Treatment FAQ

what is the treatment for and intermittent hernia

by Dr. Eldon Rohan DDS Published 3 years ago Updated 2 years ago
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Medication

Abdominal wall hernias are treated with surgery to reduce the hernia and repair the abdominal opening. If a hernia is asymptomatic, surgery can often be delayed. There are two main types of hernia surgery—herniorrhaphy and laparoscopy. Herniorrhaphy is a traditional surgery that uses a single long incision and stitches to repair the opening.

Procedures

Is it dangerous to ignore it? ANSWER: Abdominal hernias are common and not necessarily dangerous. But, a hernia doesn’t usually get better on its own. In rare circumstances, it can lead to life-threatening complications. Consequently, surgery is usually recommended for a hernia that’s painful or becoming larger.

Self-care

A hernia usually does not go away without surgery. Non-surgical approaches such as wearing a corset, binder, or truss may exert gentle pressure on the hernia and keep it in place. These methods may ease the pain or discomfort and may be used if you are not fit for the surgery or awaiting surgery. They can provide temporary relief, but surgery is the only definitive treatment for a hernia.

Nutrition

  • Fever
  • Nausea
  • Vomiting
  • Chills
  • Blood in your stool
  • Unable to have a bowel movement or pass gas

What is a hernia and how it is treated?

Will a hernia go away on its own?

How do you repair a hernia without surgery?

When to consider surgical repair for a hernia?

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What is intermittent hernia?

Characteristics of various hernia types include the following: Inguinal hernia - Bulge in the inguinal region or scrotum, sometimes intermittent; may be accompanied by a dull ache or burning pain, which often worsens with exercise or straining (eg, coughing)

What is best treatment for hernia?

What is the best treatment for a hernia? Hernias will not go away with time, nor can they be treated with exercises or medication. According to Dr. Sherman, surgery is really the only treatment to repair a hernia.

What is the fastest way to cure a hiatal hernia?

Try to:Eat several smaller meals throughout the day rather than a few large meals.Avoid foods that trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine.Avoid lying down after a meal or eating late in the day.Maintain a healthy weight.Stop smoking.More items...•

Can you get rid of hernia without surgery?

Unfortunately, the answer is no. While a hernia cannot heal itself, it can almost always be treated effectively with surgery.

How can you prevent a hernia from getting worse?

If you have a hernia, try to keep it from getting worse:Avoid heavy lifting when you can. Lifting puts stress on the groin.When you must lift, don't bend over. Lift objects by using the legs, not the back.Eat high-fiber foods and drink plenty of water. ... Maintain a healthy body weight.

What is the main cause of hernia?

Ultimately, all hernias are caused by a combination of pressure and an opening or weakness of muscle or fascia; the pressure pushes an organ or tissue through the opening or weak spot. Sometimes the muscle weakness is present at birth; more often, it occurs later in life.

What is the best medicine for hiatal hernia?

What is the best medicine for hiatal hernia? Antacids, used to reduce stomach acids, such as Maalox or Tums are available over-the-counter and are often used to treat initial symptoms of a hiatal hernia. Prilosec is a highly recommended prescription drug used to treat hiatal hernia.

What happens if a hiatal hernia is left untreated?

If left untreated, Hiatal hernias can rarely become trapped in the chest or strangulated—which means the hernia begins to cut off blood to the entrapped intestine. Strangulated Hiatal hernias can cause sudden pain in the chest and requires immediate medical attention.

Is omeprazole good for hiatus hernia?

Reduce the amount of acid produced by your stomach. They are usually the first treatment for gastro-oesophageal reflux disease (GORD), which can be a symptom of hiatus hernia and include omeprazole and lansoprazole. For example domperidone and metoclopramide, speed up the rate at which your stomach empties.

How long can you have a hernia without surgery?

Hernias don't go away on their own. Only surgery can repair a hernia. Many people are able to delay surgery for months or even years. And some people may never need surgery for a small hernia.

Is hernia surgery a major surgery?

