Inguinal Hernia: Symptoms, Pain Management, and When to Seek Help

Inguinal hernia

Two weeks ago, I discovered that I have an inguinal hernia.
At first, it didn't hurt, and when I pushed the protruding area, it would go back in.
However, when I coughed or exerted myself, it would come back out.
Now, I have to hold the protruding area when I cough to avoid it dropping down.
Is this the right thing to do? I am currently working abroad and won't be able to return to Taiwan for over a month.
Today, I started experiencing a dull pain in the left side of the hernia, and my lower left back also started to feel dull pain.
What should I do? Can I take pain relievers to alleviate the discomfort? I still have a month before I can return to Taiwan for treatment.
Is there a risk of the intestine becoming necrotic? I'm really scared and don't know what to do.
Could you please give me some advice? Thank you!

Xiao Tong, 30~39 year old female. Ask Date: 2016/05/08

Dr. Chen Jiansheng reply Urology

Dear Miss Hsiao-Tong,
Based on your description, there is a significant possibility of a hernia.
An incarcerated hernia refers to a condition where the hernial sac protrudes and cannot be pushed back into the body.
The intestine may become trapped in a narrow inguinal canal, leading to impaired blood circulation and subsequent necrosis.
Clinical symptoms can be quite painful (typically unrelieved by standard analgesics) and may include loss of appetite.

If you experience any of the above symptoms, please seek emergency care as soon as possible.
Most early-stage hernias can be managed with conservative treatment, which includes: (when the hernial sac is protruding) 1.
Lying flat and resting, avoiding heavy lifting; 2.
Manually pushing the hernial sac back; 3.
Wearing a hernia truss (available on auction websites).
However, these are only temporary measures, and definitive resolution can only be achieved through surgical repair.
Sincerely,
Dr.
Chien-Sheng Chen
Department of Urology, Hsin-Ying Hospital

Reply Date: 2016/05/08

More Info

Inguinal hernias are a common condition that occurs when a portion of the intestine or fatty tissue protrudes through a weak spot in the abdominal muscles, typically in the groin area. This can lead to discomfort and pain, especially during activities that increase abdominal pressure, such as coughing, lifting, or straining. Your description of the hernia being reducible (able to be pushed back in) is typical for many inguinal hernias, especially in the early stages. However, the fact that you are now experiencing pain and discomfort is concerning and warrants further attention.

Symptoms of Inguinal Hernia
The symptoms of an inguinal hernia can vary, but they often include:
1. A noticeable bulge in the groin or scrotum, which may become more prominent when standing or straining.

2. Pain or discomfort, especially when lifting, bending, or coughing.

3. A feeling of heaviness in the groin.

4. Pain that radiates to the lower back or abdomen, which may be what you are experiencing in your left side and lower back.

Pain Management
For immediate pain relief, over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen (Advil, Motrin) or naproxen (Aleve) can be effective. These medications can help reduce inflammation and alleviate pain. However, it is crucial to follow the recommended dosages and consult a healthcare professional if you have any underlying health conditions or are taking other medications.

When to Seek Help
While many inguinal hernias can be managed conservatively, certain situations require immediate medical attention:
1. Incarcerated Hernia: This occurs when the hernia becomes trapped and cannot be pushed back into the abdomen. This can lead to severe pain and swelling.

2. Strangulated Hernia: This is a more serious condition where the blood supply to the trapped tissue is cut off, leading to tissue death. Symptoms may include severe pain, nausea, vomiting, and changes in bowel habits. This is a medical emergency.

Given your symptoms of increasing pain and discomfort, it is advisable to seek medical attention as soon as possible, even if you are abroad. If you experience any of the symptoms listed above, especially severe pain or changes in bowel habits, you should go to the nearest emergency room.

Precautions While Abroad
While you are waiting to return to Taiwan for treatment, here are some precautions you can take:
- Avoid heavy lifting or straining: This can exacerbate the hernia and increase the risk of complications.

- Support the area: When coughing or sneezing, you can gently support the hernia with your hand to reduce discomfort.

- Monitor your symptoms: Keep track of any changes in your condition, especially if the pain worsens or if you develop new symptoms.

Conclusion
Inguinal hernias can often be managed effectively, but it is essential to be vigilant about any changes in your symptoms. If you are experiencing increased pain, especially in conjunction with other concerning symptoms, it is crucial to seek medical attention promptly. While waiting for your return to Taiwan, managing pain with NSAIDs and avoiding activities that may exacerbate the hernia can help. However, do not hesitate to seek local medical care if your symptoms worsen or if you have any concerns about your health.

Similar Q&A

Understanding Chronic Right Groin Pain: Causes and Diagnostic Approaches

Hello, doctor. I am a 22-year-old male. First, I would like to explain that I underwent traditional hernia surgery (Chen's hernia repair method at Taichung Boai Hospital) about 4.5 years ago, with a one-year interval between surgeries. I discovered my hernia due to swelling ...

Dr. Du Shixi reply Urology
Hello: I believe there could be two possibilities: one is a recurrence of a hernia, and the other is related to nerves. You should first visit a urologist to determine if there is a recurrence. Recently, avoid straining your abdomen. I don't have experience in orthopedics, s...

Understanding Hernia Surgery Complications and Hematospermia Symptoms

The issue is a bit lengthy... About a year ago, I underwent hernia surgery, and since then, I have experienced persistent pain in the groin area. I have seen multiple doctors who have said that the pain is due to the mesh used in the repair. My scrotum is still uneven, with one s...

Dr. Li Xinyi reply Urology
The symptoms seem quite severe, so it is important to see a doctor for further evaluation and examination, as it is not possible to assess the condition and treatment based solely on your description.

Understanding Adult Hernia: Symptoms, Treatment, and Recovery Tips

Hello, for the past few months, I have been experiencing intermittent pain in my right testicle about three to four times a month. The strange thing is that the symptoms disappear the next day. I consulted a doctor who diagnosed it as a hernia and mentioned that surgery would be ...

Dr. Du Shixi reply Urology
A hernia is characterized by a lump in the groin or scrotum, which may sometimes disappear. In normal circumstances, it is asymptomatic, but when it becomes severe, the protruding intestine can become obstructed and necrotic. Any actions that increase abdominal pressure, such as ...

Understanding Groin Pain: Insights on Diagnosis and Home Care Tips

Hello, I am a 27-year-old male who has lived in the UK since childhood. At around 17 years old, I underwent a left orchiectomy due to testicular torsion, and the right testicle was also fixed to prevent future torsion. I have a long history of depression and am currently taking a...

Dr. Li Xinyi reply Urology
It could also be neuropathic pain, which can be managed with some B vitamins or medications that stabilize nerve function. There is also the possibility of a difficult-to-diagnose femoral hernia, which may require MRI or CT scans for diagnosis. Regarding testicular torsion, since...