We have talked at length about hernias on this site, but still have not tackled all the different types of hernias that exist. Today we are going to take an in-depth look at the epigastric hernia. We will unpack its causes, symptoms, and options for treatment.

Epigastric Hernia Signs & Underlying Causes

An epigastric hernia is a less common and smaller type of hernia. It typically impacts infants and children rather than adults – though adults can still develop them. Epigastric hernias occur when tissue pushes through the muscle wall of the epigastrium (the area between the chest and the belly button). In babies, epigastric hernias typically result from birth. Adults can also develop them from heavy lifting, coughing or straining, or having a weakness in the abdominal wall.

Sometimes patients with epigastric herniation experience no symptoms at all. Other patients may experience any of the following signs:

• Pain in the abdomen
• A bulge or protrusion above the belly button
• Nausea and vomiting

These symptoms can be difficult to identify in adults. Infants, who can’t fully express their symptoms, are even more difficult to self-diagnose. If you notice a slight bulge in your child’s belly that is painful to the touch, or if they cry during bowel movements, make an appointment right away.

Treating Epigastric Hernias

Epigastric hernias are smaller than most other types of hernias (which is why they often present with no symptoms). A patient can even develop several epigastric hernias at once without even realizing it. When these hernias develop in infants, they often do not require any treatment. As the child grows, their muscles will strengthen and repair the herniation in the process. Patients who are beyond the development stage will typically require hernia repair surgery to prevent further complications such as strangulation.

If you have a painful bulge or lump in your stomach that won’t subside or a bulging area near your belly button (or if you recognize these symptoms in your child) – make an appointment with a physician to get your condition diagnosed. If surgery is recommended, find a skilled Minnesota general surgeon who specializes in hernia repair.