Do You Always Need Surgery for a Hernia? Exploring Non-Surgical Options

Q: Do You Always Need Surgery for a Hernia? Exploring Non-Surgical Options

Hello, Mr. <br>Headache： Hernias require surgical treatment, and using a hernia belt is of no benefit. <br>Your next step is to consult a general surgeon or a urologist for a physical examination. <br>If a hernia is confirmed (whether it is a recurrent hernia on the same side or

Does a hernia always require surgery?

Hello doctor, I had a hernia surgery six months ago, and I have been very careful since then.
Recently, the weather has been a bit cold, and I have been sneezing and coughing, but it's only occasional.
After sneezing or coughing, I feel a gurgling sensation in my abdomen, and I later discovered that I have a hernia again.
Right now, there is only a slight swelling.
I saw a doctor who suggested using a hernia belt.
Is it effective? Since there is only a little swelling, can I avoid surgery? (Last time I had surgery, I had to lie down for a week before the pain subsided, and I am really afraid of another surgery.) Is it normal to have some mild abdominal pain and frequent urination now? I would greatly appreciate your guidance.
Thank you.

Yi ge tou liang ge da, 20~29 year old female. Ask Date: 2005/03/16

Dr. Lin Hexing reply Urology

Hello, Mr.
Headache: Hernias require surgical treatment, and using a hernia belt is of no benefit.
Your next step is to consult a general surgeon or a urologist for a physical examination.
If a hernia is confirmed (whether it is a recurrent hernia on the same side or a new hernia on the opposite side), surgical intervention is advisable.
Generally, the first two days after hernia surgery may be more painful, but it is manageable and should not require a week of bed rest.
Occasional mild pain at the lower abdominal incision site is normal, and frequent urination is generally not related to hernia surgery.

Reply Date: 2005/03/16

More Info

When it comes to hernias, surgery is often the recommended treatment, especially for cases that cause pain or discomfort, or if there is a risk of complications such as incarceration or strangulation of the bowel. However, there are situations where non-surgical options may be considered, particularly for patients who are not experiencing significant symptoms or who may not be candidates for surgery due to other health issues.

In your case, it sounds like you have had a previous hernia surgery and are now experiencing some symptoms that suggest a recurrence. The "gurgling" sensation you feel in your abdomen after sneezing or coughing could indicate that there is still some weakness in the abdominal wall or that a new hernia has developed. It's important to monitor these symptoms closely.

Using a hernia belt or truss can provide temporary relief and support for the abdominal wall, but it is not a permanent solution. A hernia belt may help to keep the hernia in place and reduce discomfort, but it does not repair the hernia itself. If the hernia is small and not causing significant pain or complications, some doctors may recommend watchful waiting, especially if surgery poses a higher risk for you.

However, if you are experiencing pain, even if it is mild, or if the hernia is growing, surgery may still be the best option. Recurrence after hernia repair can happen, and it is essential to discuss your concerns with your surgeon. They can provide guidance on whether surgery is necessary based on the size of the hernia, your symptoms, and your overall health.

Regarding your concerns about pain and frequent urination, mild abdominal pain can be a normal response after a hernia repair, especially if there is tension in the abdominal wall. However, if the pain worsens or if you experience other symptoms such as fever, severe discomfort, or changes in bowel habits, you should seek medical attention promptly. Frequent urination may not be directly related to the hernia but could be a separate issue that needs evaluation.

In summary, while surgery is often the definitive treatment for hernias, non-surgical options like wearing a hernia belt can be considered for small, asymptomatic hernias. However, if you are experiencing symptoms or if the hernia is causing you concern, it is advisable to consult with your healthcare provider to discuss the best course of action tailored to your specific situation. They can help you weigh the risks and benefits of surgery versus conservative management and address any fears you may have about undergoing another surgical procedure.

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