Epigastric hernia symptoms are usually just a small lump located higher on the abdominal wall above the umbilicus and usually in the area just below the breast bone (or sternum).
Epigastric hernias arise because of a small hole between the recti muscles (often referred to as the "six pack" if you're lucky enough to have one!). The hole or defect is often very small. The hernia sac that comes out between the muscles usually contains fat rather than any bowel.
Epigastric hernia's differ from other hernias in that they don't usually disappear when you lie down. This is because the defect is usually too small to allow the herniated sac/fat to go back in.
They rarely strangulate and patients often have them for a long time without suffering any problems.
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