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Doctor insights on: Epigastric Hernia Symptoms In Women

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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

Upper Abdomen (Definition)

Draw a transverse line through the umbilicus and the upper abdomen includes every part of the belly above this line and below 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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Epigastric hernia with pregnancy?

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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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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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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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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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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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 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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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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Pulled muscle in upper abdomen. Sharp pain, twisted feeling, and swelling. Symptoms consistent for about a week now Abdominal muscle strain or Hernia?

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

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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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Can severe bloating cause hernia in upper abdomen?

Can severe bloating cause hernia in upper abdomen?

No.: While severe abdominal distention could most certainly aggravate the SYMPTOMS of a hiatal hernia or even a ventral abdominal wall hernia, it does not CAUSE herniation. ...Read more

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Continues reflux and terrible pain in the upper abdomen and was diagnosed in 2014 with hiatal hernia?

Continues reflux and terrible pain in the upper abdomen and was diagnosed in 2014 with hiatal hernia?

Clarify please: I am not sure what the question is. Please resubmit with clarification. Thanks, ...Read more

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Hello! My husband is having robotic laparoscopic surgery on a small hernia in his upper abdomen. Can he fly 10 days after surgery? If not, why? Thanks

Hello! My husband is having robotic laparoscopic surgery on a small hernia in his upper abdomen. Can he fly 10 days after surgery? If not, why? Thanks

Here are some...: As reported, your hubby had uneventful minimally invasive abdominal hernia repair - not specified; congratulation! Clinically and generally speaking, he should have no reason for avoiding flight 10 days after such procedure. But, for sake of safety, asking the surgeon, who knew the best detail and nature of the procedure, is the most reasonable thing to do. Best wishes to his health... ...Read more

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Can a hiatal hernia cause pain and fullness under your sternum or breastbone right where your upper abdomen begins center of your ribcage?

Hiatal hernia: A hiatal hernia may cause pain there, however heart disease, gallbladder disease and stomach may also cause issues. You should seek the help of a primary care physician to see if you need a gastroenterologist or cardiologist or surgeon. ...Read more

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I have a hytas hernia Cain it cause upper abdomen pain like I am having especially after alcohol because all the internet says is back and chest pain?

I have a hytas hernia Cain it cause upper abdomen pain like I am having especially after alcohol because all the internet says is back and chest pain?

Yes: Most of the time the discomfort is in the mid upper abdomen. In your case reflux itself would cause similar symptoms. Aside from hiatal hernia, a variety of other medical conditions may account for your symptoms, including but not limited to gallbladder disease, intrinsic gastric/ duodenal pathology or liver disease. Cut on alcohol and monitor your symptoms. If persisting mention them to your doc. ...Read more

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Been dx hiatus hernia with inflammation. Every day my upper abdomen is swollen hard and hard to breathe, lost appetite.,?

Been dx hiatus hernia with inflammation. Every day my upper abdomen is swollen hard and hard to breathe, lost appetite.,?

Reflux esophagitis: Hiatal hernia with inflammation is usually due to reflux of gastric contents. A hard swelling with difficulty breathing may represent an incarcerated hernia. Contact your surgeon right away. ...Read more

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What can swell up in right upper abdomen!? Kindey, gallbladder stones where ruled out, pancreas is normal too no hernia or cyst liver is good too

What can swell up in right upper abdomen!? Kindey, gallbladder stones where ruled out, pancreas is normal too no hernia or cyst liver is good too

RUQ anatomy: Anatomically, the right upper quadrant (RUQ) of the abdomen includes: liver, gallbladder, pancreatic head, bile ducts and ampulla, c-loop of the duodenum, stomach antrum and pylorus, the hepatic flexure of the colon. Don't forget the diaphragm and lower chest are pretty close by. The abdominal musculature, ribs, and skin can all contribute as well to localizing RUQ pain. An exam is appropriate. ...Read more

Dr. David Earle
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Hernia (Definition)

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