Doctor insights on:
Strangulated Umbilical Hernia In Adults
Operation: It's either an operation or observation. Different techniques for operation depend on your symptoms, physical exam, size if hernia defect and sac, obesity, previous operations at that location, diastasis recti, medical history, your goals, and surgeon experience. See a general surgeon for a consult to find out more. Good luck! ...Read more
This is a hole in the abdominal wall at the belly button, the location of the umbilical cord during fetal development. It usually closes by itself as it fills with scar tissue. Infants with a hernia here usually resolve by age 4-5. Adults may develop a hole here for unknown reasons, and will see a lump under the skin ("outie") where intra-abdominal contents have ...Read more
What are the causes for an umbilical hernia to develop in an adult? After doing sit ups a few months ago, it developed. Underlying causes for uh?
Umbilical hernia: In adults, if there is too much pressure on the abdominal wall, fatty tissue or a part of the bowel can poke through a weak part of the abdominal muscle, resulting in an umbilical hernia. Doing sit ups could certainly contribute to its development in someone with anatomical risks such as a weak area in the abdominal wall. Obesity, persistent cough, or heavy lifting can increase the risk. ...Read more
Was told I have an umbilical hernia about a year ago Currently I have no bulging or much pain I have had very loose bowls for about 2 weeks Food seems to go right through me Could it be strangulated?
See below: Incarcerated hernia means it is not reducible (unable to push it back). Strangulation happens when blood supply to herniated organs is cut off. It is a very serious problem and can lead to gangrene within hours (needs emergent surgical intervention). When a hernia is strangulated the pain increases and gets worse over time. At late stages there might be redness of the skin overlying the hernia. ...Read more
Surgery?: The only way to "fix" an umbilical hernia, like all hernias, is through surgery. However, the question is whether it needs to be fixed or is just cosmetic. Hernias can cause problems when a part of the bowel gets caught in it and can get "strangled" or have the blood supply compromised, whether this is likely to happen depends on lots of factors. See your doctor to discuss your hernia to decide. ...Read more
Unlikely: Umbilical hernias come in a variety of sizes and shapes, and can cause a variety of problems. While in theory it is possible to due from an untreated hernia that becomes acutely incarcerated and strangulated, it is very uncommon. Best to see you primary care provider, and consider a consultation with a general surgeon to find out more about your specific case. Hope this helps! ...Read more
Variable : Untreated, the hernia could get larger, or become incarcerated, which could lead to complications with repair, or require emergency care. While this could be serious, the chance it happens is probably very low. Having said that, it is also unpredictable. See a general surgeon for more info. ...Read more
Hernias can cause pain and more commonly when things are intermittently stuck or incarcerated in the defect.
This is a sign that you should have this issue evaluated by a medical professional and consider treatment if it is frequent or changes your ability to do normal daily activities. ...Read more
Incarceration: The hernia, (hole in the abdominal wall), can allow abdominal contents to protrude through. Low probability, but those contents can become stuck, (incarcerated). This usually causes significant pain. The incarcerated contents may then turn in to gangrene (strangulated), requiring emergency operation. If it doesn't hurt, and not enlarging, probably ok to observe. Check with your doctor to be sure. ...Read more
Usually easy: It depends on how big the hernia is and if you have had many previous abdominal surgeries. The surgeon can fix the hernia open (single incision) or laparoscopically (multiple small incisions). The surgery is usually very straightforward. Most patients go home the same day. The surgery is very common. ...Read more
Probably not: The colon is actually not attached to the front abdominal wall and hernia is a result of a defect in the wall through which part of your colon/small intestine can get squeezed in resulting in the bulge--the hernia. Colon prep cleans out your colon and colonoscopy is just a scope being threaded into the colon to take a look. This should not make the hernia worse. Consult doc. Good luck. ...Read more
No, however...: No, however not all umbilical hernias require repair. When diagnosed in infancy, these rarely cause symptoms and can often close on their own. If they persist beyond 3-4, elective repair is recommended before school. In adults, repair is recommended if the hernia causes symptoms or is of a sufficient size to allow intestine into the hernia. ...Read more
Sometimes.: Pain from an umbilical hernia is dependent on the size of the hole and what, if anything, is "stuck" within the hole. It is not uncommon for fat to get stuck in these hernias. This can irritate nerves in that area, leading to a queasy feeling, especially when the lump is touched. Rarely, intestine can get stuck in this hernia, leading to a bowel obstruction, intense pain, and emergency surgery. ...Read more
Not necessarily: The two main reasons to recommend hernia repair are (1)if the symptoms are interfering w/one's quality of life or (2)if the size of the hernia is large enough to lead to bowel incarceration. It sounds like you've answered #1; I advise you to see a hernia surgeon to help answer #2. ...Read more
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