Doctor insights on:
Strangulated Hernia Symptoms
Why do I have all the symptoms of a strangulated hernia but the ER said it isn't strangulated? I cannot keep food down and am in severe pain.
You need to: Return to ED as soon as possible, if you have persistent vomiting and severe pain, for repeat exam and tests. Sometimes, abdominal conditions are difficult to diagnose on a single visit. ...Read more
Hernia symptoms: Hernias that cause pain and more commonly when they are intermittently stuck or incarcerated in the defect. Also can cause some local bulging at the site of the hernia as well. Have this issue evaluated by a medical professional and consider treatment if frequent or changes your ability to do normal daily activities. This can easily be seen on physical exam by your doctor to rule out strangulation. ...Read more
Depends: Strangulated is different than incarcerated. Incarcerated just means trapped. Strangulated means the trap is so tight it cut off blood supply and the tissue dies. If the tissue is fat, you may have pain etc, but survive for quite a while. If the tissue is intestine you will start vomiting, soon become septic and in a worst case could die within 24 hours if not treated. ...Read more
84 year old woman has a strangulated hernia she cannot have surgery what happens she is my mother in law?
Hernia advice: A strangulated hernia and incarcerated hernia are both different. A strangulated hernia can be a life-threatening emergency. An incarcerated hernia is not able to be reduced, and can become a strangulated hernia over time. A surgeon should evaluated any hernia at least once. If a hernia begins to become painful or becomes larger overtime, it may need to be repaired by surgery. ...Read more
I had emergency surgery for a strangulated hernia had to remove 2 inches small bowel do to gangrenous. I I am 3 weeks into recovery I am eating well bu?
Question cut off: Please resubmit & include a clear & specific question. P.S I hope you are doing better. ...Read more
Had surgery 4 strangulated hernia 6/2/14. Placed on warfarin, but taken off 12/13/14, after negative Doppler, and D diamond test. Week later, had vaginal bleeding, and continues. Is this normal? 2 do?
Talk to your doctor: If you were off Coumadin (warfarin) for a week, the bleeding should not be related to the drug. Coumadin (warfarin) goes away in 3-5 days. Were you started on another anticoagulant like pradaxa or xarelto. If you have had persistent bleeding you should see your surgeon and your OBGYN ...Read more
I'm 25 weeks pregnant and was told I have an inguinal hernia. How common is it for it to strangulate. What symptoms should I look for?
Observation only now: Inguinal hernia is very common in both sexes, possible to get incarcerated in neglected ones. Until you deliver you can hold off surgery, fortunately gravid uterus pushes the guts away and less chance of getting incarcirated, but need constant observation till you deliver. Speak to your OB doctor for more instructions ...Read more
Pain: A strangulation occurs when intestine gets caught in the hernia and can't get back into the abdomen. This will cause the worst abdominal pain you could imagine, both over the hernia and generalized throughout the abdomen. May be nausea and vomiting and distention of the abdomen as well. This is an emergency and a surgeon should be consulted immediately. ...Read more
What are the symptoms when a para stomal hernia strangulates? How would you know. How often should you get hernias scanned to check on them?
Severe pain N&V: A strangulated parastomal hernia would mean that small bowel was trapped in the hernia and had lost its blood supply. This causes severe pain, n@v and if not treated surgically immediately, then septic shock and death. If you have a parastomal hernia and no other severe comorbidities, then it should be electively repaired. Consult a surgeon. ...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
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