Comparing surgical repair options Open hernia repair is a major surgery that's performed with the aid of general anesthesia or local anesthesia and sedation. It's done through one or two standard-sized incisions (three to six inches in length) that allow the surgeon to fully visualize and access the problematic area.

How do you shrink a hernia?

Apply ice or cold compress to the hernia for several minutes to reduce swelling and allow an easier reduction (see the image below).Ice pack is applied to patient with left inguinal hernia in Trendelenburg position.Slow constant pressure is applied to patient with left inguinal hernia.More items...•

What to do if your hernia is getting worse?

If your hernia is causing you significant pain or discomfort or is getting worse, your doctor may recommend surgery to repair it . The type of surgery your doctor recommends will depend on the exact nature of your hernia and the complexity of the repair.

How to repair a hernia in the abdomen?

For this method, you may be under either general anesthesia or local anesthesia with sedation. Your surgeon will make a large incision in your groin or abdomen, push the hernia back into your abdomen, and repair the weakened muscle where the hernia occurred.

How long does it take for an umbilical hernia to heal?

Over 90 percent of umbilical hernias heal on their own by age 3 or 4, the Cleveland Clinic notes — so your doctor probably won’t recommend surgery before that time. (6) If needed, surgery to repair an umbilical hernia involves general anesthesia and a small incision at the base of the navel.

What are the factors that contribute to deciding to watch and wait for hernia surgery?

According to NYU Langone Health, factors that may contribute to deciding to watch and wait include: Being 70 or older. Receiving chemotherapy. Having a stent or pacemaker.

How many incisions are made in an extraperitoneal repair?

In a totally extraperitoneal repair, your surgeon makes three incisions in your abdomen and inserts a balloon that’s inflated to make the area more visible. Tissue is removed from the hernia’s sac, and mesh is placed over the weakened muscle area. The incisions are closed using sutures.

Where does a hernia occur?

This type of hernia occurs in the groin area. In this procedure, your surgeon makes an incision in your groin, pushes your intestine or tissue back inside the abdomen, and closes off and removes the sac that was holding the tissue. Your surgeon then places mesh over the weakened area of muscle. Over time, new tissue will grow over ...

Can a hernia cause pain?

This can cause pain and other unpleasant symptoms, especially when you’re moving around or lifting heavy objects. Often, hernias get worse over time, with more tissue pushing through the affected muscle. If a hernia isn’t managed and properly treated, it can lead to severe and potentially life-threatening complications.

What is the device used to repair a hernia?

The abdomen is then inflated with carbon dioxide to provide room for the surgeon to work, and the hernia is repaired with a small, flexible device called a laparoscope. Mesh is sometimes required to secure and reinforce the hernia.

What is abdominal wall reconstruction?

Abdominal wall reconstruction repairs defects in the abdominal walls while reducing abdominal tension and providing structural support. This may require a component separation to be performed so that the muscle edges of the hernia gap can be brought back together again.

Can you have an open procedure for a hernia?

Open procedures are ideally suited for patients with large or multiple hernias. Patients who have had prior abdominal surgery are also good candidates for open procedures, as scar tissue in the abdomen forms adhesions that can make minimally invasive operations difficult or even dangerous.

How to treat a small hernia?

Treatment. If your hernia is small and isn't bothering you, your doctor might recommend watchful waiting. Sometimes, wearing a supportive truss may help relieve symptoms, but check with your doctor first because it's important that the truss fits properly, and is being used appropriately. In children, the doctor might try applying manual pressure ...

How does a hernia surgery work?

The surgeon may use laparoscopic or robotic instruments to repair your hernia. Gas is used to inflate your abdomen to make the internal organs easier to see.

How does an open hernia repair work?

In this procedure, which might be done with local anesthesia and sedation or general anesthesia, the surgeon makes an incision in your groin and pushes the protruding tissue back into your abdomen. The surgeon then sews the weakened area, often reinforcing it with a synthetic mesh (hernioplasty).

