Epigastric Hernia Treated with Individualized Homoeopathy: A Case Report

Epigastric hernia appears as a midline lump between the umbilicus and sternum, generally caused by preperitoneal fat protruding through a defect in the abdominal wall. Standard treatment for hernia is surgical repair but it carries inherent risks and may not be acceptable to all patients. Evidence-based literature on nonsurgical management, including homoeopathic interventions remains limited. A 52-year-old man presented with abdominal pain, heartburn, bloating, and increased urinary frequency. Ultrasonography (USG) report confirmed an epigastric hernia along with grade I fatty liver. Although he was suggested to undergo surgical repair of the same, he was apprehensive and reluctant to undergo any surgery. A detailed homoeopathic case taking was done, a totality of symptoms was formulated, and repertorization guided the selection of Lycopodium in ascending potencies. The patient reported progressive relief in gastrointestinal symptoms within a short period. After 14 months of treatment, follow-up USG report showed no evidence of hernia. This case highlights the need for further systematic research on conservative management options for epigastric hernia and suggests that individualized homoeopathic treatment may have a role for patients.