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Doctor insights on: Epigastic Hernia

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I have an epigastric hernia. In 5 days I am scheduled to have an esophageal dilation performed. Will the dilation affect the epigastic hernia?

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

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Dr. David Earle
1,424 doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more


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What is an epigastric hernia?

What is an epigastric hernia?

A hole: A hernia is a hole in the abdominal wall muscle layer. When this occurs in the area between the belly button and breast bone, its referred to an epigastric hernia. They are commonly associated with hernias at the belly button as well. Hope this helps! ...Read more

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Is it good to get an epigastric hernia repaired?

Is it good to get an epigastric hernia repaired?

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

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Can I do exercise while i'm waiting to have a epigastric hernia fixed?

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

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Will my epigastric hernia go away if i lose weight?

Will my epigastric hernia go away if i lose weight?

No: It may not bother you as much, but will not go away without surgical repair. ...Read more

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Epigastric hernia - should I travel to asia with this?

Epigastric hernia - should I travel to asia with this?

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

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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 and would like to get pregnant this year. Can i wait until after I have the baby to get the hernia fixed ?

Yes you can wait: Epigatric hernias are due to congenital weakness of in the mid line of upper abdomen , most of the time do not even need surgery ( incisional hernia is different issue ) yes can wait till you deliver the baby and good luck. ...Read more

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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?

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

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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?

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

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Epigastric hernia with pregnancy?

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

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Are there any alternative treatments for epigastric hernia?

Are there any 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

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Can an epigastric hernia be caused by an oesophageal reflux operation 5 years ago

Can an epigastric hernia be caused by an oesophageal reflux operation 5 years ago

Yes: Especially if the lump is in close proximity to one of the small incisions. See your surgeon to check it out. ...Read more

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What can I do if I have had a epigastric hernia repair 5 weeks agoand experienced a lot of pain at the incision site?

What can I do if I have  had a epigastric hernia repair 5 weeks agoand experienced a lot of pain at the incision site?

See the surgeon: For questions about hernia repair site pain, it is best to see the surgeon who performed the surgery, so you can have an examination. I do not know how the surgery repair was done or the specifics of your condition. ...Read more

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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?

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?

Plastic loop: Likely this is a piece of suture material. The sutures placed should not be visible to the naked eye, but should be internal. Call your surgeon's office and have them remove the suture. ...Read more

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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?

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

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How do you differentiate the painless, central small lump, just under the sternum as xiphoid process or epigastric hernia?

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

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I have gastritis & a pea sized lump in my epigastric, left ab area. An ab u/s last week showed that I had some ab lipomas. Hiatal hernia or cancer??

I have gastritis & a pea sized lump in my epigastric, left ab area. An ab u/s last week showed that I had some ab lipomas. Hiatal hernia or cancer??

Unclear: Do not get carried away. You have not indicated anything that would make me think of hiatal hernia, If this is true this is a dx that may not mean much Many people have these with no problem, Can be important to go back to your doctor or see a GI specialist for interpretation of the test results and futher advice. Best wishes. ...Read more

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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

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

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What is hernia?

What is hernia?

"Hole in the Wall": A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone of rx is surgery. ...Read more

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What is hernia?

A hole: Hernia is the term used most commonly to describe a hole in the abdominal wall through which intra-abdominal organs may pass. You would see this as a lump under the skin. The perfect analogy is a hole in a car tire through which the inner tube can protrude. The only treatment is an operation. See your doctor for an exam if it persists, gets larger, or causes problems. ...Read more

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What are hernia?

What are hernia?

"Hole-in-the-Wall": A hernia is a hole in the abdominal wall thru which the inner lining protrudes thru, creating a sac. Organs from within the abdominal cavity, such as the intestine, can protrude thru the hole and get stuck in the sac. Many hernias develop during fetal life and become evident in childhood or as an adult. Some develop following a prior abdominal operation. The cornerstone of rx is surgery. ...Read more

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What causes a hernia?

What causes a hernia?

Nature/Nurture: Most hernias develop due to a "birth defect" of sorts, where natural holes in the abdominal wall present in fetal life fail to close. This may manifest itself at birth or require years of "exertion" before the hole reaches a size large enough to be evident. Other hernias are strictly "wear-and-tear" phenomena, although it is believed that they occur in-part due to inherently weak tissue. ...Read more

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