Hernia pain
Hello doctor, I previously had surgery for a right-sided abdominal hernia, but after 4 to 5 months, I suddenly experienced sharp pain at the surgical site.
The pain comes and goes.
Is it possible that the hernia has recurred? Should I see a doctor?
Xiao Hui, 20~29 year old female. Ask Date: 2016/12/29
Dr. Yu Mingchang reply Surgery
Hello: Please take a moment to check in with the General Surgery Department of Changhua Hospital, Ministry of Health and Welfare, as we care about you.
Reply Date: 2016/12/29
More Info
Post-surgery pain, especially after a hernia repair, can be a concerning issue for many patients. In your case, experiencing sudden sharp pain at the surgical site four to five months after the procedure raises valid questions about whether this could indicate a recurrence of the hernia or if it might be attributed to other factors such as muscle strain or nerve irritation.
Firstly, it’s important to understand that hernia repairs, particularly inguinal hernia repairs, are generally successful, but they are not without potential complications. Recurrence of a hernia can occur, albeit infrequently, and is often characterized by a bulge or protrusion at the surgical site. In your situation, you mentioned that there is no visible bulge, which is a good sign. However, the sudden sharp pain you experienced could still be indicative of several possibilities.
One common cause of pain after hernia surgery is nerve irritation or entrapment. During the surgical procedure, nerves in the area can be affected, leading to sensations of sharp pain, tingling, or discomfort. This type of pain may not necessarily indicate a recurrence but rather a post-operative complication related to nerve healing.
Another possibility is muscle strain. If you have resumed normal activities, especially those that involve lifting or straining, it’s possible that you could have strained the muscles around the surgical site. This can lead to localized pain that may feel sharp or pulling, especially during certain movements like lifting your legs or climbing stairs.
Additionally, scar tissue formation can also contribute to discomfort. After surgery, the body forms scar tissue as part of the healing process, which can sometimes lead to adhesions or tightness in the area. This can cause pain that may be exacerbated by certain movements or positions, particularly if you are sitting or bending in a way that puts pressure on the surgical site.
Given these considerations, it is advisable to consult with your surgeon or a healthcare professional to discuss your symptoms further. They may perform a physical examination and possibly imaging studies, such as an ultrasound or CT scan, to assess the surgical site and rule out any complications, including recurrence.
In the meantime, you might find relief through conservative measures such as rest, avoiding heavy lifting, and using over-the-counter pain relief medications as needed. Gentle stretching and physical therapy may also be beneficial in addressing any muscle tightness or strain.
In conclusion, while the sudden pain you experienced could raise concerns about a hernia recurrence, it is essential to consider other factors such as nerve irritation, muscle strain, or scar tissue formation. Consulting with a healthcare professional will provide clarity and help determine the best course of action for your recovery. Remember, it’s always better to err on the side of caution when it comes to post-surgical symptoms.
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