Advanced, minimally invasive treatments at affordable costs only at Medfin.

Advanced, minimally invasive treatments at affordable costs only at Medfin.

The doctor starts with a physical examination, which is guided with the complaints, the patient has approached the doctor with. The doctor may also suggest imaging to assess the size of the hernia. 

  • A thorough history from the patient
  • Clinical examination is a very vital tool to diagnose.
  • Imaging techniques to assist or confirm the diagnosis such as ultrasound, Computed Tomography, or MRI (Magnetic resonance Imaging).Abdominal ultrasound: Use of high-frequency sound waves to create images of the internal structures.

Computed Tomography (CT) scan: Computer combined with X-rays to produce images.Magnetic Resonance Imaging (MRI) scan: A combination of radio waves and strong magnets to produce images of internal structures.

Barium or Gastrografin X-ray: This is suggested if a hiatal or diaphragmatic hernia is suspected. Here the patient will be asked to consume a liquid barium solution or a liquid containing Gastrografin (meglumine sodium and diatrizoate sodium). 

This will be followed by imaging where X-ray images of the digestive tract are taken.

Endoscopy: The doctor may also suggest this procedure if a hiatal hernia is suspected.
This procedure involves the introduction of a small tube connected with a small camera connected to a tube into the throat to the esophagus and stomach. 
This will help the doctor visualize the throat, esophagus (food pipe), and stomach.

The doctor resorts to surgery when the hernia is growing in size and is causing pain and discomfort. The hernia is repaired by pushing back the bulging tissue back in position and sewing the area. 

It may involve the use of a surgical mesh to hold the tissue in place. The incision is then stitched to conclude the surgery.

The doctor may decide to perform open surgery or a laparoscopic one. Multiple factors contribute to the doctor’s and patient’s decision to go with either one.

Consistent pressure and muscle weakness in a particular area of the body contribute to the formation of hernia. They may develop rapidly or over a long period, determined by their causative factors.

The common causes of hernias are:

  • Lifting heavy weights either for exercising or for work
  • Chronic cough caused by conditions such as Chronic Obstructive Pulmonary Disorder (COPD)
  • Constipation over a prolonged period of time, resulting in an increase in abdominal pressure
  • Multiple pregnancies.
  • ObesityAscites or fluid accumulation in the abdomen.
  • Post damage from a surgery or injury.
  • A congenital condition, where the hernia is formed in the womb during developmental stages and is present at birth.

Associated risk factors:

  • Family history.
  • Smoking (weakens the connective tissue).
  • Premature birth or low birth weight.

Most hernias do not cause any significant symptoms. It may be diagnosed during a routine medical examination for some other ailment until which time it stays undetected.

A bulge seen in the abdomen or the groin area may be a hernia. It occurs when organ parts or tissues push through the skin and thus exposing a bulge. 

 This occurs because of the malfunction of the muscular wall which is supposed to hold the organs and tissues in place.

Inguinal Hernia:

This is the most common type of hernia seen more frequently in males than in females. 

In males the inguinal canal is a pathway for the spermatic cord and blood vessels which leads to the testicles and in women, the inguinal canal has the round ligament which supports the uterus. 

In this type of hernia, the fatty tissue or a part of the intestine protrudes into the groin.

The symptoms of inguinal hernia are :

  • It may present as a bulge in the area on either side of the pubic bone, which becomes more evident when you're upright, or while coughing or straining
  • Pain or discomfort in your groin
  • A heavy or dragging sensation in the groin
  • Weakness or pressure in the groin
  • Sometimes the intestines may move down into the scrotum which may be associated with pain and swelling around the testicles
An inguinal hernia isn't necessarily dangerous. At times it can lead to life-threatening complications.

Femoral Hernia: Here the bulge or the swelling is seen in the groin and affects older women.

Umbilical Hernia: Here, the swelling is seen through the belly button (umbilicus, navel)

Hiatal or diaphragmatic Hernia: In this hernia, a part of the stomach will be pushed into the chest cavity through an opening in the diaphragm (the horizontal sheet of muscle that separates the chest from the abdomen). 

It is commonly seen in older patients( >50 years and in obese patients).

 The symptoms of a hiatal hernia will be different and more specific. The lump formed here pushes through the diaphragm, causing chest pain, trouble swallowing, and heartburn.

Incisional Hernia: Here the tissue protrudes through the site of an abdominal scar from a previous or old abdominal or pelvic operation.

Epigastric Hernia: In this type, the fatty tissue protrudes through the abdominal area between the navel and lower part of the sternum (breastbone)

Spigelian Hernia: Here the intestine pushes through the abdomen at the side of the abdominal muscle, below the navel.

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