Doctor insights on:
Parastomal Hernia Symptoms
Parastomal hernia: Recovery from hernia repair is variable based upon many factors such as hernia size, prior operative details, and type of surgery performed. If possible, the best treatment is to reverse the stoma and repair the hernia site. If the stoma is permanent, a mesh is often utilized. If possible, a laparoscopic repair offers many benefits over open repair. You need to discuss this with a surgeon. ...Read more
My husband had a parastomal hernia repair april 11. He is still having pain. Surgery was not laproscopic.
After removal of bladder and prostate because of bladder cancer, I have developed a parastomal hernia. Is this repairable.
Yes: A parastomal hernia is a type of incisional hernia that occurs adjacent to the stoma and is not an uncommon complication after any type of ostomy surgery. Most patients are asymptomatic. Surgical repair is avoided in most patients with no or mild symptoms because of the high recurrence rates and pts. Are educated about the signs and symptoms of strangulation which require immediate attention. ...Read more
Variable: Abdominal wall hernias can cause pain or discomfort, often worse with activity or certain positions. There is typically a lump under the skin that represents the abdominal contents coming through the hole in the abdominal wall (the hernia). Thus lump can enlarge, and in some cases become so large it becomes difficult to fit clothes and perform your usual activities. ...Read more
Similar to Men: While hernias are much more commen in men, women have similar signs and symptoms. In the groin, femoral hernias are more common in women; this may create a lump in the upper/inner thigh. Furthermore, a bulge may be evident in the labia. Abdominal wall hernias (umbilical, epigastric, spigelian, etc) will be the exact same. ...Read more
Defect or hole: Hernia is a defect in abdominal wall most of the time, but more correctly abnormal protrusion of a viscus (like disc, brain etc).Symptoms depends on what type of hernia, usual groin hernias will have swelling that could be pushed inside, pain untreated will get complications ...Read more
Hole: Abdominal wall her is are a hole in the muscular wall of the abdomen, through which abdominal contents can protrude, usually fat and/or intestines. Symptoms are typically pain/discomfort, and a bulge under the skin that often goes away when lying down or with manual pressure. Your primary care doctor is a good place to start if you think you have a hernia. Hope this helps! ...Read more
Swelling: Hernias occur when there is a weakness in the abdominal wall, there is swelling or a lump in the area, and there may be dull achy pain or heaviness. The lump usually goes away if you were to lie down. Hernias can turn serious, and that would result in severe generalized abdominal pain, distention of the abdomen, exquisite pain over the hernia and cause with vomiting. ...Read more
After gastric bypass: This is also known as an internal hernia, and occurs after surgery on the stomach, typically a gastric bypass. It occurs in the space between the colon, and the small intestine, and can cause severe pain due to blockage of the blood supply of the small intestine which can twist when herniated through the space. Hope this helps! ...Read more
Hiatal hernia: I believe you are referring to a hiatal hernia which when small cause no symptoms. When large, they can cause difficulty swallowing, chest pain, or ulcers. These are also called paraesophageal hernias, and are often misunderstood and underestimated by the medical community. Need an upper GI contrast study, and maybe other tests to make the diagnosis. Hope this helps! ...Read more
Repair hernia: Hernias of the abdominal wall can remain stable or progress. They are unable to heal spontaneously. These hernias can develop complications; like incarceration or strangulation, (organs trapped by the hernia defect). Okay to get in to your doc for an evaluation and surgical referral. A hernia repair is safe, durable and effective. Recovery has restrictions for about 6 weeks. Be well. ...Read more
Variable: Typically, small hiatal hernias do not cause symptoms, or may be a contributing factor to heartburn or regurgitation. Large hiatal hernias (paraesophageal) can cause chest pain and pressure, difficulty swallowing, anemia due to bleeding ulcers, and weight loss due to avoidance of food. See your doctor to find out more. ...Read more
Bad heartburn, fullness/pain in upper abdomen/chest (worse after eating), regurgitation of bitter fluid (especially when lying flat or bending over), sometimes difficulty breathing, frequent pneumonias, asthma attacks.
Severity of symptoms depends on how large the hernia is. Most hiatal hernias are small and cause mild heartburn or no symptoms at all. ...Read more
Bulge: When you cough there will be an impulse in the groin and visible bulge if it is more advanced. If it is an early (still small) hernia a doctor needs to examine you with a gloved hand will insert a little finger in the external inguinal ring and feel the impulse when you cough. Don't worry about these anatomical details. Just let the doctor check you. ...Read more
Many: Typically, only large hiatal hernias cause symptoms such as difficulty swallowing, chest pain, feeling full quickly, and fatigue due to anemia from ulcers. Diagnosis can be made with an upper GI contrast study. Treatment is surgical repair, best done by a general or thoracic surgeon with experience in laparoscopic repair. Hope this helps. ...Read more
Unrelated/can't say: Malabsorption can be bad enough to eventually kill you through malnutrition. I hernia can strangulates and burst leading to death. I can't put the two together as causing each other but they are worth attending to. Robotic surgery can be done as an outpatient on many hernias and have you back at work within a few days. Malabsorption takes a while to identify & fix the cause or causes. ...Read more
How long does it take for hiatal hernias to become serious? Do any particular symptoms show when this happens?
Hiatal hernia: Hiatal hernias do not go away with time. They either stay the same in size or get larger. You only need surgery if you have gerd/ heartburn that isn't controlled with medication. Also, if you have barrett's esophagus, that is an indication for surgery as well since that is a precancerous condition. ...Read more
What to do if I have a hiatus hernia and read this case report could this happen to me if had similar symptoms?
Depends: Case reports are just that. Don't take everything you read literally. Most people with hiatal hernias have little to no symptoms. If you do have symptoms, pain, nausea, vomitting, bleeding, etc., see your doctor immediately. ...Read more