When should you seek help for inguinal hernia?
Inguinal hernias represent a significant 75% of all abdominal wall hernias. Men face a notably high lifetime risk of 27%, while for women, the risk is comparatively lower at 3%.
Many people are susceptible to this condition, yet the signs can often be overlooked or mistaken for something else entirely.
Recognising the signs of an inguinal hernia is crucial for seeking timely help and preventing complications. Read on as we educate you on how to do just that!
Understanding Inguinal Hernia
Inguinal hernia happens when a portion of the intestine or fat pushes through a weak part in the abdominal muscles. This usually happens in the groin area, where the abdomen meets the upper thigh.
This condition can affect both men and women but is notably more common in males due to anatomical differences. Inguinal hernias may develop due to congenital factors, heavy lifting, or chronic coughing that strains your abdominal wall.
You might see or feel a bulge or swelling that becomes more pronounced when standing up or during physical activity. While some individuals experience minimal discomfort, others may feel significant pain, especially with movement, exercises or strenuous activity.
Understanding what an inguinal hernia entails is essential for recognising symptoms and knowing when to seek medical attention. If you feel a lump or new pain in the groin or front of the abdomen, it is essential to see a surgeon. For those who already have a hernia, any increase in pain should be addressed urgently by seeking medical help.
Warning signs of an inguinal hernia: When to seek medical help for
Hernias typically begin small, and an inguinal hernia might exist without being detected. However, larger hernias might produce symptoms, so it is critical to notice the warning indications. If you observe these symptoms, you may have an inguinal hernia.
A noticeable bulge
A visible or palpable protrusion in your groin or scrotum most easily identifies an inguinal hernia. It is usually soft but defined. It may be more visible when standing, coughing, or straining, but it may go away when you lie down or gently press it back into your abdomen i.e. reducible. Over time it will fail to reduce i.e. become incarcerated. A hernia should ideally be operated before it reaches this stage.
Sharp, sudden pain
Inguinal hernias can be uncomfortable or even painful, especially when lifting heavy objects, bending down, coughing, or performing other physical tasks. The discomfort might range from subtle soreness, dragging sensation to severe, excruciating pain. It may also spread to your groin and lower abdomen. Sudden pain and irreducible swelling is a sign of incarceration and strangulation. This needs urgent surgery.
Sensations of burning or aching
An inguinal hernia may create a burning, dragging or painful sensation around the bulge or in the groin area. These sensations may worsen after physical activity or prolonged standing.
Weakness in the groin
You may feel a vague weakness or pressure in the groin area if you have an inguinal hernia. This sensation may be accompanied by dragging or heaviness, which might be severe enough to disrupt your everyday activities.
Digestive issues
An inguinal hernia can occasionally create digestive issues. Nausea, vomiting, or difficulty passing stool may indicate that your hernia obstructs your gut. If you have this potentially serious problem, get emergency medical assistance.
Diagnosis
- Diagnosing an inguinal hernia typically begins with a physical examination.
- The doctor will often check for visible bulges in the groin area while you stand or cough.
- Additional tests and Imaging options such as X-rays, CT scans, and abdominal ultrasounds may be conducted.
Treatment for Inguinal Hernias
The most sought-after treatment for an inguinal hernia is surgical repair of the abdominal wall. The decision to proceed with surgery depends on the severity of the symptoms and the doctor’s assessment.
In cases where the hernia is clinically not obvious and causing no symptoms a doctor might recommend a “wait and watch” approach. This involves monitoring the condition and promptly reporting any new or worsening signs of an inguinal hernia.
If surgery is deemed necessary, there are two main approaches:
- Laparoscopic Surgery: This minimally invasive technique involves three small incisions and using specialized instruments to repair the hernia. Mesh is used to strengthen the repair site.
- Open Surgery: The surgeon makes a single incision in the abdomen to push the hernia back into place and repair the hole. This method also involves the use of mesh to reinforce the repair in adults.
Laparoscopic repair is often the preferred option for smaller uncomplicated herniae. Both surgical options have their own set of advantages and disadvantages, and they may not be suitable for everyone. Dr Ashok Bohra will help you choose between open and laparoscopic surgery after considering the overall health and specific circumstances to recommend the best course of action.
Recognizing the signs of an inguinal hernia early and seeking medical advice is crucial for effective management and treatment.
Post-Surgery Mobility and Exercise Guidelines By Dr. Ashok Bohra
Week 1:
- After hernia surgery, you should be able to mobilize and walk around immediately once the effects of the anaesthesia wear off. Mobility will improve gradually. Simple analgesia will be required.
- Focus on walking on flat floors to enhance your mobility.
Week 2:
- You can start gentle jogging and resume driving if you are pain-free.
- Gentle free hand exercise is permissible, ensuring no strain on the surgical area.
Week 3:
- Gentle cycling and other cardio activities with low resistance are allowed as long as they do not cause pain in the surgical areas.
Week 4:
- Simple short abdominal planks can be initiated, provided they do not cause pain
- Gentle weight training can be started. Avoid heavy lifting, deadlifts, or exercises that require bending positions. Progress over the coming weeks as per your tolerance.
- Crunches and Pilates can be introduced gradually between 4-6 weeks post-surgery, ensuring they do not cause discomfort.
- Golf and other sports are usually safe to resume after 4 weeks.
General Advice:
- Listen to your body.
- Always be mindful of the hernia area and avoid any activity that causes pain or discomfort.
- If you experience any pain or discomfort during activities, it is a sign that your body may not be ready for that level of exertion yet.
How to prevent a hernia from getting worse?
The abdominal muscles deteriorate with aging. Individuals cannot prevent inguinal hernias, but keeping a healthy weight and limiting cigarette smoking can help prevent them from developing or recurring.
Avoiding heavy lifting or lifting heavy objects with your legs (rather than your back) will help to relieve tension on the abdominal wall.
Managing constipation and not exerting when using the restroom can also help prevent inguinal hernias from worsening or recurring.
Can you live with an inguinal hernia?
Living with an inguinal hernia is possible, but not without risks.
Many people may not experience significant discomfort initially and might continue their daily activities. However, this condition doesn’t simply go away on its own. It is best to seek professional opinion.
Ignoring the hernia can lead to complications over time. Increased pain or pressure could develop, especially during physical activities like lifting or straining. Incarceration and strangulation is a surgical emergency.
While a few may manage everyday life with a hernia, proactive monitoring and prompt treatment of symptomatic hernia is crucial for long-term health and comfort.
Consult Dr Ashok Bohra if you notice signs of an inguinal hernia
Consulting with an expert is crucial if you notice signs of an inguinal hernia.
Dr Ashok Bohra specialises in diagnosing and treating hernias, providing personalised care to help alleviate your concerns.
Whether you are experiencing discomfort or unsure about your symptoms, it’s essential not to delay seeking medical advice.
Don’t wait for symptoms to worsen or complicate further—reach out today for expert guidance tailored to your needs.
