Hernias and Their Impact on Kidney Pain: A Urology Perspective - Urology

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Hernia + Venous Hypertension


How can I know if I have a hernia? What are the symptoms? Sometimes I experience pain in both kidneys, sometimes just one side, and sometimes it doesn't hurt at all.
However, the doctor mentioned that I have a slight hernia.
Isn't hernia pain usually near the testicles? It's strange that I'm feeling pain near my kidneys.
Can a hernia also cause pain near the kidneys? My urine tests are normal, and what is venous congestion? Will this affect fertility? Is surgery necessary? How long does recovery take?

Xiao Zhu, 10~19 year old female. Ask Date: 2004/12/30

Dr. Lai Ronghao reply Urology


Hello, little pig: 1.
Hernias often occur when the intestines protrude through the abdominal wall during standing or straining, and some individuals may experience pain while others do not.
2.
Varicose veins typically cause pain in the groin or scrotum, primarily due to prolonged standing leading to venous insufficiency and discomfort.
The bilateral lower back pain is mostly unrelated to the aforementioned conditions.

Reply Date: 2004/12/30

More Info


Hernias can indeed be a source of discomfort and pain in various areas of the abdomen, including the region near the kidneys. To understand the relationship between hernias and kidney pain, it’s essential to first grasp what a hernia is. A hernia occurs when an internal organ or tissue bulges through a weak spot in the surrounding muscle or connective tissue. This can happen in various locations, including the inguinal (groin) area, umbilical (belly button), and even in the abdominal wall.


Symptoms of Hernias
Common symptoms of a hernia may include:
1. A noticeable bulge: This is often the most apparent sign, especially in the groin or abdominal area.

2. Pain or discomfort: This can vary from a dull ache to sharp pain, particularly when lifting, bending, or coughing.

3. Pressure or heaviness: Many individuals report a feeling of pressure in the affected area.

4. Symptoms may worsen with activity: Pain may increase with physical activity or prolonged standing.

In your case, the pain you experience near your kidneys could be related to a hernia, particularly if the hernia is located in the abdominal wall or groin area. The pain may radiate or be referred to the kidney area due to the interconnected nature of the nerves and tissues in the abdomen.


Kidney Pain and Hernias
While hernias are often associated with pain in the groin or lower abdomen, they can also cause discomfort in the flank area (where the kidneys are located). This is due to the way pain is perceived in the body. The nerves that supply the kidneys and the surrounding muscles can overlap, leading to referred pain. Therefore, it is possible for a hernia to contribute to discomfort that feels like it is coming from the kidneys.


Diagnostic Considerations
Since you mentioned that your urine tests have come back normal, this is a good sign that there may not be an underlying kidney issue. However, if a hernia is suspected, imaging studies such as an ultrasound or CT scan may be necessary to confirm its presence and assess its size and impact on surrounding structures.


Treatment Options
Regarding treatment, not all hernias require surgery. The decision to operate often depends on the severity of symptoms and the risk of complications, such as incarceration or strangulation of the herniated tissue. If the hernia is small and not causing significant pain or complications, your doctor may recommend a watchful waiting approach.

If surgery is indicated, it is typically performed as an outpatient procedure, and recovery times can vary. Most individuals can return to normal activities within a few weeks, but it is essential to follow your surgeon's post-operative care instructions to ensure proper healing.


Impact on Fertility
As for the concern about fertility, hernias themselves do not directly affect reproductive capabilities. However, if a hernia is causing significant pain or complications, it could indirectly impact sexual health and reproductive function. If you have concerns about fertility, it would be wise to discuss them with your healthcare provider.


Conclusion
In summary, while hernias are often associated with pain in the groin area, they can also lead to discomfort in the kidney region due to referred pain. If you suspect you have a hernia, it is crucial to consult with a healthcare professional for a thorough evaluation and appropriate management. They can provide guidance on whether surgical intervention is necessary and what the recovery process would entail. Always remember to communicate openly with your healthcare provider about your symptoms and concerns to receive the best possible care.

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