Doctor insights on:
Alternative Treatments For Epigastric Hernia
Hernia or diastasis?: You need to differentiate an abdominal wall hernia from rectus diastasis. A hernia occurs when there is a defect in the abdominal wall that allows contents to protrude through the defect, most common are inguinal, umbilical and ventral (post-surgical) hernias. Rectus diastasis is a weakness of the midline tissues that normally connect the two rectus muscles. The weakness is not a true hernia. ...Read more
Yes: Epigastric hernia is a defect in the linea alba - midline fascia. There is usually herniation of preperitoneal fat. Usually asymptomatic but sometimes can be associated with pain due to incarceration/strangulation of the fat or wall of intestine. Therefore, recommend surgical repair. ...Read more
Hernia: Not sure what the question is, but the only way to fix a hernia is with an operation. You would like to avoid this if possible, but may need to operate for unrelenting, severe pain or problems with the intestines related to the hernia. See a gernal surgeon, your ob, and sages. Org guidelines for laparoscopic surgery during pregnancy for more info. ...Read more
Yes: Especially if the lump is in close proximity to one of the small incisions. See your surgeon to check it out. ...Read more
I had open surgery on an umbilical and epigastric hernia. I haven't had a BM in 48 hrs and its starting to become a painfull issue...
Maybe: Depends on how long it has been there, how much it bothers you, how long you will be gone, and whether or not you will be in a location with access to health care. If it been there a long time, and doesn't bother you, then it is probably very low risk to cause a problem. Less time, more symptoms, higher probability of a problem. Hope this helps, and have a nice trip! ...Read more
I have an epigastric hernia and would like to get pregnant this year. Can I wait until after I have the baby to get the hernia fixed?
I have an epigastric hernia. Size is an egg and not painful. The surgery is planned for 30 april 2013. Is synthetic mesh the best solution? Symptoms?
Yes: Umbilical hernia repair is surgery to repair an umbilical hernia. An umbilical hernia is a sac formed from the inner lining of your belly that pushes through a hole in the abdominal wall at the belly button. At surgery the mesh is used to cover the defect and stitched to the adjacent tissues. Eventually, the tissues heal over the mesh and it becomes an integral part of the body. ...Read more
1 month since open repair of epigastric hernia using mesh. Is it ok to do 30min of 4mph walks or crosstrainer session. When is it ok for strength ex?
As tolerated: I would say to perform your activities as tolerated by pain and discomfort. Use common sense and listen to your body. There are however a variety of techniques that can be used for this type of repair, so check with your surgeon to be sure. Good luck! ...Read more
What can I do if I have had a epigastric hernia repair 5 weeks agoand experienced a lot of pain at the incision site?
I had an epigastric hernia repair with no mesh. There is a hole next to the incision that has a plastic loop hanging out. What is it?
It depends.: Aerobic activity and light weights should be no problem prior to hernia repair, assuming that the exercise does not cause pain related to the hernia. I suggest to my patients that they try and determine what exercises cause the most stress to this area prior to surgery; those are the ones I want them to avoid for 2-3 weeks after surgery. Of course, it's always best to check w/your surgeon. ...Read more
No: It may not bother you as much, but will not go away without surgical repair. ...Read more
I had 5 days ago an epigastric hernia surgery and I am having side stitch pain, is this normal or post surgery effects or should I be concern?
Sounds normal: But if you think something is wrong, be sure to call your surgeon. ...Read more
A doctor in mexico told me that I have a epigastric hernia but my doctor in usa told me that it was a hiatus hernia what is the diffferences and how to determine which one I have thanks?
Can U See a Bulge?: A hiatal hernia is an enlargement of the (normal) hole in the diaphragm thru which the esophagus passes. This may be associated with gastroesophageal reflux, causing heartburn. It can only be seen by ct or endoscopy. An epigastric hernia is a hole in the upper-midline abdominal wall thru which the inner lining of the abdominal cavity can protrude. This can usually be easily seen/felt as a bulge. ...Read more
How do you differentiate the painless, central small lump, just under the sternum as xiphoid process or epigastric hernia?
Hernia or not?: Biggest way to differentiate is does this area change with flexion of the abdominal muscles. I.e. lay flat and lift the feet up off the bed (a leg lift). Does the lump come out? If it does, it is a hernia. How about squat down and lift something. Same rule applies. Now, without a large lump it does not necessarily mean no hernia, but if it does, that is the answer. ...Read more
I have an epigastric hernia. In 5 days I am scheduled to have an esophageal dilation performed. Will the dilation affect the epigastic hernia?
Unlikely...: An abdominal hernia at your epigastrium is an outward bulge of the abdominal wall. The esophagus is quite a bit deeper than that. Express your concern however to the physician who is planning to dilate you, so he can plan his technique accordingly, pinpoint fyi where in your esophagus (in relation to the epigastrium) dilation will be needed, as well as review with you fully the procedure's risks. ...Read more
How can I differentiate ulcer pain from epigastric hernia pain? Had bad pain above navel after dinner. Got MUCH worse after BM. Need to pick specialst
Start w/Family Doc: It's not a bad idea to start w/your Family Doc 1st. S/he can evaluate, treat as appropriate and refer if necessary. In general, it's a matter of semantics & degree of pain as to heartburn vs acid reflux vs gastritis vs ulcer vs hiatal hernia. Of note, hiatal hernias are often asymptomatic. While waiting for appt w/Family Doc, consider antacids eg calcium carbonate, H2 blockers & proton pump inhibi ...Read more
I was told that I have a hernia by a e.r doctor after having a c.t scan. What kind of doctor should I go to, for treatment?
Depends: These types of congenital diaphragm hernias are commonly seen on abdominal ct scans done for other reasons, and are usually not dangerous, as they have typically been present for many years, cause no symptoms, and only contain a small amount fat so are not at risk to become strangulated. Large hernias are a different story, and may need surgical repair by a experienced general or thoracic surgeon. ...Read more
Conservative first: Conservative treatments are always tried first and include physical therapy, targeted pain therapy, heat, massage, and analgesics. If your symptoms are not relieved anymore by such therapies, then seek out a neurosurgeon to discuss the possible risks and benefits of a cervical spine surgery. Http://emedicine. Medscape. Com/article/305720-treatment ...Read more
Depends: Depends on the clinical scenario, but options include surgery while the baby is still in the womb, immediate surgery at the moment of delivery, or surgical therapy within days to weeks after delivery. Ask about a pediatric surgery consultation for more info about your specific case. ...Read more
Acid reflux: Stomach acid refluxing back into esophagus is painful. So avoiding acid stimulation and overfilling your stomach will help. Alcohol, and tobacco drive acid production. Also avoid large fatty meals, carbonated beverages, and lying down after eating (stay upright for 2 hours). Check in with your doc to consider anti acid medication and referral for scoping/egd. Tums, (calcium carbonate) over the counter, work well. ...Read more
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