What Is an Epigastric Hernia? Symptoms and Surgery Options

An epigastric hernia is a bulge that appears in the upper abdomen, just above the belly button. While sometimes painless, it can cause discomfort and may require surgical repair to prevent complications.

What Is an Epigastric Hernia?

• Occurs when fat or tissue pushes through a weak spot in the abdominal wall.
• Often noticed as a small lump above the navel.
• More visible when standing, coughing, or straining.

Causes include:

• Genetics or congenital weakness
• Obesity
• Repeated heavy lifting or chronic coughing
• Pregnancy

Common Symptoms of Epigastric Hernia

• Bulge or lump above the belly button
• Upper abdominal pain or pressure
• Nausea or vomiting
• Fullness or bloating sensation
• Sometimes no symptoms (found during routine exam)

Potential Complications if Untreated

• Incarceration: bulge becomes trapped
• Strangulation: blood supply cut off (emergency)
• Chronic pain or reduced quality of life

Treatment Options for Epigastric Hernia

Watchful Waiting

• Possible for very small, painless hernias

Surgical Repair (recommended for most cases)

• Open repair: one incision, tissue reinforced with sutures/mesh
• Laparoscopic repair: smaller incisions, quicker recovery
• Both safe and effective when performed by a hernia specialist

Recovery After Hernia Surgery

• 1–2 weeks of light activity, full recovery in 4–6 weeks
• Avoid heavy lifting until cleared by doctor
• Follow-up appointments ensure proper healing

Prevention and Lifestyle Tips

• Maintain healthy weight
• Use safe lifting techniques
• Treat chronic cough early
• Strengthen core muscles with guidance

When to See a Doctor

Seek immediate medical help if you notice:

• Severe pain or sudden bulge enlargement
• Nausea, vomiting, or fever
• A bulge that cannot be pushed back in

Expert Care at Hernia Innovations

At Hernia Innovations by BASS Medical Group, we specialize in minimally invasive hernia repair. Our Walnut Creek and Brentwood centers offer advanced surgical options with shorter recovery times.

Call (925) 940-1025 or request an appointment online today.