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Hernia Symptoms: Identify Different Hernia Types

By Dr. Rajan Madan in General & Minimal Access Surgery

Jan 10 , 2024 | 8 min read

Hernia is a relatively common condition that occurs when an organ or tissue pushes through a weak spot in the surrounding muscle or connective tissue. It can cause discomfort and pain, affecting people of all ages. A hernia can develop in various areas of the body, including the abdomen, groin, belly button, and upper thigh.

The most common types of hernias include inguinal hernias (located in the groin), femoral hernias (in the upper thigh), umbilical hernias (around the belly button), and hiatal hernias (in the diaphragm).

Hernias can be caused by factors such as heavy lifting, straining during bowel movements or urination, persistent coughing or sneezing, pregnancy, obesity, or previous surgical incisions.

This condition affects millions of people worldwide, with inguinal hernias being the most common type, and accounting for about 75% of all adult hernia cases. Approximately 27% of men and 3% of women will develop an inguinal hernia at some point in their lives.

Umbilical hernias are more common in infants and occur in about 10% of newborns. However, most small umbilical hernias in children close on their own without treatment by the age of five.

If one suspects hernia or is experiencing symptoms like a bulge or discomfort in the affected area, it is essential to consult a doctor for an accurate diagnosis and appropriate treatment options. Remember that early detection and treatment can help prevent complications and improve one's quality of life.


Hernia Early Signs

Recognising the early signs of a hernia is crucial for timely diagnosis and treatment. Here are some key hernia symptoms to watch out for:

  • A visible bulge or lump: This is one of the most noticeable signs of a hernia. Depending on its location, one may see or feel a lump or bulge in the abdomen, groin, or even near the belly button.

  • Pain or discomfort: Hernias can cause discomfort or pain, particularly when lifting heavy objects, coughing, or straining during bowel movements. The pain may worsen as the day progresses and subside when the person lies down.

  • Weakness or pressure: Some individuals with hernias may experience a sense of weakness or pressure in the affected area.

  • Heartburn or acid reflux: In some cases, a hiatal hernia can cause symptoms such as heartburn, acid reflux, difficulty swallowing, and chest pain.


Hernia Symptoms

Hernias can affect people of all ages and genders, causing discomfort and pain. So, it's essential to recognise the symptoms to seek timely medical attention. Given below are some common hernia symptoms.

Common Symptoms

  • Heartburn: This is a common hiatal hernia symptom and occurs when stomach acid flows back into the oesophagus. The acid reflux can lead to a burning sensation in the chest.

  • Shooting Pain: A sharp, shooting pain in the affected area is another symptom of a hernia. This pain may worsen during physical activity or when lifting heavy objects.

  • Constipation: Difficulty passing stool or a feeling of incomplete bowel movements can indicate hernia. When a hernia occurs in the lower abdomen or groin area, it can put pressure on the intestines, leading to constipation.

  • Blood in the Stool: Occasionally, a hernia in the digestive tract can cause blood in the stool. This symptom could indicate complications such as a strangulated hernia.

Symptoms in Men

  • Feeling of pressure or pain: Men with hernia often experience a sensation of pressure, persistent pain or discomfort in the affected area. This can be uncomfortable and may worsen with physical activity. This pain may be dull or sharp and can range in intensity.

  • Pain and Swelling Around the Testicles: Inguinal hernias, which occur in the groin area, can cause pain and swelling around the testicles. This occurs when part of the intestine protrudes through a weak spot in the abdominal wall.

  • Tugging sensation of the scrotum: Inguinal hernias, which are common in men, can cause a tugging or dragging feeling in the scrotum.

Symptoms in Women

  • Aching or sharp pain: Women may experience pain near the site of the hernia. This discomfort may increase with movement or strenuous activity.

  • Burning sensation: Some women may feel a burning sensation at the hernia site. This can be accompanied by redness or swelling.

  • Discomfort that increases with activity: Similar to men, women often find that their symptoms worsen when they engage in physical activity or strain their abdominal muscles.

  • A bulge at the hernia site: In some cases, women may notice a visible bulge or swelling at the location of the hernia.

Symptoms in Children

  • Refusal to eat: Infants and young children with a hernia may refuse to eat or have difficulty maintaining their usual feeding routine.

  • Bulge around their belly button: Umbilical hernias are common among infants and toddlers. Parents may notice a bulge around their child's belly button when they cough, cry, or strain during bowel movements.

  • Excessive crying: A hernia can cause discomfort and pain in children, leading to increased fussiness or crying.

  • Coughing and straining to poop: Inguinal hernias in children may cause symptoms such as coughing, straining during bowel movements, and difficulty passing stool.


