Hernias: Common Questions and Concerns for Young Adults - Urology

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Hernia


Hello Dr.
Chen,
I would like to ask you a few questions after visiting a urologist a few days ago who diagnosed me with a hernia.

1.
Why would I have a hernia at my age (30 years old)?
2.
Is surgery necessary for a hernia? Can it be treated with medication?
3.
I work during the day and attend night classes at a university, so I plan to wait until summer vacation to have surgery.
During this period, will my condition worsen? (I am currently not experiencing discomfort.)
4.
Can I engage in some light exercise, such as playing sports or jogging?
Thank you for your assistance.

Lao Nanren, 30~39 year old female. Ask Date: 2003/03/12

Dr. Chen Xiuyi reply Urology


Hello: Inguinal hernias can occur at any age, and surgical treatment is generally required, as medication cannot treat the condition.
Prior to surgery, it is essential to monitor for any associated bowel obstruction (at which point there may be a painful bulge in the inguinal area).
Currently, it is advisable to avoid vigorous exercise to prevent the hernial sac from enlarging.
Dr.
Chen Hsiu-Yi, Urology Department, Taoyuan Hospital, March 14, 2003.

Reply Date: 2003/03/12

More Info


Hernias are a common medical condition that can affect individuals of all ages, including young adults like yourself. Let's address your questions one by one to provide a clearer understanding of this condition.

1. Why do I have a hernia at my age (30)?
Hernias can occur due to a combination of factors, including congenital weaknesses in the abdominal wall, increased pressure within the abdomen, and lifestyle factors. While many hernias are seen in older adults, younger individuals can also develop them, especially if they engage in activities that increase abdominal pressure, such as heavy lifting, straining during bowel movements, or chronic coughing. Additionally, certain conditions like obesity or a previous surgical procedure can contribute to the development of a hernia.

2. Does a hernia always require surgery? Can it be treated with medication?
The treatment for a hernia typically depends on its size, location, and whether it is causing symptoms. While some small, asymptomatic hernias may not require immediate surgery, they do not usually heal on their own. Medications cannot treat a hernia; they may help manage symptoms like pain or discomfort, but they do not address the underlying issue. Surgical intervention is often recommended to prevent complications, such as incarceration (where the hernia becomes trapped) or strangulation (where blood supply to the herniated tissue is cut off), which can lead to serious health issues.

3. Will waiting until summer for surgery worsen my condition?
If your hernia is currently asymptomatic and not causing discomfort, it may be safe to wait for surgery until summer. However, it is essential to monitor your condition closely. Activities that increase abdominal pressure should be minimized during this waiting period, as they could potentially exacerbate the hernia. If you notice any changes, such as increased pain, swelling, or changes in bowel habits, it is crucial to seek medical attention promptly.

4. Can I engage in gentle exercise like playing sports or jogging?
Engaging in gentle exercise can be beneficial, but it is essential to listen to your body and avoid activities that may strain your abdomen. Low-impact exercises, such as walking or light stretching, are generally safe. However, activities that involve heavy lifting, intense abdominal strain, or high-impact movements should be avoided until you have consulted with your healthcare provider. They can provide personalized recommendations based on the specifics of your hernia.

In summary, while hernias can be concerning, understanding your condition and working closely with your healthcare provider can help you manage it effectively. If you have further questions or concerns, don't hesitate to reach out to your doctor for more personalized advice. Remember, early intervention can prevent complications and lead to better outcomes.

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