Epigastric Hernia

Hi, I am 40 year old woman with height 5 ft, weight 92 kgs. Recently I consulted a surgeon for protrusion visible on upper part of my abdomen, above the navel. He said it is Epigastric Hernia. I have noticed this since 1 month, and have no pain. I have been advised with surgery with mesh repair. I have lots of belly fat, which hangs out freely. Now I want to know of what exercises should I do to reduce my belly fat, and strenghthen my ab muscles. Should I totally avoid forward bending exercises. Does cycling in lying position, leg raise help my condition. Is it posible to avoid surgery with exercise. What if I am to consider trying to conceive at a later stage, with ivf. I mean does the mesh be hinderance to my health while pregnancy.
Thank you,
Shobha

Hello Shobha,
No exercise will reduce your body fat. Well if you could commit yourself to two hours a day, but that I doubt. What you need to learn about is the meaning of the term "glycemic index", and avoid high GI foods.
Exercises for your abdominal muscles would be beneficial, but they won't get rid of the fat; and they won't fix the hernia.
Frankly your weight is life threatening, or will be within a few years. It's most unlikely you'll fall pregnant, your blood pressure, sugar and a host of other problems are in store; like hip and knee arthritis.
Why not do the brave thing, and get it off. Difficult I know but not nearly as difficult as that which awaits you just around the corner.

Sorry if I seem abrupt, but at the end of the day each of us are responsible for our own health. You KNOW you need to get it off. I'm sure the surgeon told you the same thing. So do it. You may even find it will reduce the hernia, and certainly you'll fall pregnant without the dramas of ivf.

Dr B

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Jul 10, 2015
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Epigastric Hernia
by: Shobha

Thank you for your advice. I have already started my fitness regime and restricted diet, and would want to reduce my weight as soon as possible.

Well done, Shobha, the victory is won between the ears. You can do it.

Dr B

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Interesting challenges of the day

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Despite a hectic job, she wisely took my advice and stayed home for what I call exercising bed rest.

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He has a pincer deformity in the hip causing the stabs in the groin, and a degenerative facet causing the sciatica. Both are responding well to chiropractic and he's well pleased; sixty five percent better after three treatments.

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6. I too have had serious lower back issues, luckily fixed by my own chiropractor; so I too have to do my exercises, take care when lifting supers full of honey, gardening and using the chainsaw. Regaining the function of your spine is just as important as the pain.

7. My own granddaughter, only 7 is hypermobile giving her pelvic, knee and ankle issues. Xrays show a mildly dysplastic hip. Years ago we would have called it growing pains. She too regularly needs chiropractic care and luckily responds well. Increased range of motion is more difficult than too stiff in my opinion. Our care is for kids too.

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9. This 88 year old lady is an inspiration; every day she is busy in the community. With a nasty scoliosis she manages very well with a chiropractic adjustment every six weeks and exercises faithfully done.  

10. Mr X is a 71 year old retired man who wants to continue with maintenance care every six to eight weeks; he had suffered from two years of lower back pain when he first came a year ago. He has no discomfort now after 8 chiropractic treatments, but is aware that danger lurks.

11. Mrs C has been having severe headaches, and taking a lot of analgesics. It's a non complicated upper cervical facet syndrome, and she's doing well.

12. Mr D is a 38 old year man with chronic shoulder pain after a rotator cuff tear playing cricket. It responded well to treatment, but he knows he must do his exercises every day; for two years he couldn't sleep on that shoulder.

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And so the day goes; chiropractors shouldn't be treating the elderly most medical sites state but that's so much bunkum.



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