Epigastric hernia usually occurs at birth but it can develop in adults as well on rare occasions. With adults, it can be caused by the weakening of the abdominal wall, coughing, straining on the toilet, heavy lifting, obesity or a build up of fluid in the abdomen.
In babies and young children, there will be a noticeable lump which will be more apparent when pressure is put upon the abdomen. In adults, there is usually swelling or a bulge in the abdomen which is usually visible when you apply pressure on the area; ie bowel movements, coughing or lifting.
Surgery is the recommended option, open or Laparoscopic techniques.
Many hernias do not hurt so the temptation is to leave them and get on with life. However, failing to get medical advice can be damaging and is not recommended. If left the hernia will grow and discomfort and pain, even if negligible to start with, will intensify
In babies, Umbilical Hernia is caused when the umbilical cord passes through an opening in the
baby’s abdomen. In some cases, this opening should close shortly after birth but sometimes the
muscles do not seal completely. This leaves a weak spot in the surrounding abdominal wall and
the Umbilical Hernia can develop when the-the fatty tissue/part of the bowel pokes through.
In adults, Umbilical Hernia is caused by being overweight or obese, straining while moving or lifting heavy objects, having a persistent heavy cough or having a multiple pregnancy.
A bulge or lump will appear beneath the skin. It can vary in size, depending on how big the hole becomes and how much pushes out. As with all suspected hernias, you should have it repaired as soon as possible.
In children, the weak spot in the abdominal wall is closed with stitches (in most cases). If the hernia is large or in adults, a special mesh is used to strengthen the area.