June is Hernia Awareness Month
What are hernias?
The hernias we talk about in this Medical Minute are the most common hernia- groin, or inguinal hernias. More commonly found in men, hernias form as a bulge accompanied by pain, in their groin. Men have about a 27% lifetime risk of having hernia at some point in their life, and women, a much lower incidence- only 3% or so of women get hernias at some point in their life. Other types of hernias, such as abdominal hiatal hernias are also common, but groin hernias tend to outnumber abdominal hernias by about 3 to 1.
What causes a hernia?
Hernias often form in people with weakened abdominal muscles or in those who do a lot of heavy lifting or straining. This is the main reason that young men form them more often than others. With men, without getting into too much physiology, men of course have testicles and scrotum and those structures descend through the inguinal canal. This canal is much larger in men than in women and that’s part of the reason men tend to be more susceptible to hernias than women.
Screening and diagnosis of hernias
If you are having abdominal pain or pelvic bulge and pain, you want to see physician, and he or she will do an exam. They will use their finger, and they will see if you have a bulge in your scrotum or on your groin and they’ll see if its reducible or not. If the exam doesn’t give them the answer, they can perform an ultrasound, a very, inexpensive test that can tell you the same day whether a hernia is present.
What to do if you think you have a hernia
Most of the time hernias don’t cause problems. People can have them their entire life. When they do cause pain though that’s a problem, and a concern that complications may have arisen. Most common hernias are what we call reducible; you can take your finger or you can lie down in bed and due to the effects of gravity, the bulge in the groin will actually disappear, which means the intestinal contents actually go back into the abdominal cavity or to the correct location. If it’s not reducible by lying down or using a finger or having a physician trying to reduce it, then there are concerns about things like strangulation, or incarceration occurring. Without getting into details of what those are, if those concerns are there, then you need to see a surgeon, and there may be a need for surgery.
Treating a hernia
As I stated before, hernias are actually something that you can watch for years without being treated. If however, it is causing pain, we generally refer folks to a surgeon who can do a very simple laparoscopic surgery.
If you have any concerns about hernias, here at Urgent Care we are happy to see you.