Identifying Symptoms in Different Hernia Types

There are different types of hernia, and identifying their symptoms correctly can lead to proper diagnosis and treatment. Here is more information on the types of hernia and related symptoms.

Inguinal Hernia Symptoms

This is the most common type of hernia, that occurs when part of the intestine or abdominal tissue protrudes through a weak spot in the groin area. It is more common in men than women. The common Inguinal hernia symptoms are,

  • Bulge or swelling in the groin area that becomes pronounced when coughing, lifting heavy objects, or straining during bowel movements

  • Pain or discomfort in the groin, especially when bending over, coughing, or lifting

  • A dragging sensation in the groin

  • Weakness or pressure in the lower abdomen

Femoral Hernia Symptoms

Femoral hernias are less common than inguinal hernias and occur when a part of the intestine protrudes through a weak spot near the upper thigh. While they can occur in both men and women, they are more prevalent in women. Its symptoms are:

  • Bulge or lump near the groin or upper thigh

  • Pain or discomfort that worsens when standing, coughing, or lifting heavy objects

  • Nausea or vomiting

Hiatal Hernia Symptoms

This develops when part of the stomach pushes up through the diaphragm into the chest cavity. These are commonly associated with acid reflux disease (GERD). Its symptoms are:

  • Heartburn that worsens when lying down or bending over

  • Chest pain or discomfort after eating

  • Difficulty swallowing

  • Frequent belching

Incisional Hernia Symptoms

Occurring at the site of a previous surgical incision, this happens when the abdominal tissue protrudes through a weakened scar tissue. If one has had a previous surgery and is experiencing the following symptoms, it could indicate incisional hernia:

  • A bulge or swelling at the site of the previous surgical incision

  • Discomfort or pain at the incision site, especially when lifting or straining

  • Redness, tenderness, or swelling around the incision

Ventral Hernia Symptoms

This can develop anywhere on the abdominal wall. It occurs when part of the intestine or abdominal tissue bulges through a weak spot in the abdominal muscles. Look out for these specific hernia symptoms:

  • Visible bulge or swelling on the abdomen

  • Pain or discomfort at the site of the hernia, especially when lifting or straining

  • Nausea or vomiting

  • Changes in bowel movements

Perineal Hernia Symptoms

Perineal hernias are more common in men and occur when organs such as the bladder, rectum, or intestines protrude into the perineum (area between the anus and scrotum). The below-listed symptoms may indicate a perineal hernia:

  • A bulge or swelling in the perineal area

  • Pain or discomfort in the perineum, especially during bowel movements or physical activity

  • Difficulty urinating or passing stools


When to Seek Medical Care?

If one experiences any of the symptoms of a hernia listed above it is important to seek medical help immediately. Look out for symptoms such as persistent pain, a visible bulge or swelling, changes in bowel movements or bladder functions, nausea or vomiting along with hernia-related discomfort. In such conditions, consulting a doctor is crucial to receiving an appropriate hernia treatment and accurate diagnosis.

Opt for a reputed doctor who will perform a physical examination first. Based on symptoms and the physical exam, additional tests such as an ultrasound or CT scan may be recommended to confirm the diagnosis. Depending on the severity of one's condition, a doctor may recommend watchful waiting with lifestyle modifications or suggest surgical intervention.


Conclusion

Recognizing the signs of a hernia and seeking timely medical care is crucial for proper diagnosis and treatment. Remember, early intervention can help prevent complications and improve outcomes. In case of any concerns or suspicion of hernia, consult a doctor immediately for guidance and support.


Frequently Asked Questions

1. How serious is a hernia?

A hernia is a common medical condition that can vary in severity. However, one must never neglect the symptoms as they can cause discomfort and complications if left untreated strongulation is the most complication.

2. What are 3 signs that could indicate a hernia?

The three signs that could indicate hernia are - A visible bulge or lump in the affected area, pain or discomfort that worsens with activities like lifting, coughing, or bending over, and a heavy or dragging sensation in the affected area.

3. How does one get rid of a hernia without surgery?

A few non-surgical methods that may provide relief from hernia symptoms include wearing a supportive truss or belt designed specifically for hernias, making lifestyle changes and practising good posture but does not permanently cure hernia. Surgery is only the definite treatment.

4. How long is recovery from hernia surgery?

The recovery time after hernia surgery can vary depending on the type and complexity of the procedure performed. In general, most patients are able to resume their normal activities within 2-4 weeks after surgery.

5. Is walking good for hernia?

Yes, walking can be beneficial for individuals with a hernia. Light physical activity, such as walking, can help improve blood circulation, promote healing, and prevent complications after surgery. However, always follow the advice of a hernia doctor on these matters.