Commonly called a “Rupture” , a hernia is a weakness or tear in the muscles of the abdominal wall , thorough which fatty issue or intestines protrude out. Hernias are caused by wear and tear of the muscles over the years.
Congenital hernias result from a weakness that is present at the birth. Hernia may get worse with time or physical stress.
Children’s hernias are almost always congenital.
It is easy to recognize hernia as a bulge under the skin and/or may cause pain while lifting heavy objects, coughing ,straining during urination or bowel movements.
The pain may be sharp and immediate . In some cases, the pain may be a dull ache that gets worse toward the end of the day or after standing a long period of time.
The abdominal wall contains area of weakness. These area include natural spaces and thin tissue such as the umbilical ring ,internal ring .
Hernias may develop at these or other areas due to aging , old incision , injury or weakness present at birth.
A few reasons for developing Hernia are as follows”
A loop of intestine or fatty tissue may push against the inner lining forming a sac. There is no immediate danger at this point, there may not be bulge or swelling but some burning or tingling might be present.
The most common cause of Hiatus hernia is obesity. The food pipe goes through the hiatus and attaches to the stomach in a hiatal hernia (also called hiatus hernia) the stomach bulges up into the chest through that opening.
Hiatus Hernia results in chest pain or pain with eating and may also cause in heartburn. Hiatus hernia is diagnosed by endoscopy and may require a surgery known as Hiatus Hernia Repair.
The intestine pushes into the sac: Most hernias form a bulge as the intestine pushes into the sac. Initially the bulge flattens out on lying down or pushing against it. This is Reducible Hernia. Although there is no immediate danger, prompt hernia repair is required.
The intestine may become trapped: If the intestine is trapped , or incarcerated , the bulge cannot be flattened. This is Non-Reducible Hernia which is often painful. Urgent surgery may be required.
The intestine may be strangulated: If the intestine is tightly trapped , or strangulated , it eventually loses its blood supplies and dies(gangrene). A strangulated intestine can also block digestion and cause severe pain. Emergency Hernia surgery is required within a few hours to save life in such cases.