Epigastric hernias can develop in both women and men. This type of hernia appears as a bulge in the area below the ribcage and above the belly button. At first, the bulge may be small but epigastric hernias can become quite large over time.
Epigastric hernias usually develop in people who are born with a weak spot in their abdominal muscles. If you have this type of weakness, any forceful activity, such as sneezing, coughing or lifting heavy objects, could be all it takes to push abdominal fat through the opening.