Digestive Health Institute
by Dr. Muffi
Digestive Health Institute
by Dr. Muffi
Epigastric Hernia Symptoms
Epigastric Hernia Symptoms: Early Signs You Should Not Ignore
An epigastric hernia is a type of abdominal hernia that appears between the chest and the belly button.
Many people ignore early symptoms because they seem mild, but over time, they can worsen.
Knowing the symptoms of an epigastric hernia can help you seek treatment early and avoid complications.
What Does an Epigastric Hernia Feel Like?
Epigastric hernia symptoms vary from person to person. Some people notice only mild discomfort, while others experience persistent pain.
The most common symptoms include:
Common Epigastric Hernia Symptoms
1️ A Small Lump or Bulge in the Upper Abdomen
- Appears between the breastbone and the belly button
- Becomes more visible when standing, coughing, or straining
- May disappear when lying down
This is often the first and most noticeable sign.
2️ Pain or Discomfort in the Upper Abdomen
- Dull ache or sharp pain
- Pain may increase with activity, lifting, or bending
- Discomfort often improves with rest
Some patients describe it as a pulling or pressure sensation.
3️ Pain After Eating
- Fullness or discomfort after meals
- Pressure in the upper abdomen
- Symptoms may worsen after large or heavy meals
This happens because abdominal pressure increases after eating.
4️ Burning or Tender Sensation
- Mild burning or soreness over the bulge
- Area may feel sensitive to touch
- Tight clothing may increase discomfort
5️ Symptoms That Come and Go
- Pain may not be constant
- Bulge may appear only during activity
- Symptoms often worsen gradually over time
Because symptoms are intermittent, many people delay medical advice.
Less Common Symptoms of Epigastric Hernia
In some cases, patients may experience:
- Nausea
- Bloating
- Upper abdominal tightness
These symptoms are more likely if the hernia becomes larger.
When Epigastric Hernia Symptoms Become Serious
Seek medical attention immediately if you notice:
- Sudden severe pain
- Redness or warmth over the bulge
- Nausea or vomiting
- The bulge becomes hard or painful and cannot be pushed back
These may indicate incarceration or strangulation, which require urgent care.
Can Epigastric Hernia Symptoms Get Worse?
Yes. Without treatment:
- The hernia may grow in size
- Pain can become more frequent
- Daily activities may be affected
Epigastric hernias do not heal on their own.
How Is an Epigastric Hernia Diagnosed?
Doctors usually diagnose an epigastric hernia by:
- Physical examination
- Asking about symptoms
Imaging tests (ultrasound or CT scan) if needed
Final Thoughts
Epigastric hernia symptoms often start small but should not be ignored. If you notice an upper abdominal bulge or ongoing discomfort, early evaluation can help confirm the diagnosis, prevent complications, and allow timely treatment before the hernia becomes more painful or difficult to manage.
FAQs: Epigastric Hernia Symptoms
What are the first signs of an epigastric hernia?
The first sign of an epigastric hernia is usually a small lump or bulge in the upper abdomen, between the chest and the belly button.
Other early signs include:
- Mild pain or discomfort in the upper abdomen
- A pulling or pressure sensation
- Discomfort that worsens when coughing, bending, or lifting
- Symptoms that improve when lying down
Early symptoms are often mild, which is why many people ignore them.
What are the 5 warning signs of a hernia?
Common warning signs that may indicate a hernia include:
- A visible or noticeable bulge in the abdomen
- Pain or discomfort, especially during activity or straining
- A feeling of pressure or heaviness
- Burning or aching sensation at the bulge site
- Worsening pain over time
If these symptoms increase or do not improve, medical evaluation is important.
What are the dangers of an epigastric hernia?
If left untreated, an epigastric hernia can lead to:
- Increasing pain and discomfort
- Enlargement of the hernia
- Difficulty with daily activities
- Risk of incarceration, where tissue becomes trapped
In rare cases, it can progress to strangulation, which cuts off blood supply and requires emergency surgery.
Can epigastric hernia cause breathlessness?
Epigastric hernias usually do not cause breathlessness directly.
However, large hernias or those causing significant discomfort may create:
- A sensation of pressure in the upper abdomen
- Difficulty taking deep breaths due to pain or tightness
If breathlessness is sudden, severe, or associated with chest pain, it should be evaluated urgently to rule out other conditions.
What can be mistaken for an epigastric hernia?
Several conditions can look or feel like an epigastric hernia, including:
- Lipoma (fatty lump)
- Muscle strain
- Gastritis or acid reflux
- Diastasis recti (muscle separation)
- Abdominal wall cysts
A doctor’s examination and imaging tests can confirm the diagnosis.
