What is an Epigastric Hernia in Children?
An epigastric hernia is a lump or bulge just above the belly button (umbilicus), caused by a small opening in the abdominal muscles. This opening allows fat to bulge out, forming a noticeable lump. They do not resolve on their own, however only rarely cause trouble.
Does an Epigastric Hernia Need Surgical Repair?
Not always. Epigastric hernias are different to umbilical hernias. The defect is smaller and only contain fat, whereas umbilical hernias contain intestines as well.
Epigastric hernias only cause pain in some people, usually when stretching, or sports. In these cases, a repair may be helpful. It is easier to repair during childhood than adulthood, mainly from the point of view of easier recovery, and less impact on work / family life.
Is an Epigastric Hernia Dangerous?
Epigastric hernias are rarely dangerous. The bulge in the skin is generally harmless and poses no immediate threat to your child’s health. The risk of the fat in the bulge becoming trapped in the hernia (a condition known as incarceration) is very low, even in adulthood. There is no risk of intestine becoming trapped.
However, if the hernia becomes firm, tender, painful or red this could indicate that the hernia is stuck. In this case, it is important to take your child to the nearest emergency department for medical assessment.
When to Seek Medical Attention for an Epigastric Hernia
If you wish to monitor you child, here are the signs that may require medical attention. Seek emergency care if:
- The hernia becomes firm or painful.
- The skin over the hernia turns red or inflamed.
- Your child experiences vomiting or refuses to feed.
In these rare cases, a hernia may be stuck (incarcerated) and need emergency treatment.
Monitoring and Care for Epigastric Hernias in Children
Epigastric hernias are a common condition in children and generally do not cause trouble. Surgery is not required on all children with epigastric hernia. Parents should observe the hernia, but there’s usually no need for concern. If you notice any worrying symptoms (see above), consult your doctor for further advice.
Learn More About Epigastric Hernia Repair Surgery
Visit our page on Epigastric Hernia Repair Surgery for more detailed information.
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