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What is epigastric distress? A: According to Dictionary.com the word epigastric is used to describe the upper middle part of the abdomen, the area above the navel and below the breast. Epigastric distress, therefore, simply describes pain or discomfort in the upper part of the abdomen. More than 25 different conditions can cause this type of discomfort, according to MedicineNet.
1 This can allow a loop of intestine or abdominal tissue to push into the sac. 2  The hernia can cause severe pain and other potentially serious problems that could require emergency surgery. 3  An epigastric hernia comes through the linea alba between the umbilicus and the bottom end of the sternal bone. The pain may be sharp and immediate or a dull ache that gets worse toward the end of the day. 2  Severe, continuous pain, redness, and tenderness are signs that the epigastric hernia may be entrapped or strangulated.