Dr Dulcy Rakumakoe
A hernia is when an internal organ pushes through a weak spot in your muscle or tissue that normally contains it. Most hernias occur in the abdominal cavity, between the chest and the hips.
There are several types of hernias that one can experience, including inguinal hernias, femoral hernias, umbilical hernias and Hiatal hernias. It’s important to treat them quickly. If you think you have a hernia, don’t wait to seek help. A neglected hernia can grow larger and more painful and this can lead to complications and possibly emergency surgery.
Early repair is more successful, less risky and offers a better recovery and outcome.
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Inguinal hernia: In men, the inguinal canal is a passageway for the spermatic cord and blood vessels leading to the testicles. In women, the inguinal canal contains the round ligament that gives support for the womb. In an inguinal hernia, fatty tissue or a part of the intestine pokes into the groin at the top of the inner thigh.
This is the most common type of hernia, and affects men more often than women.
There are various causes for the different types of hernias. Inguinal and femoral hernias are due to weakened muscles that may have been present since birth or are associated with ageing and repeated strains on the abdominal andgroin areas.
Such strain may come from physical exertion, obesity, pregnancy, frequent coughing, or straining on the toiletdue to constipation.
Adults may get an umbilical hernia by straining the abdominal area, being overweight, having a long-lasting heavy cough or after giving birth.
The cause of hiatal hernias is not fully understood, but a weakening of the diaphragm with pressure on the abdomen could play a part.
In the case of hiatal hernias, there are no bulges on the outside of the body. Instead, symptomsmay include:
Heartburn, indigestion, difficulty swallowing, frequent regurgitation or vomiting and chest pain.
It is usually possible to see or feel a bulge in the area where a hernia has occurred. As part of a male’s typical physicalexam for inguinal hernias, the doctor feels the area around the testicles and groin while the patient is asked to cough.
In some cases, soft-tissue imaging like a CT scan will accurately diagnose the condition.
When you have a hernia, treatment will start with your nurse or doctor. If you need surgery to repair the hernia, you’ll be referred to a surgeon. Hernias usually do not get better on their own, and surgery may be the only way.
In the case of an umbilical hernia in a child, surgery may be recommended if the hernia is large or if it has not healed by the age of four to five years old.
By this age, a child can usually avoid surgical complications. If an adult has an umbilical hernia, surgery is recommended because the condition will not likely improve on its own and the risk of complications is higher.