Understanding Hernias: Causes, Risks, and Treatment Options

2023-09-14 00:51:00

What causes a hernia?

What causes a hernia? Is it dangerous? Can it only happen to men? Causes and risks of hernias, prevention and treatment If you have it, do you have to have surgery?

Dr. Kasan Meksawatchai Expert doctor The Surgery Group of Rajavithi Hospital 2 (Rangsit), Department of Medical Services, explains what causes hernias. with Hfocus that a hernia is a protrusion of an organ within the abdominal cavity. It could be intestines or it could be visceral fat. Hernias can usually occur in many locations, but 75 percent of hernias occur in the groin. which is a lump that can be extended or retracted But in some cases, the intestines may come out and cause a blockage or straining of the intestines. This causes intestinal ischemia to the point of being dangerous. A hernia in men is a raised lump that can protrude in and out. Will it be in the groin or pubic area? There is some that descends into the scrotum. In some cases, it may be a feeling of pain. Hernias can occur in both women and men. But women are less likely to find it. Hernias in women also occur in the groin area. As for those with hernias, there are 2 groups as follows:

A group found in children younger than 1 year due to developmental abnormalities. Your child’s body will have a hole leading from the abdomen to the outside. This hole usually needs to close after birth. But some kids, this hole won’t close. As a result, hernias occur in children and adults. They can be found in many age groups, but hernias are most common among people aged 40 years and over.

What causes a hernia?

Causes that are risk factors for hernias It is caused by the abdominal wall in that area being loose. Including increasing intra-abdominal pressure.

Can occur in patients with chronic cough. or people who smoke and have emphysema When you cough, it increases intra-abdominal pressure. Makes it possible to have a hernia. Lifting heavy objects increases intra-abdominal pressure. Frequent straining to urinate, especially in people with an enlarged prostate. Makes it difficult to urinate Frequent straining to pass stool, especially in people who are constipated. People who are overweight, obese, or pregnant women. There is a risk of an increase in intra-abdominal pressure.

Symptoms of a hernia

Inguinal hernia There will be a lump protruding in the groin area. When coughing or pushing The lump will bulge out more. Mostly when lying down or pushing with my hand. The lump will shrink back to normal. In men, hernias are found in the groin, pubic area, and scrotum. Hernias are found in the umbilical region. There will be a lump protruding in and out of the navel area. Hernia around the surgical wound People who have had abdominal surgery before The area of ​​the surgical wound in the abdomen is more vulnerable than other areas. A hernia can occur in this area.

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In some hernia patients, pain may be delayed. But the danger is complications because the intestines protrude and get squeezed by a hole in the abdominal wall. Causes intestinal obstruction or intestinal ischemia. Examples of symptoms include:

Intestinal obstruction : Stomach pain, nausea and vomiting. Unable to poop or fart
Intestinal ischemia : Abdominal pain or pain around the lump. How to treat a hernia

Dr. Kasan Recommended when you feel a lot of pain. Hernia symptoms interfere with daily life. Surgical treatment is most effective. Currently, surgery involves an open incision in the abdomen or groin area. Use general anesthesia or a spinal block. Requires 1-2 days of hospital stay or treatment with endoscopic surgery. The surgical wound is smaller. Less post-operative wound pain It takes less time to recover after surgery. If the hernia is left for a long time and the doctor is not seen Serious complications may occur. It can cause intestinal obstruction or intestinal ischemia.

Hernia prevention

Dr. Kasan said about hernia prevention: This can be done by controlling your weight. Shouldn’t lift heavy things. If you exercise that increases intra-abdominal pressure, you must be careful. Exercise should be performed correctly with the advice of a professional. Take good care of your health and refrain from smoking when you have abnormal symptoms such as a chronic cough. It may be a lung disease or a lung infection. Chronic constipation or difficulty urinating You should consult a doctor.

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