Herniation
Herniation is a medical condition where an organ or tissue moves out of its usual place and protrudes through the wall of the cavity containing it. This can occur in various parts of the body and can cause a range of symptoms depending on the location and severity of the herniation.
Types of Herniation[edit | edit source]
There are several types of herniation, including:
- Inguinal hernia: This is the most common type of herniation. It occurs when part of the intestine protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object.
- Hiatal hernia: This type occurs when part of your stomach protrudes up into your chest through an opening in your diaphragm. Some people with hiatal hernia have no symptoms, while others may experience heartburn, chest pain, and difficulty swallowing.
- Umbilical hernia: This type of hernia is common in newborns and often resolves itself by the age of 1. It can also occur in adults as a result of obesity, multiple pregnancies, or previous abdominal surgery.
- Incisional hernia: This can occur after abdominal surgery, where the intestine pushes through the surgical wound while it's healing.
Symptoms[edit | edit source]
Symptoms of herniation can vary depending on the type and location of the hernia, but may include:
- A noticeable lump or swelling in the abdomen or groin
- Pain or discomfort, especially when lifting, bending over, or coughing
- A feeling of heaviness or pressure in the abdomen
- In severe cases, nausea, vomiting, or difficulty passing stool
Causes[edit | edit source]
Hernias are caused by a combination of muscle weakness and strain. Factors that contribute to muscle weakness include:
- Aging
- Damage from injury or surgery
- Chronic coughing
- Factors that strain your body and may cause a hernia, especially if your muscles are weak, include:
- Pregnancy
- Constipation
- Heavy weight lifting
- Fluid in the abdomen, or ascites
Treatment[edit | edit source]
Treatment for herniation depends on the size of the hernia and the severity of symptoms. Treatment options include:
- Watchful waiting: If the hernia is small and isn't bothering you, your doctor may recommend a wait-and-see approach.
- Medication: Over-the-counter or prescription medications can help manage symptoms of a hiatal hernia.
- Surgery: If the hernia is large or causing pain, your doctor may recommend surgery to repair the hernia.
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Contributors: Prab R. Tumpati, MD