Doctor insights on:
Epigastric Hernia Symptoms And Treatment
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
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
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?
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
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: 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
No: It may not bother you as much, but will not go away without surgical repair. ...Read more
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
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...
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
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?
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
Yes: Yes most likely it is. It can be repaired the traditional way or laparoscopic. If small traditional way is as easy. Small cut under umbilicus. I always repair with a small mesh to minimize recurrence. ...Read more
Pulled muscle in upper abdomen. Sharp pain, twisted feeling, and swelling. Symptoms consistent for about a week now Abdominal muscle strain or Hernia?
Medical check up: You need to get a medical examination from your PCP or a surgeon. Any swelling that is persisting is more likely something serious and not simply a sprain. Your doctor can examine you and obtain imaging X-rays/scans to look deeper and make sure that you do not have a tumor or bleeding into the muscles. ...Read more
Surgical repair.: The most durable treatment is surgical repair. A hernia is a weakness of the abdominal wall that can cause the intestines or other internal organs to get be abnormally positioned in the area of weakness. Rarely these organs get stuck which can be serious. The best treatment is to surgically remove the organs and reconstruct the area of weakness. ...Read more
Depends: On the size ; type of hiatal hernia. Most commonly medications are used to decrease acid in the stomach, avoid eating late at night or several hours before lsyonyg down. Sometimes surgical repair is indicated for some types of hiatal hernia. Newer non-invasive procedures are being developed. ...Read more
Hernia repair: The treatment for an abdominal wall hernia is surgical repair. You should decide whether or not to have repair based on current sunrooms and desire to prevent it from getting worse. There are many techniques of repair, so choose one that can best meet your goals, and that the surgeon is most comfortable with. The prostate is another matter altogether. ...Read more
See a Doctor: A hernia is a hole in the abdominal wall. They can occur anywhere, but commonly in the groin, belly button, and previous incisions. Treatment depends on your symptoms. If they do not have incarcerated (stuck) bowel or pain, then they can be monitored. If they cause problems such as pain, cannot push it back in, etc, then it will need surgical repair. ...Read more
Hernia: Hernia repair is always recommended, risk/benefit analysis favors repair. However, it is elective outpatient procedure when healthy and not having symptoms (no er visits), okay to visit surgeon, get monitored. Elective scheduling with monitoring, can be 6 to 12 months out. Be well. ...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
If umbilical hernia not cause pain but if person want treatment of it without surgery so what he/she do?
Surgery or wait/see: Watchful waiting can be an option for small umbilical hernias, where it's very unlikely for bowel to enter & get stuck (incarcerated). Large umbilical hernias can also be left alone if it's very unlikely for bowel to get incarcerated. However, only option for hernias of any sort is surgical repair to prevent painful incarceration & strangulation of bowel. Best to go see surgeon for his/her opinion. ...Read more