Post-Operative Pain After Inguinal Hernia Surgery: Causes and Concerns

Postoperative care for inguinal hernia repair?

Hello Doctor, I underwent inguinal hernia surgery on the 15th of last month.
About a week ago, while taking a nap on my stomach, I suddenly felt a tearing pain in the surgical area when I tried to get up.
Since then, until today, I experience noticeable pain (not extremely painful, but uncomfortable) whenever I lift my legs, climb stairs, or sit in certain positions.
However, if I adjust my position correctly, I generally feel no discomfort.
Additionally, if I eat a large meal, certain sitting positions can also trigger pain.
All these symptoms started after that nap; prior to that, I had no such pain.
I would like to ask if this could possibly indicate a recurrence of the hernia (although the area where the hernia was originally protruding has not re-emerged since the surgery), or could it be a strain in the abdominal muscles? I returned to work two weeks post-surgery, and my job involves lifting some heavier items, but I have tried to avoid it as much as possible.
I wonder if this could have contributed to the issue.
Thank you for taking the time to respond.

L, 20~29 year old female. Ask Date: 2024/02/15

Dr. Chen Bingze reply Surgery

Hello, sometimes after surgery, there may be a period of neuropathic pain.
Generally, it can be monitored, and a mild analgesic can be used in conjunction.
It is possible that it will improve over time.

Reply Date: 2024/02/15

More Info

Post-operative pain after inguinal hernia surgery can be a complex issue, and it’s understandable that you are concerned about the discomfort you are experiencing. Based on your description, it seems that the pain you are feeling is not only localized to the surgical site but also associated with certain movements and positions. This can be indicative of several potential causes.

Firstly, it is important to consider the possibility of post-operative complications. While you mentioned that there is no visible recurrence of the hernia, it is still possible to experience pain due to scar tissue formation or adhesions. These can develop as part of the healing process and may lead to discomfort, especially when engaging in activities that involve the abdominal muscles. The tearing sensation you felt when getting up from a prone position could suggest that the surrounding muscles or tissues are still healing and may be sensitive to certain movements.

Another possibility is that you may be experiencing muscle strain or overuse. If you returned to work two weeks post-surgery and your job involves lifting heavy objects, it is plausible that you may have strained your abdominal muscles. Even if you were cautious, the act of lifting or moving inappropriately can lead to muscle fatigue or strain, which can manifest as discomfort or pain in the area. It’s crucial to allow adequate time for recovery, as the abdominal wall needs to regain strength and flexibility after surgery.

Additionally, the pain you experience when sitting after eating could be related to increased intra-abdominal pressure. When the stomach is full, it can push against the surgical site, leading to discomfort, especially if you are in a position that places additional strain on the area. This is a common issue for many patients post-surgery, and adjusting your sitting posture or taking breaks to relieve pressure may help alleviate some of the discomfort.

In terms of management, it is advisable to monitor your symptoms closely. If the pain persists or worsens, it would be prudent to consult your surgeon or a healthcare professional for a thorough evaluation. They may recommend imaging studies, such as an ultrasound or CT scan, to rule out any complications such as a recurrence of the hernia or other underlying issues.

In the meantime, consider implementing some conservative measures to help manage your pain. These may include:
1. Rest and Activity Modification: Avoid heavy lifting and strenuous activities until you have fully healed. Gradually increase your activity level as tolerated.

2. Pain Management: Over-the-counter pain relievers, such as ibuprofen or acetaminophen, can help alleviate discomfort. However, consult your doctor before taking any medication.

3. Gentle Stretching and Strengthening: Once cleared by your physician, gentle stretching and strengthening exercises for the abdominal muscles can help improve flexibility and strength, potentially reducing pain.

4. Posture Awareness: Pay attention to your posture when sitting, especially after meals. Try to find positions that minimize discomfort.

5. Follow-Up Appointments: Keep up with your follow-up appointments to ensure that your recovery is on track and to address any concerns you may have.

In conclusion, while post-operative pain can be a normal part of the recovery process, it is essential to differentiate between typical healing discomfort and signs of potential complications. Your proactive approach in seeking answers is commendable, and I encourage you to maintain open communication with your healthcare provider to ensure a smooth recovery.

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