Doctor insights on:
Vertical Abdominal Hernia
Hi I have a vertical abdominal hernia 2cm x 8cm and a prolapse bladder. Can I have them repaired at the same time?
Lump and pain: Hernias on the abdominal wall typical cause pain and/or discomfort, and are also typically associated with a lump under the skin at the location of the hernia. This lump is larger with standing and coughing. Best diagnosed by a physical exam, ok to start with your primary care. Timing depends on duration and severity of symptoms. Hope this helps! ...Read more
A bulge and pain: An abnormal bulge, often with pain around it, are the most common signs of abdominal hernia. They most commonly occur at the belly button (umbilical), in the groin (inguinal), at previous surgical scars (incisional), and at the diaphragm (hiatal).They can all be fixed with minimally invasive laparoscopic surgery for less pain and quick return to work. ...Read more
You'll know: The definition of "worse" is different among patients, but regarding hernias this generally refers to pain and discomfort, and enlarging size. There are some things that could be emergently worse such as a blockage of, or strangulation of the intestine. Best to have a consultation with a general surgeon to find out about your specific case. Hope this helps! ...Read more
Very common: About 90% of groin hernias, and probably 75% of ventral abdominal her OAS are repaired using mesh. Mesh reduces the chance the hernia will come back, but is associated with some unique potential problems. Fortunately, these are uncommon for the group of patients that have mesh implanted, but an individual's experience cannot be predicted. Hope this helps! ...Read more
It won't: A hernia is essentially a hole in the muscle layer if the abdominal wall through which intra-abdominal contents can protrude. This by itself does not have any impact on weight gain. If there is intestine trapped in it and causing pain made worse by eating, it can be associated with weight loss however. ...Read more
Depends: If the hernia has been evaluated by a surgeon and you decided not to have it repaired, then it should be ok if it golfing does not cause you pain. If it was advised to have it repaired due to symptoms and size, then I would not recommend golf or any other heavy physical activity. ...Read more
Physical exam: You should see you primary care provider to find out if it is a hernia or a simple separation of the "six pack" muscles without an actual hole, or hernia. The latter is called diastasis recti, and I'm sure you can find photos of this on the internet. Need an exam to find out for sure. Hope this helps! ...Read more
Common: The incidence of incisional hernias is quite variable depending upon the operation (midline incisions have the highest risk) and the health of the patient. Factors that increase the risk include obesity, smoking, wound infections, malnutrition, heavy lifting, etc. Following a midline incision, hernia rates have been published as low as 5% and as high as 20% incidence. ...Read more
No: A hernia is a defect in the abdominal wall musculature (technically in the tough tissue overlying muscle). Some people are prone to developing hernias even after having repairs. However, it can help with comfort during exercise. Your best bet is to use proper lifting technique and develop strong core muscles. Don't give up exercise, it is good for your health in too many ways to list! ...Read more
I have an abdominal hernia and I feel nauseated and I also have pain in the area. I would rate the pain at about a 6. What should I do?
ER now: Go to the ER now for evaluation and treatment. ...Read more
I had a very large abdominal hernia repaired With mesh, the size of an A4 piece of paper. This was 6 months ago. What resistance exercises can I do?
Not directly: The most common type of hernia (in the groin) would not cause intestinal bleeding unless the intestine were strangled in the hernia -- and this would cause many more problems than simple bleeding. Hiatal herniae can facilitate acid refluxing into the esophagus which may lead to ulcers or erosions which may case esophageal bleeding, but not usually intestinal. Why do you ask? ...Read more
Yes: You should base your decision to travel with the hernia on the presence, frequency and severity of symptoms. The worse it is, the less likely you should travel. Also, longstanding hernias give you a history to reflect on, whereas newly developed hernias are more unknown. You also have to consider the method of and distance of travel, and what the healthcare system is like where you are going. ...Read more
Incarcerated Hernia: Hernias can cause bowel obstructions if a loop of intestine is "incarcerated" (stuck) within the hernia. In its most extreme form, it is associated w/vomiting & bloating--this is a surgical emergency. While the constipation may be unrelated, we have to assume it is until proven otherwise--please seek out surgical evaluation as soon as possible. Good luck. ...Read more