Water Hernia: Can Traditional Chinese Medicine Help?

Suspected hydrocele

Hello, doctor.
I have been experiencing discomfort in the area of the pubis, groin, and scrotum, so I visited a urologist.
After an ultrasound examination, it was found that the scrotum is normal, but there is fluid accumulation in the right inguinal canal.
The doctor mentioned that this might have been present since childhood, and now more fluid has accumulated, causing the discomfort.
The hydrocele is not large, and the recommendation is to continue monitoring it, and if it increases in size or if there is a true hernia, then a hernia surgery can be performed.
However, I am experiencing discomfort in my daily activities; while it does not severely affect my mobility, it feels heavy and uncomfortable.
While researching online, I found that this seems to be referred to as "water hernia" in Traditional Chinese Medicine.
Doctor, can herbal medicine help improve adult hydrocele? If so, what should be done?

Mr. Huang, 20~29 year old female. Ask Date: 2022/09/08

Dr. Gao Peiyi reply Traditional Chinese Medicine

Taking traditional Chinese medicine is considered a conservative treatment; symptoms may improve, but it cannot eliminate the root cause.
My suggestion is to take it when symptoms are pronounced, then gradually taper off the medication once improvement is noted.
If discomfort reappears after some time, you can resume taking it.
Generally, improvement can be seen within a month of taking traditional Chinese medicine, although results may vary depending on the prescriber.
Many people take traditional Chinese medicine for long-term maintenance, but I believe it is unnecessary, as this condition falls under the surgical domain, and regular follow-up with a Western medicine practitioner is essential.
If surgery is needed, it should be performed.
Hernia surgery is relatively simple and low-risk in Western medicine.
Since you are still young, surgical intervention is the fundamental treatment.
Additionally, I want to remind you that increased abdominal pressure can be a contributing factor, such as chronic constipation with straining, severe coughing, intense exercise, and prolonged heavy lifting; all of these should be monitored closely.
There are no specific dietary restrictions needed.

Reply Date: 2022/09/08

More Info

Water hernia, also known as hydrocele, is a condition characterized by the accumulation of fluid in the scrotum, often leading to discomfort or a feeling of heaviness. In your case, the ultrasound has indicated that there is fluid in the right inguinal canal, which may have been present since childhood but has become more pronounced recently. While it is understandable to seek alternative treatments such as Traditional Chinese Medicine (TCM), it is essential to approach this condition with a comprehensive understanding of both Western and Eastern medical perspectives.

From a Western medical standpoint, hydroceles are typically benign and may not require immediate intervention unless they cause significant discomfort or complications, such as infection or hernia. The recommendation to monitor the condition and consider surgery if it worsens is a common approach. Surgical intervention for hydrocele is generally straightforward and carries low risks, especially in younger patients.

In TCM, the concept of water hernia (水疝) is often associated with the idea of "dampness" and "phlegm" accumulation in the body. TCM practitioners may view hydrocele as a manifestation of underlying imbalances, such as Qi stagnation, blood stasis, or damp-heat accumulation. Treatment may involve herbal remedies aimed at promoting fluid metabolism, dispelling dampness, and restoring balance to the body's systems.

While TCM can provide symptomatic relief and may help improve overall well-being, it is crucial to understand that it may not address the root cause of the hydrocele or eliminate it entirely. Herbal treatments can be beneficial for managing discomfort and improving quality of life, but they should be seen as a complementary approach rather than a substitute for medical intervention when necessary.

If you choose to pursue TCM, it is advisable to consult a qualified TCM practitioner who can tailor a treatment plan based on your specific symptoms and constitution. Common herbal formulas that may be used include those that promote diuresis and reduce swelling, such as "Ping Wei San" (平胃散) or "San Ren Tang" (三仁湯). Acupuncture may also be employed to help alleviate discomfort and promote overall balance.

It is important to maintain open communication with your healthcare provider regarding any alternative treatments you pursue. If you experience worsening symptoms or if the hydrocele increases in size, it is essential to follow up with your urologist for further evaluation and potential surgical options.

In summary, while TCM may offer some benefits in managing the symptoms associated with hydrocele, it is not a definitive treatment. Regular monitoring and consultation with a healthcare professional remain crucial in managing this condition effectively. Balancing both Western and Eastern medical approaches can provide a more holistic strategy for your health and well-being.

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