Hernias are weak spots in the thin muscle and fascia of the abdominal wall that get stretched from exertion and pressure. Then, the bowel may protrude into the weak area forming a bulge or prominence. The most common hernias are in the groin and are called inguinal hernias. They occur mostly in men although hernias are possible in women as well.
Many of these hernias develop suddenly from heavy lifting or straining such as severe coughing. The weak spot finally gives way and bulges out. Usually the bulge flattens out as one stops straining or coughing, but the area remains weak. It does not tighten up or heal on its own.
When the hernia bulges out, it can usually be reduced or pushed back into place, and a surgical repair can be done on an elective basis.
At times, however, the bowel protruding into the hernia will become trapped so tightly that gentle pressure cannot replace it. In these cases, surgery becomes an emergency since the blood supply to the bowel in these areas may become constricted or twisted so badly that the bowel will become gangrenous. This is dangerous because of the serious infections that may occur.
Children often are born with hernias or develop them at an early age. Hernias in the navel will improve, but in the groin they do not improve on their own, so surgery should be done at a convenient time. All children should have their inguinal hernias repaired.
Some men try trusses, but for most people these are not effective, and the hernia eventually needs to be repaired. Until a hernia is repaired, a person should limit lifting, straining and sports.
For information about this and other medical topics, call Carolina Pines Regional Medical Center at (843) 339-2100.

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