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Hernia - inguinal; Inguinal hernia; Rupture; Strangulation; Incarceration
Most often there are no symptoms. However, sometimes there may be discomfort or pain. The discomfort may be worse when you stand, strain, or lift heavy objects.
Although a hernia may only cause mild discomfort, it may get bigger and strangulate. This means that the tissue is stuck inside the hole and its blood supply has been cut off. If this occurs, you will need urgent surgery.
Signs and tests
A doctor can confirm the presence of a hernia during a physical exam. The mass may increase in size when coughing, bending, lifting, or straining.
The hernia (bulge) may not be obvious in infants and children, except when the child is crying or coughing. In some cases, an ultrasound may be needed to look for a hernia.
Treatment Usually, no treatment is needed unless the hernia continues past age 3 or 4. In very rare cases, bowel or other tissue can bulge out and lose its blood supply (become strangulated). This is an emergency needing surgery. Support Groups Expectations (prognosis) Most umbilical hernias get better without treatment by the time the child is 3 - 4 years old. Those that do not close may need surgery. Umbilical hernias are usually painless. Complications Strangulation of bowel tissue is rare but serious, and needs immediate surgery. Calling your health care provider Call your health care provider, or go to the emergency room if the infant is very fussy or seems to have bad abdominal pain, or if the hernia becomes tender, swollen, or discolored.
My doctor has recommended that I have my hiatal hernia repaired. I am waiting to see a surgeon. Is this a good idea, and what should I ask the surgeon?
Although rarely necessary, at times, surgical repair of a hiatal hernia is the right choice in patients with gastroesophageal reflux disease . There are two types of hiatal hernia. In the much more common, sliding hernia, in which the stomach slides below the esophagus into the chest, medical therapy usually is very effective. The paraesophageal hernia, in which the stomach herniates next to the esophagus, is usually managed surgery. This is because of the potentially life-threatening complication of strangulation. When surgery is considered, it is best to see a surgeon that performs the procedure laparoscopically, if it is possible. Laparoscopic anti-reflux surgery involves reinforcing the valve between the esophagus and the stomach by wrapping the upper portion of the stomach around the lowest portion of the esophagus. Using on...
You should know
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