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An epigastric hernia is a type of hernia that causes fat to push through a weakened area in the walls of the abdomen. It may develop in the epigastrium (upper, central part of the abdomen ). Epigastric hernias are more common in adults and usually appear above the umbilical region of the abdomen.
Endoscopic findings may include a hiatal hernia, esophagitis, strictures, tumors, or masses. [2] Increased pressure at the LES over time may result in an epiphrenic diverticulum. [2] Further evaluation for mechanical causes of obstruction may include CT scans, MRI, or endoscopic ultrasound. [2]
Antigas - simethicone, beano, omnimax reduces epigastric pressure; Antacids - calcium carbonate, famotidine, omeprazole, etc. reduces acid reflux in the case of hiatal hernia or other esophageal type Roemheld syndrome. Vagotomy, a surgical procedure that involves removing part of the vagus nerve.
The condition can be diagnosed by physical exam, and must be differentiated from an epigastric hernia or incisional hernia, if the patient has had abdominal surgery. [3] Hernias may be ruled out using ultrasound. [6] In infants, they typically result from a minor defect of the linea alba between the rectus abdominis muscles.
In medicine, Carnett's sign is a finding on clinical examination in which abdominal pain remains unchanged or increases when the muscles of the abdominal wall are tensed. [1] [2] For this part of the abdominal examination, the patient can be asked to lift the head and shoulders from the examination table to tense the abdominal muscles.
The above article deals mostly with "visceral hernias", where the herniating tissue arises within the abdominal cavity. Other hernia types and unusual types of visceral hernias are listed below, in alphabetical order: Abdominal wall hernias: Umbilical hernia; Epigastric hernia: a hernia through the linea alba above the umbilicus.
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