What Are The Symptoms And Treatment Of Epigastric Hernia?


An epigastric hernia occurs normally in abdominal when a portion of and internal organ (usually the intestine) bulges through a weakened segment of the abdominal muscle wall.

What Is An Epigastric Hernia?


The abdominal cavity is covered with a layered sheet of muscle that usually keeps the internal organs firmly in place.

If a segment of this muscle wall becomes weak or slack, a portion of an underlying organ can protrude through.

This can occur without the sufferer even knowing he or she has a hernia; but generally, sufferers notice a bulge at the site of the weakness.

Hernias can occur anywhere in the body, but they are most common in the abdominal area.

What Are The Symptoms Of An Epigastric Hernia?

epigastric hernia symptoms


  • A soft bulge in the abdominal area.
  • Pain or tenderness.
  • Constipation
  • Indigestion
  • Vomiting
  • Other gastrointestinal symptoms

Specific Types Of Hernia Include

Epigastric Hernia

This occurs in the upper abdomen, between the breastbone ( Sternum) and the navel. It is more common in men that women, and can cause tenderness in the area, indigestion, belching, and sometimes vomiting.

Paraumbilical Hernia

This develops around the navel and is more common in women than men. It can produce constipation and sometimes abdominal pain.

Inguinal Hernia

This occurs in the groin area and found in men or male babies.

Femoral Hernia

This is similar to, and inguinal hernia, except it, is lower in the groin. It is most common in women who are overweight or have had several children.

Umbilical Hernia

This occurs in newborn babies and appears as a bulge at the navel.

Incisional Hernia

This occurs after abdominal surgery, at the site where the muscle was cut.

What Hernia Surgeons Says About The Causes Of A Hernia?

epigastric hernia anatomy

A hernia is caused by weakening or tear in the muscle wall that covers the abdominal cavity.

Pregnancy, Surgery, and obesity can be precipitating factors.

How The Hernia Surgeons Diagnosed And Treat A Hernia?

Hernias Usually can be diagnosed just by examining the bulge. Treatment depends on the Hernia condition and whether or not it poses a threat to the underlying abdominal organs.

Surgical repair in which the layers of muscle are sewn back together is usually advised. In some cases, however, wearing a truss will be all that the sufferer needs.

What Can I Do Myself?

epigastric hernia repair

If you are obese, losing the excess weight can help reduce pressure on the abdominal muscles. Regular exercise to keep your muscles in good tone is also important.

If you have recently undergone abdominal surgery, you should follow your doctor’s instructions regarding exercise weightlifting and other activities.

Prolonged inactivity can result in a loss of muscle tone and strength, thus increasing the chances of an incisional hernia.

The wrong type of exercise or activity, however, can lead to opening up of the incision.

Self-treatment of an established hernia is not advised without a doctor’s examination and advice.

Sometimes a hernia can be pushed back into place by pressing upon the bulge. These are referred to as reducible hernias.

Wearing a truss or corset may help prevent intestines or other organs from bulging through a weakened segment of muscle wall.

When Should I See Hernia Surgeons?

You should see your doctor as soon as you notice and bulge on the abdominal wall. Most hernias are not a serious health threat, but if a segment of the intestine becomes obstructed or its blood supply is cut off (strangulation), it can become a serious medical surgery.

What Will The Hernia Surgeons Do?

epigastric hernia

Your doctor will examine a hernia and see if it can be reduced. Depending upon the site and extent of a hernia, surgical repair may be recommended.

Surgery is almost always advised if there is a risk of intestinal obstruction or strangulation.

Some hernia repair operations can be dome without hospitalization. Most often, however, a brief hospital stay is needed. You can usually resume light activities withing a few days, but you should not lift heavy objects until the muscles have fully healed.

The Course Of A Hernia

Some hernias occur suddenly, for example, when you a cough or strain to lift a heavy object. Others will evolve over a few days or even weeks.

The weakness in the muscle wall may have been present since birth. A hernia will become progressively worse as time goes on.

Is An Abdominal Hernia Dangerous?

epigastric hernia in adults

The major dangers of an abdominal hernia are the risks of intestinal obstruction or strangulation.

An obstructed hernia causes abdominal pain, nausea, and vomiting.

Signs of a strangulated hernia include increased pain, swelling, and redness.

If left untreated, the possible consequences of intestinal strangulation or obstructions could include peritonitis and gangrene, both of which are life-threatening conditions.

How Can I Avoid An Abdominal Hernia?

Most abdominal hernias cannot be prevented, Maintaining ideal weight and exercising regularly to keep your muscles well toned may help to avoid some types of a hernia.


If you experience a worsening of pain, notice swelling and redness or signs of possible intestinal strangulation, see your doctor immediately or go to nearest hospital emergency department.