Hernia
Hello! I have a few questions that I would like you to answer:
1.
I am 23 years old and I remember having a hernia when I was in kindergarten.
However, in the past 1 to 2 years, I have experienced occasional recurrences, specifically in the right inguinal region.
Two weeks ago, I had symptoms for a whole week, but since I am still a student, I plan to have surgery at the end of February.
Recently, the hernia site has shown no symptoms.
I would like to know if I still need to seek medical attention when I am ready for surgery, even if there are no symptoms.
Is it necessary to have symptoms in order to seek medical care?
2.
I feel like there is a higher chance of recurrence when I am under stress.
Is there really an emotional trigger for the recurrence of hernias?
Anonymous, 20~29 year old female. Ask Date: 2002/01/11
Dr. Du Shixi reply Urology
Hernias can recur, and it's unclear whether your surgery in kindergarten was on the right side; if it was on the left side, then it is a different issue (as hernias can occur on both sides).
The occurrence of a hernia is related to individual constitution and abdominal pressure, and it should not be associated with emotional factors.
A hernia typically presents as a bulge in the groin area, and in males, it can even descend into the scrotum, leading to scrotal swelling.
Symptoms make it easier to confirm the diagnosis.
Reply Date: 2002/01/11
More Info
Hello! Thank you for your questions regarding hernias, their symptoms, surgery, and the emotional triggers associated with them. I’ll address each of your concerns in detail.
1. Symptoms and Surgical Considerations: You mentioned that you had a hernia surgery in kindergarten and have experienced symptoms in the right inguinal region over the past year or so. It’s not uncommon for hernias to recur, especially if the initial repair was not robust or if there are contributing factors such as increased intra-abdominal pressure. If you are currently symptom-free by the time you are ready for surgery, it is still advisable to consult with your healthcare provider. Even in the absence of symptoms, a hernia can still be present and may lead to complications, such as incarceration or strangulation, which can be serious. Your doctor may recommend monitoring the hernia or proceeding with surgery based on your medical history, physical examination, and the potential risks associated with leaving the hernia untreated.
2. Emotional Triggers and Recurrence: You’ve noted that you feel your hernia symptoms may be exacerbated by stress. There is a growing body of evidence suggesting that emotional and psychological factors can influence physical health, including the experience of pain and the exacerbation of certain conditions. Stress can lead to increased muscle tension and changes in body mechanics, which may contribute to the sensation of discomfort in the hernia area. Additionally, stress can affect your overall health, potentially leading to behaviors that might increase the risk of hernia recurrence, such as poor diet, lack of exercise, or neglecting to seek timely medical care.
In terms of emotional triggers, it’s important to recognize that while stress may not directly cause a hernia, it can certainly influence how you perceive and react to symptoms. Managing stress through techniques such as mindfulness, relaxation exercises, or even counseling can be beneficial not only for your mental health but also for your physical well-being.
Additional Information on Hernias
A hernia occurs when an organ or tissue protrudes through a weak spot in the surrounding muscle or connective tissue. Common types include inguinal hernias (in the groin), femoral hernias, umbilical hernias, and incisional hernias (at the site of a previous surgical incision). Symptoms can vary but often include:
- A noticeable bulge in the affected area
- Pain or discomfort, especially when bending over, coughing, or lifting
- A feeling of heaviness or pressure in the abdomen
- In some cases, nausea or vomiting if the hernia becomes incarcerated
Surgical Options
Surgery is the definitive treatment for hernias and can be performed using open or minimally invasive (laparoscopic) techniques. The choice of surgical method often depends on the size and type of hernia, as well as the surgeon's expertise. Recovery times can vary, but many patients are able to return to normal activities within a few weeks, although heavy lifting and strenuous activities may need to be avoided for a longer period.
Conclusion
In summary, even if you are currently symptom-free, it is wise to consult with your healthcare provider regarding your hernia. They can provide guidance on whether surgery is necessary and discuss the potential risks of waiting. Additionally, managing stress and emotional health can play a significant role in your overall well-being and may help in managing hernia symptoms. Always prioritize open communication with your healthcare team to ensure the best outcomes for your health.
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