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Doctor insights on: Spigelian Hernia Causes

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Does extended periods of sitting and bowl movements cause pain with a small Spigelian Hernia. How would this type of hernia cause back pain?

Does extended periods of sitting and bowl movements cause pain with a small Spigelian Hernia. How would this type of hernia cause back pain?

Possible: Hernia symptoms typically cause pain at the location of the hernia, a bulge at the same location, and if the intestines are herniated, could cause trouble with the GI tract such as crampy pain or some difficulty with bowel movements. If the bladder is involved, there could be difficulty urinating. Back is usually only caused by large hernias. Best to see a general surgeon for a consultation.

Dr. David Earle
1,437 Doctors shared insights

Hernia (Definition)

The ascendence of the gastroesophageal junction into the chest above the diaphragm through the ...Read more


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What is surgery type for spigelian hernia?

What is surgery type for spigelian hernia?

Three options: At 60 you've probably had this thing pop out intermittently for years. Formerly it was common to make an incision and repair the defect. Today there are other options. 1; A minimally invasive approach using a laparocsope to patch the opening from within. 2. Plugging the opening with a mesh through a small incision. If it was my hernia this is what I would choose.

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I have had spigelian hernia repair 2 weeks ago and still have a lump is this normal?

I have had spigelian hernia repair 2 weeks ago and still have a lump is this normal?

Probably: Surgery usually causes a lump or a ridge of tissue under the incisions, this is actually scar tissue and resolves over a period of months. Unfortunately a lump could also be a recurrent hernia (the hernia has come back), your surgeon should be able to tell the difference.

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Can a spigelian hernia be a direct result of previous anterior lumbar interbody fusion surgery?

Can a spigelian hernia be a direct result of previous anterior lumbar interbody fusion surgery?

Not Exactly...: ...However, it is possible to develop an incisional hernia associated with prior abdominal surgery, especially with midline incisions. Typically this is repaired w/mesh via a laparoscopic or open approach. A spigelian hernia is a rare type of hernia that develops along a natural weak point along the lower edge of the rectus muscle, between the belly button&groin. These usually require ct for dx.

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Sliding hernia or spigelian hernia, which one has a higher chance of causing intestinal obstruction?

Sliding hernia or spigelian hernia, which one has a higher chance of causing intestinal obstruction?

Depends: Depends on the size of the defect in the abdominal wall, and whether or not there is intestine that is included in the herniated contents. Both types of hernia can and have in the past caused intestinal obstruction. Odds are in your favor that it will not cause an obstruction. That does not predict the future however. See a general surgeon for consultation to find out more.

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My surgeon diagnosed me with a spigelian hernia after an US. However 9 months later the hernia doesn't show on US or CT scan. Should leave untreated??

Abdominal wall: Hernias, in general, require operation when they become symptomatic. If you are having symptoms, you should have your surgeon repair it immediately. If not, it can, generally speaking, wait.

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I have a diagnosed spigelian hernia, my right abdomen is very sore but no lump and I have had diarrhea for 12 days. Are these connected?

I have a diagnosed spigelian hernia, my right abdomen is very sore but no lump and I have had diarrhea for 12 days. Are these connected?

Possibly: Spigelian hernias are notoriously difficult to diagnose since the hernia is in the inner muscle layer of the abdominal wall; since there is intact fascia above the hernia, one often cannot see or feel a bulge. Therefore, your pain certainly may be due to the hernia. Diarrhea is rarely due to hernias, but it's possible. More importantly, if you have a spigelian hernia, you should have it repaired.

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My wife had a spigelian hernia from college sports repaired via a mesh patch about 3 years ago. How should we approach her first pregnancy?

My wife had a spigelian hernia from college sports repaired via a mesh patch about 3 years ago. How should we approach her first pregnancy?

Nothing special: Should cause a problem at all. Let you OB know if she needs a c-section. Consider getting he old operative report. I have seen many women with prior mesh ventral hernia repairs do very well with pregnancy, and both vaginal delivery and c-section. Best of luck!

