What is Epigastric Hernia in Adults? Symptoms and Treatment without Surgery

Hernias refer to the phenomena where tissue is forced through and protrudes from a weak point in the abdomen. There are several types of hernia which are defined based on their location, severity, and suspected origin. An epigastric hernia specifically refers to the instance where fat tissues push through the weakened wall of your abdomen.

What is an epigastric hernia

Specifically, the afflicted tissue will bulge through the umbilicus (navel or belly button) and the sternum (the piece of bone in the center of the rib cage). This region is named the epigastrium. Anatomically, epigastriums are located near the left and right hypochondria, lateral regions, inguinal regions, and the umbilical and pubic regions.

This upper part of the abdominal wall has functions in breathing and also contains the duodenum (entrance to the small intestines), pancreas, and parts of the stomach and liver.

What causes this to happen?

Doctors are not sure exactly what leads the body to do this. The amount of force and exertion can be a result of exercise, straining from bodily functions (chronic constipation or coughing), or poor genes. Sometimes, DNA can instigate genetic defects which can cause tissue formation to have strength impacted. While they are more prevalent in men, women are more susceptible during pregnancy.

What are the epigastric hernia symptoms

What does it feel like? One of the most apparent epigastric hernia symptoms a lump on the chest. This soft mass will be squishy and may but moveable.

They are likely tender to the touch and causes discomfort during regular activities. Things involving breathing, such as inhaling, exhaling, or coughing, can cause significant pain and can cause the hernia to grow larger or worsen.

How do you receive an epigastric hernia diagnosis?

If you do not have obvious virtual symptoms (and even in those cases for assurance), ultrasounds, x rays, and other radiographic techniques can be used to visualize internal disturbances to attain an epigastric hernia diagnosis. From there, doctors will determine the next mode of action which needs to be taken (whether medical intervention is necessary or merely monitorization and watching for now).

How common are epigastric hernia in adults

The prevalence of epigastric hernia in adult has been closely investigated by researchers worldwide. Ponten, Somers, and Nienhuijs (2012) published their findings in the journal Pathogenesis of the epigastric hernia. They determined it was relatively common, affecting about a tenth of the population. Only a minority of this value is symptomatic, the vast majority is asymptomatic and causes no problems whatsoever. About 1.6 to 3.6 percent of all abdominal hernias (and 0.5 to 5% of operated hernias) are classified as epigastric. It is much more common in adulthood than in toddlers or a child.

Is there an epigastric hernia treatment without surgery?

Sadly, there’s no cure for epigastric treatment without surgery. There is no homeopathic method to naturally reverse the process. Popularized blogs condemning big pharma may entice one to refuse treatment and turn to diet changes or essential oils. These lectures and posts are misleading. If it sounds like magic, discuss it with a professional first. Scams involving health are disastrous. Even if it appears as the protrusion can be popped back into it’s home, this is temporary. You need to reposition it where it belongs and seal up the hole to prevent future occurrences.

While treatments are only needed in cases where symptoms are exhibited and intervene in your health or life, once they develop, symptoms will never permanently go away. It can be misleading as you can go through long periods of time where the pain isn’t experienced after it initially begins to bother. Leaving it untouched and untreated can be tempting, however, generally, a surgeon will opt for the procedure to be carried out to limit the chances of risks and complications. A complication can prove deadly if tissues become incarcerated, strangulated, or dies (gangrene). This will cause rather notable pain and swift death. It is not like diastasis recti where it will dissipate after time.

While awaiting surgery, you can discuss some approaches with your doctor to determine if you are a good fit for wearing a hernia belt. These apparatuses will compress the affected reason, forcing the bulge into its place and reducing irritation and further damage. It can also temporarily relieve some symptoms. In the meantime, avoid strenuous exercises and heavy lifting

Hernia repair surgery

The hernia repair surgery is the only option you have for successful removal. This surgery is routine and one of the more popular surgeries performed in America each year. It comes with relatively few risks as long as you follow and adhere to postoperative suggestions your surgeon provides.

This will mean limiting activities and taking it easy to avoid popping stitches or inducing a hernia formation while the unhealed wall is still weak.

The surgery can be carried out in different manners. Laparoscopy is a popularly utilized technique where a laparoscope video camera is used to allow for minimal cuts. If it not possible to conduct the operation through pictures or the area is large, an open operation will be conducted. The second variable factor is the use of mesh. Sometimes meshes are used where other times the wound is simply sewn back together for reconstruction and repair.

All methods come with their own risks and advantages which can be discussed prior to your hospital visit. Once a procedure has been selected, you can refer to the CPT code and ICD 10 code assigned by your doctor in your medical record. This will provide reliable and straightforward information surrounding the operation and overall diagnosis.



Article References:

  1. https://www.nhs.uk/conditions/hernia/
  2. https://www.verywellhealth.com/epigastric-hernia-diagnosis-treatment-and-surgery-3157222
  3. https://www.healthline.com/health/epigastric-hernia
  4. https://www.ncbi.nlm.nih.gov/pubmed/22824990
  5. https://www.healthdirect.gov.au/surgery/epigastric-hernia-repair-adult


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