walls of the abdomen. It may develop in the epigastrium (upper, central part of the abdomen ). Epigastric hernias are more common in adults and usually appear above ...
Where do epigastric hernias appear?
Epigastric hernias are more common in adults and usually appear above the umbilical region of the abdomen. It is a common condition that is usually asymptomatic although sometimes their unusual clinical presentation can present a diagnostic dilemma for the clinician.
What is the best way to diagnose a suspected hernia?
Computed tomography scans of the suspected areas with intravenous contrast can assist in diagnosis. Doctors are also able to identify whether it is a suspected hernia by palpating the affected area. Ultrasonography is also used for diagnostic purposes.
Can an epigastric hernia cause tissue damage?
Unlike the benign diastasis recti, epigastric hernia may trap fat and other tissues inside the opening of the hernia, causing pain and tissue damage. It is usually present at birth and may appear and disappear only when the patient is doing an activity that creates abdominal pressure, pushing to have bowel movements, or crying.
Can epigastric hernias be repaired?
Symptomatic epigastric hernias are repaired with surgery. Even if they are asymptomatic, they can be surgically corrected for cosmetic reasons. In general, cosmetic surgery on infants is delayed until the infant is older and better able to tolerate anesthesia. If the size of the hernia is greater than 4 cm, then a hernioplasty or herniorraphy surgery is required.
How do you know if you have an epigastric hernia?
If you have an epigastric hernia, you may be able to feel it when there is pressure on the abdominal wall, such as when you cough, laugh, or bear down to have a bowel movement . You may also have some pain or tenderness around where the hernia is.
How to know if you have a hernia?
Seek immediate medical care if you have a hernia and experience the following symptoms: 1 constipation 2 fever 3 nausea 4 problems passing gas 5 sudden and severe pain at the hernia site 6 vomiting
What is hiatal hernia?
Hiatal hernias are classified into types — from type I to IV — depending on where they are located. An estimated 95 percent of hiatal hernias are type I: With these hernias, the stomach remains in position, yet the area where the esophagus meets the stomach slides above the diaphragm. Read about exercising with a hiatal hernia.
What is a hernia in the body?
Share on Pinterest. A hernia occurs when a piece of tissue bulges through an area of the body — usually a weak point in a person’s abdominal wall. Some hernias may cause few symptoms. Others can be a medical emergency. Here we’ll discuss different areas in the body where hernias can occur, plus guide you to more in-depth articles about each hernia ...
How common is an inguinal hernia in men?
They’re also much more common in men: An estimated 27 percent of men and only 3 percent of women will develop an inguinal hernia in their lifetime. Sometimes it’s difficult to tell the difference between a femoral and inguinal hernia.
Why do women have femoral hernias?
Women experience femoral hernias more often than men. A femoral hernia can be a cause for concern due to the femoral artery and vein being nearby. It’s possible the hernia could affect these blood vessels and block blood flow to and from the leg.
What does a femoral hernia feel like?
A femoral hernia occurs when tissue pushes through a weak point in the groin or inner thigh. The hernia may feel like a small- to medium-sized lump in the groin.
How to tell if a hernia is a hernia?
A: When most hernias start, the internal tissue that pushes through the muscle gap is usually fat. But it’s also possible for part of the bowel to protrude through the opening. The risk of this is very low, but when it happens, it needs emergency repair. Seek immediate medical attention if you have: 1 A painful bulge that doesn’t reduce in size when you lay down and rest 2 Worsening pain 3 Nausea and/or vomiting 4 Difficulty having a bowel movement 5 Bloating 6 Racing heart rate 7 Fever
What does a ventral hernia feel like?
Q: What Does a Belly or Abdominal (Ventral) Hernia Feel Like? A: If you have a ventral hernia in the belly area, you may see or feel a bulge along the outer surface of the abdomen. Typically, patients with ventral hernias describe mild pain, aching or a pressure sensation at the site of the hernia.
How long does it take to heal a ventral hernia?
However, repairing more complicated hernias may require a hospital stay of one to five days.
Where do hernias occur?
There are different types of hernias, but the most common hernias occur in the belly or groin areas .
Can a hernia be repaired?
Nearly all hernias can be surgically repaired. Adrales explains how to recognize hernia signs in men and women, the most common types, and what surgery and recovery are like.
Can you repair a hernia before surgery?
For both men and women, repair is recommended for most abdominal hernias. The exception is if you have risk factors for complications or hernia recurrence, such as obesity or poorly controlled diabetes. It’s better to get those conditions under control before surgery. Some patients do not have symptoms and may decide to delay repair after discussion of the risks and benefits with their surgeon.
Can an inguinal hernia be repaired?
Women also have a greater chance of developing complications than in men. So, we typically recommend surgical repair after diagnosis.
Overview
Symptoms
- An epigastric hernia is typically small enough that only the peritoneum, or the lining of the abdominal cavity, pushes through the muscle wall. In minor cases, the issue may be diagnosed during a CT scan or other testing for an entirely different issue, and may never cause symptoms. In fact, many epigastric hernias are diagnosed in adults, rather t...
Clinical significance
- It is not uncommon for an adult to be diagnosed with an epigastric hernia that they were unaware of earlier in life. It is also possible for a hernia that was known to be present for many years to become an issue as the individual ages.
Administration
- This surgery is performed by a general surgeon or a colon-rectal specialist, if the patient is a child a surgeon who specializes in pediatrics is typically performing the procedure.
Treatment
- Once anesthesia is given, surgery begins with an incision on either side of the hernia. A laparoscope is inserted into one incision, and the other incision is used for additional surgical instruments. The surgeon then isolates the portion of the abdominal lining that is pushing through the muscle. This tissue is called the hernia sac. The surgeon returns the hernia sac to its proper …
Risks
- If the suture method is used with larger muscle defects (approximately the size of a quarter or larger), the chance of reoccurrence is increased. The use of mesh in larger hernias is the standard of treatment, but it may not be appropriate if the patient has a history of rejecting surgical implants or a condition that prevents the use of mesh.
Prognosis
- Most hernia patients are able to return to their normal activity within two to four weeks. Elderly patients make take longer. The belly will be tender, especially for the first week. During this time, the incision should be protected during activity that increases abdominal pressure by applying firm but gentle pressure on the incision line.