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Luq/mq pain, neg ct, surgeon appt, dd spigelian hernia r/t c/o's. 4/5/13 abd u/s it incr pain x 10 on left--tearful. Ur thoughts on why painful?

Luq/mq pain, neg ct, surgeon appt, dd spigelian hernia r/t c/o's. 4/5/13 abd u/s it incr pain x 10 on left--tearful. Ur thoughts on why painful?

Need FaceToFace Exam: If I understand your question, you had 10/10 pain during the ultrasound. Other than pressure from the transducer on your skin, it shouldn't cause pain. Typically, spigelian hernias are seen on ct scan and are located below the belly button (on either the l or r). I'm happy you're seeing a surgeon so that you can have a thorough evaluation to get to the bottom of this.

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Weakness of which specific muscles in lower abdomen usually cause a direct hernia?

Weakness of which specific muscles in lower abdomen usually cause a direct hernia?

IT IS: The transversalis fascia. In indirect hernia the cause is non closure of the processus vaginalis a tunnel through which the testicles descended to the scrotum. The direct hernia is medial, the indirect lateral to the epigastric blood vessels. Look it up in an anatomy atlas!

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Can a small hernia in lower abdomen cause pain under sternum?

Can a small hernia in lower abdomen cause pain under sternum?

No, unless hernia: Incarcerates or strangulates its contents. You should see your doctor to look for other explanations for this pain.

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Do hernias cause a hard, palpable lump in the lower abdomen, or a lot of pain after eating?

Do hernias cause a hard, palpable lump in the lower abdomen, or a lot of pain after eating?

Yes, these: Are symptoms of possible incarceration and intestinal obstruction. You need to get to a surgeon immediately, because you might need urgent or even emergency surgical repair of hernia.

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Can an inguinal hernia cause pain throughout entire lower abdomen and throughout all soft tissue within the pelvis and surrounding area?

Yes If it gets: Incarcerated (get stuck and unable to push back in) if you have one see your doctor and get it repaired.

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Had a CT with results "small hernias with fat only nonconcerning". Is this the cause of my pain in lower abdomen/pelvis? Does hernia pain=strangulate

Had a CT with results "small hernias with fat only nonconcerning". Is this the cause of my pain in lower abdomen/pelvis? Does hernia pain=strangulate

Yes it could be: Henias regardless of size can cause the pain you describe. Strangulation, however, needs further physical examination to verify the diagnosis.

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What is a spigelian hernias and were is found. How do you treat it also?

What is a spigelian hernias and were is found. How do you treat it also?

Abdomen: This is an unusual hernia in the lower, outer abdomen. It needs to be surgically repaired.

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I've read that spigelian hernias are rare. Do I need a special surgeon to perform surgery? Are there any risks involved. Thanks for your help!

I've read that spigelian hernias are rare. Do I need a special surgeon to perform surgery? Are there any risks involved. Thanks for your help!

Laparoscopic repair: Of the laparoscopic vs. Open techniques of repair, the lap may have some advantages for a true Spigelian hernia. Find a surgeon with experience in lap repair of both ventral and inguinal hernias. Also, you can find a surgeon interested in hernia disease at the Americas Hernia Society website. Hope this helps!

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Can I have a baby when I have a hernia in my lower abdomen?

Can I have a baby when I have a hernia in my lower abdomen?

Yes: But the hernia may interfere. You might consider having it looked at before you get pregnant. Some hernias are of no consequence, others should be fixed before you conceive.

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I started to feel pain in my lower abdomen area that transfered to my testicles. Pain in abdomen stoped but in testicles didn't. No hernia I checked?

See a doctor: For a proper exam as you yourself would not likely be able to tell if you have a hernia. Pain can come from many things like muscle injury, hernia, sperm duct inflammation (epididymitis), etc. You cannot tell yourself without an exam by a doctor.

Lower Abdomen (Definition)

The lower abdomen is the area below the umbilicus (belly button) from one side of the abdomen ...Read more