I have a hernia - What next?

Steps to Take When You Suspect an Inguinal Hernia

Steps to Take When You Suspect an Inguinal Hernia

Find out the essential steps for diagnosis, understanding risks, scheduling surgery, and making lifestyle changes.

What to Do When You Suspect That You Have an Inguinal Hernia

1) Get a Formal Diagnosis Quickly

You may not be in pain, but the sooner your medical practitioner is aware of your condition, the better. You may be referred for an ultrasound scan (sonography) to confirm the diagnosis.

2) Be Aware of the Risks of a Strangulated Hernia

In a small number of cases (3%), a hernia may become strangulated. This is a medical emergency and requires immediate attention. Smaller hernias are more at risk as they tend to be clamped shut by the muscle 'opening' more easily.

Symptoms of a Strangulated Hernia:

  • Sharp or severe pain
  • Vomiting
  • Blood in excrement
  • Constipation
  • Malaise with or without a fever
  • A burning sensation around the hernia

Source: British Hernia Centre

3) Get a Surgery Date

In the UK, GPs should refer all patients with an overt or suspected inguinal hernia to a surgical provider according to the Royal College of Surgeons Commissioning Guide 2013. Exceptions include patients who do not want surgical repair or who have significant other health issues. The pain will not go away and is likely to increase over time. Seeking surgical attention early is advisable.

4) Your Surgeon's Expertise in Inguinal Hernia Surgery

A report from the Hernia Outcomes group cites surgical expertise as a crucial factor in recurrence rates and post-operative pain. The average surgeon performs 21 inguinal operations per year according to the most recent study.

5) Consider Lifestyle Changes Before Surgery

Losing weight and stopping smoking, both predisposing factors for an inguinal hernia, are especially beneficial. Increase the roughage in your diet to reduce constipation and lessen abdominal pressure. Consider Yoga, Pilates, and other forms of gentle abdominal exercise. Wearing our hernia briefs can help retain your hernia in the abdomen and prevent it from expanding. The smaller the hernia, the better the surgical outcome.

6) Post-Surgery Care

Hernias tend to recur, either at the existing site or the opposite side of the groin, which is predisposed to the same muscle wall weakness. The NHS quotes a 10% post-operative recurrence rate. Lifestyle changes may be necessary to reduce the likelihood of hernia recurrence.

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