Hernia

Introduction

What is a Hernia?

A hernia occurs when an internal organ or tissue pushes through a weak spot in the muscle or surrounding tissue wall. This can result in a noticeable bulge and may cause discomfort or pain.

Types of Hernias

  • Inguinal Hernia: Located in the groin area, more common in men.
  • Femoral Hernia: Appears in the upper thigh, more common in women.
  • Umbilical Hernia: Occurs around the belly button, common in newborns and infants.
  • Hiatal Hernia: Happens when part of the stomach pushes into the chest cavity through the diaphragm.
  • Incisional Hernia: Develops at the site of a previous surgical incision.

Common Symptoms

  • A visible bulge in the affected area
  • Pain or discomfort, especially when bending over, coughing, or lifting
  • A heavy or dragging sensation in the groin
  • Weakness, pressure, or a feeling of fullness

When to See a Doctor

Seek medical attention if you notice a bulge that increases in size or becomes painful. Immediate medical care is required if the hernia becomes strangulated, cutting off blood supply to the tissue.

Treatment Options

  • Watchful Waiting: Small, asymptomatic hernias may be monitored.
  • Lifestyle Changes: Weight loss, avoiding heavy lifting, and wearing a supportive garment.
  • Surgery: The most common treatment for hernias. Dr. Sable may suggest:
    • Open Surgery: A single large incision is made to repair the hernia.
    • Laparoscopic Surgery: Minimally invasive, using small incisions and a camera to guide the repair.

Preventing Hernias

  • Maintain a healthy weight.
  • Eat a high-fiber diet to prevent constipation.
  • Use proper lifting techniques.
  • Avoid smoking to reduce the risk of chronic cough.
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