This may feel like heartburn. Stomach acid retention may also result in stomach ulcers , which can bleed and lead to low blood counts. Incisional hernias depend on the size of the incision. They often develop within three weeks to six months after a procedure but can occur at any time. A bulge or protrusion at the site of the incision is the most common symptom but if too much tissue or intestine gets stuck in the weak spot, it can create severe pain when the tissue loses blood supply.
This is a medical emergency and requires immediate care. An incarcerated hernia occurs if the hernia gets trapped in the abdominal wall, which can result in an obstructed bowel or strangulation. When the hernia is strangulated, it means that blood flow to the intestine has been cut off. This is a life-threatening condition and requires immediate repair. Surgery is the most likely treatment for relieving large or painful hernias. Your doctor may also recommend surgery as a preventive measure, to ensure there are no complications later on.
Surgical options range from minimally invasive surgery to open surgery. This often requires the surgeon to strengthen the herniated area with mesh. Once the tissue is in its rightful place, the incision is closed with stitches or stapled. This procedure is typically performed with local anesthesia , general anesthesia , or sedation.
Rest is recommended, however, you should move around to encourage proper circulation and improve recovery. Be careful not to overexert yourself, as it may still be a few weeks until you can return to your regular levels of activity. Depending on the site of your hernia, your surgeon will give you specific instructions on what activities you can do and when you can return to exercising and other regular activities.
Minimally invasive surgery, also known as laparoscopy , involves a series of small incisions. A gas is used to inflate the affected area, which makes it easier for the surgeon to see the structures to be treated.
This procedure is typically performed with general anesthesia. Those eligible for minimally invasive surgery tend to experience less post-op discomfort, as well as less scarring. You may also be able to return to regular levels of activity sooner than those who have open surgery. Another option is watchful waiting, where you simply wait to see if your hernia symptoms go away or get worse.
Inguinal hernia Inguinal hernias occur when part of the membrane lining the abdominal cavity omentum or intestine protrudes through a weak spot in the abdomen — often along the inguinal canal, which carries the spermatic cord in men. Email address. First Name let us know your preferred name. Last Name. Thank you for subscribing Your in-depth digestive health guide will be in your inbox shortly.
Sorry something went wrong with your subscription Please, try again in a couple of minutes Retry. Request an Appointment at Mayo Clinic. Share on: Facebook Twitter. Show references Brooks DC, et al. Classification, clinical features and diagnosis of inguinal and femoral hernias in adults.
Accessed Feb. Ramsook C. Overview of inguinal hernia in children. Inguinal hernia child. Mayo Clinic; Inguinal hernia. Townsend CM Jr, et al. Elsevier; Pearson DG expert opinion. Mayo Clinic. Related Hernia truss: Can it help an inguinal hernia? Many people who suffer from discomfort or pain from an inguinal hernia find that laying down flat on their backs can relieve most of their symptoms. Some find it necessary to massage the hernia back into their abdomen.
While we advise most patients we have evaluated that it is safe to to this in the short term, there is no substitute for surgery. Surgery will alleviate the pain of most people within a few days. Anyone that has pain that restricts their activity level should be evaluated by an experienced hernia surgeon to understand their options.
Over-the-counter pain medication use is not typically advised, as pain severe enough to warrant medication is often an indication for surgical intervention. Some patients are unable to schedule their surgery right away, usually because of a work commitment, planned vacation, or current medical situation.
A hernia belt or hernia truss can be a great bridge to surgery in these scenarios. Most local hospital supply pharmacies carry a hernia truss that can easily fit over undergarments. The truss should be put on while the patient is lying flat, with the hernia fully reduced. By tightening the truss in this position, the hernia contents will be kept inside the abdominal cavity. This option helps most patients with pain management for the short term until they can schedule surgery.
As a result of our research, we have stopped routinely prescribing opioid pain medication after surgery. We advise that our patients take both Tylenol acetaminophen and Motrin ibuprofen together every 6 hours.
We often recommend icing the area for 20 minutes at a time, through a towel, so that ice does not come into contact with the skin directly. In patients who have a higher degree of pain than normal, or patients who have a history of chronic pain or substance use disorder, we sometimes partner with our pain specialist to provide a more customized approach to pain management.
Treating pain post-operatively is often a balance between making patients comfortable and exposing them to substances that have the potential for serious side effect and possible addiction.
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