Doctor insights on:
Supra Umbilical Hernia
Umbilical & supra umbilical hernia repair 21/2 weeks ago. A hard knot size of a ball point pen came up and is very painful. Normal? No fever, swelling
Should be looked at:
the most concerning cause for a bulge at the site of a hernia repair is a recurrent hernia. This would create a bulge at the same site that is painful and increases with straining.
A smaller "knot, " such as you're describing, could be fibrous scar tissue, suture, or mesh.
Severe pain 2 1/2 weeks after surgery is rare, so you should definitely have it looked at promptly. ...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
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...: ...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
Not really: Some people will use a pressure belt to help them manage symptoms from a hernia but these are more commonly used for hernias in the groin and they are not particularly effective. The surgery for an umbilical hernia is usually considered a fairly minor day procedure - not something to worry too much about. ...Read more
Depends how big: Most of the umbilical hernias, with finger tip defect will not affect 'to gain flat ab ' (abdominals) and can do abdominal exercises, how ever with large hernias which will not allow to do exercises, due to creation of intra -abdominal pressure may cause incarceration, and only option left is surgery. ...Read more
Hiatal /Diaphragmati: These two only. Not umbilicalGet a more detailed answer ›
May be unchanged with usual dancing
If very forceful and abdominal muscle straining, then may increase in size.
These are frequently and easily repaired ...Read more
No.: Umbilical hernias are unrelated to the method used to cut the umbilical cord. ...Read more
Get it fixed!: As long as you are more than 5 years old, ventral umbilical hernias should be repaired surgically with mesh. Complications of incarceration, strangulation, and bowel obstruction are possible over time as these defects in the abdominal wall enlarge. See a general surgeon for examination promptly. ...Read more
Depends: It depends on your medical history, physical exam, size of hernia, and technique of repair. For most of my hernia patients, I tell them to return to normal activity as tolerated by pain and discomfort. Typical recovery times range from a few days for "simple" cases, to a several weeks for larger hernias and more complex clinical scenarios. ...Read more
See your surgeon: Unfortunately, pain is expected after hernia repair, whether performed laparoscopically or "open". Most people are pain-free within a few weeks after hernia surgery. If your repair was done a while ago and you are still in pain, you need to see your surgeon to help get to the bottom of this. I hope it gets better soon. ...Read more