Hernia

About Hernia

Occurs because of a weakened area of muscle. This weakened area cannot hold in the abdominal contents and it protrudes, or herniates, through the defect. The hernia can contain fat, intestines or other tissue. Typically the hernia protrudes with any activity that increases the pressure in the abdomen such as lifting a heavy object or straining to have a bowel movement. Often, the protrusion will relieve itself or can be gently pushed back in place. If the herniated contents become stuck in the defect it is called an incarcerated hernia. Some incarcerated hernias can cause a blockage of the intestines (bowel obstruction). If an incarcerated hernia is not relieved, the contents of the hernia can swell, lose its blood supply and die. This type of hernia is called a strangulated hernia. The most serious strangulated hernias contain intestine and if untreated can lead to a hole in the intestine and a life threatening infection (peritonitis). The most common type of hernia is in the groin (inguinal hernia). Other types of hernias are in previous surgical sites (incisional hernias), in the abdominal wall (ventral hernias), and around the belly button (umbilical hernia).

Symptoms

Abdominal pain, mass in abdominal wall, mass in groin or scrotum, mass that enlarges with straining, vomiting, abdominal distension. If incarceration or strangulation develop, the patient may experience severe abdominal pain, persistent vomiting, fever, loss of consciousness and death.

Tests & Diagnostics

A history and physical exam will be performed. X-rays may be performed to diagnose intestinal obstruction. An ultrasound or CT scan can be helpful to define the hernia.

Common tests: CT Scan, Ultrasound, X-ray.

Path 2 — Over-the-Counter Options

OTC sleep aids and supportive treatments

Path 3 — Prescription Options

Prescription medications

Conventional treatment summary

If no significant symptoms are being experienced, no treatment may be necessary. Hernias that are getting larger or causing pain usually require surgical repair. Incarcerated or strangulated hernias need immediate surgical repair to prevent serious injury or death.

Medical specialties

General Surgery · Pediatric Surgery

This page is educational content, not medical advice. Always consult a qualified clinician for diagnosis and treatment of Hernia.