What are clinical features of epigastric hernia?

Asx (initial stages discovered incidentally) Painful swelling (localized pain at site of hernia due to press of fat by margins of the gap of linea alba to produce partial strangulation) Sx of peptic ulcer (associated w/above pain peptic ulcer pain/gall stone pain) Size: pea size ->2cm diameter, no cough impulse can not be reduced difficult to distinguish from lipoma, abdominal exam normal