How to Tell If You Have a Hernia

Reviewed By : Wondering if the ache in your belly or groin could be a hernia ? Hernias are common in both men and women, but symptoms vary. Groin hernia are much less common in women. Hernias may cause some class of discomfort and don ’ metric ton go away on their own, says Gina Adrales, M.D., M.P.H., director of the Division of Minimally Invasive Surgery at Johns Hopkins Medicine .
The good news program ? about all hernias can be surgically repaired. Adrales explains how to recognize hernia signs in men and women, the most common types, and what operation and recovery are like .

Q: What is a hernia?

A: Your abdomen is covered in layers of muscle and strong weave that aid you move and protect internal organs. A hernia is a gap in this muscular rampart that allows the contents inside the abdomen to protrude outward. There are different types of hernia, but the most common hernia happen in the belly or groin areas.

Q: What Does a Belly or Abdominal (Ventral) Hernia Feel Like?

A: If you have a adaxial hernia in the belly area, you may see or feel a start along the extinct surface of the abdomen. typically, patients with adaxial hernias describe meek pain, aching or a pressure sense at the site of the hernia. The discomfort worsens with any activity that puts a puree on the abdomen, such as heavy lift, running or bearing down during intestine movements. Some patients have a bulge but do not have discomfort .

Q: Who is at higher risk for a ventral hernia?

A: Anyone can develop a ventral hernia, but those who ’ ve had abdominal surgery have a higher risk. If you have an incision that disrupts the abdominal wall, the scar will never be american samoa impregnable as the original tissue. This makes it more likely that you ’ ll develop a hernia, known as an incisional hernia, along the incision area. This occurs in up to 30 % of patients who have open abdominal surgery .
pregnancy is a risk factor that makes women more susceptible to developing another type of adaxial hernia near the belly button, called an umbilical cord hernia. The navel is the thinnest function of the abdominal wall. It ’ s a very coarse web site to develop a hernia, whether you ’ re a man or a charwoman .

Q: How can you tell if you have an inguinal (groin) hernia?

A: First, it ’ second significant to understand that both men and women can develop inguinal hernia. People often believe that only men get them, and for anatomic reasons, they do have a higher risk. But women can surely have inguinal hernias, excessively .
many experts agree that women are likely underdiagnosed for this condition because they tend to have different symptoms than men. Women may not have a detectable bulge. If symptoms indicate a possible hernia but your doctor can not confirm it by an examination, an MRI can provide definitive testify.

Symptoms in Men

  • A bulge you can see or feel
  • Aching pain in the area
  • A feeling of pressure
  • A tugging sensation of the scrotum around the testicles
  • Pain that worsens with activities that add pressure to the area, such as heavy lifting, pushing and straining

Symptoms in Women

  • Aching or sharp pain
  • Burning sensation
  • A bulge at the hernia site, but this may not be present with a groin hernia
  • Discomfort that increases with activity

Q: How are hernias treated?

A: Treatment varies depending on the type of hernia, symptoms and the affected role ‘s sex .

Inguinal (Groin) Hernias

inguinal hernia in women are more probably to become emergencies. Women besides have a greater find of developing complications than in men. so, we typically recommend surgical compensate after diagnosis .
man with inguinal hernias much may put off surgery if they ’ rhenium not diagnostic. Studies of men with inguinal hernia indicate the risk of having an hand brake, like part of the intestine getting stuck or strangled in the muscle col, is quite moo. But because hernia tend to grow larger or induce symptoms over time, most men will require operation within 10 years of hernia diagnosis .
There are two surgical treatments for inguinal hernia. minimally incursive operating room is much performed laparoscopically, requiring only keyhole-size incisions through which a bantam television camera and instruments can be inserted to make repairs. minimally encroaching automatic surgery ( exchangeable to laparoscopy, but surgeons use a accountant to move instruments ) is besides an option. With minimally invasive surgery, patients are back to their regular activity within two weeks. open operating room is the other treatment option — recovery takes four to six weeks .

Abdominal Hernias

For both men and women, repair is recommended for most abdominal hernia. The exception is if you have risk factors for complications or hernia recurrence, such as fleshiness or ill controlled diabetes. It ’ s better to get those conditions under control condition before operation. Some patients do not have symptoms and may decide to delay repair after discussion of the risks and benefits with their surgeon.

surgical options and convalescence time for adaxial hernias vary widely because these hernias come in all shapes and sizes. A little umbilical or incisional hernia can frequently be treated on an outpatient footing. however, repairing more complicate hernia may require a hospital stay of one to five days .

Q: What are the signs of a hernia emergency?

A: When most hernia start, the home tissue that pushes through the muscle gap is normally fat. But it ’ s besides possible for part of the intestine to protrude through the open. The risk of this is very low, but when it happens, it needs emergency repair. Seek immediate medical attention if you have :

  • A painful bulge that doesn’t reduce in size when you lay down and rest
  • Worsening pain
  • Nausea and/or vomiting
  • Difficulty having a bowel movement
  • Bloating
  • Racing heart rate
  • Fever

For more information about hernia and their treatment, visit the Johns Hopkins Comprehensive Hernia Center .

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