How to diagnose an inguinal hernia?

A physical exam is usually all that's needed to diagnose an inguinal hernia. Your doctor will check for a bulge in the groin area. Because standing and coughing can make a hernia more prominent, you'll likely be asked to stand and cough or strain.

Can a hernia recur after surgery?

Minimally invasive hernia surgery allows the surgeon to avoid scar tissue from an earlier hernia repair, so it might be a good choice for people whose hernias recur after open hernia surgery. It also might be a good choice for people with hernias on both sides of the body (bilateral).

What doctor can diagnose a hiatal hernia?

If you've been diagnosed with a hiatal hernia and your problems persist after you make lifestyle changes and start medication, you might be referred to a doctor who specializes in digestive diseases (gastroenterologist).

What is the procedure to see the upper intestine?

These tests or procedures include: X-ray of your upper digestive system. X-rays are taken after you drink a chalky liquid that coats and fills the inside lining of your digestive tract. The coating allows your doctor to see a silhouette of your esophagus, stomach and upper intestine. Upper endoscopy.

How to avoid heartburn?

Avoid foods that trigger heartburn, such as fatty or fried foods, tomato sauce, alcohol, chocolate, mint, garlic, onion, and caffeine. Avoid lying down after a meal or eating late in the day. Maintain a healthy weight. Stop smoking.

Do you need surgery for a hernia?

Most people with a hiatal hernia don't experience any signs or symptoms and won't need treatment. If you experience signs and symptoms, such as recurrent heartburn and acid reflux, you may need medication or surgery.

What are the different types of hernias?

Types of hernias. Hernias involve a protruding internal organ or body part being pushed through the muscle or tissue. The most common types include: Inguinal hernia. Most commonly found in men, these occur when the intestine or, very rarely, the bladder extend into the groin via the inguinal canal. Femoral hernia.

What is the most common symptom of an inguinal hernia?

Inguinal hernia. The most common symptom for an inguinal hernia is a bulge in the groin, which can appear without warning as a result of excess strain, such as: heavy lifting. violent sneezing, such as from allergies. chronic coughing, such as from smoking. straining when urinating or having a bowel movement.

What is the most common hernia in an infant?

Umbilical hernia . Most commonly found in infants, these occur when part of the intestine pushes into the abdomen through the belly button. Incisional hernia. Of those who undergo an abdominal surgery, 33 percent will develop an incisional hernia.

What happens when a hernia is strangulated?

When the hernia is strangulated, it means that blood flow to the intestine has been cut off. This is a life-threatening condition and requires immediate repair.

What is minimally invasive surgery?

Minimally invasive surgery, also known as laparoscopy, involves a series of small incisions. A gas is used to inflate the affected area, which makes it easier for the surgeon to see the structures to be treated.

Can a femoral hernia cause pain?

Femoral hernias, especially small- or medium-sized ones, might not present any symptoms. However, larger ones might cause pain or discomfort when standing up, lifting heavy objects, or if they appear in the upper thigh or hip.

Can a hernia feel like heartburn?

Hiatal hernias tend to be so small that there’s a chance you won’t feel them at all. However, larger ones could result in the opening in your diaphragm also becoming larger, which makes you more susceptible to other organs extending into the chest. This may feel like heartburn.

What are the different types of hernias?

In general, it’s classified by where it occurs (location). Some of the common ones are as follows: 1 Inguinal hernia, occurring when tissues or organs push through a weakened spot close to the inguinal canal (in the inner groin). It is the most common type of hernia, especially in men. Typically, it occurs because of a natural weakness in the abdominal muscles near the inguinal canal. 2 Incisional, a condition of when abdominal tissue or bowel protrudes through a spot weakened by a surgical procedure or an area where previous trauma has occurred. 3 Hiatal, a protrusion in the upper stomach that comes up through the hiatus in the diaphragm ( see more in here ). 4 Femoral hernia. As the name suggests it protrudes through the abdominal cavity at the femoral canal (on the outer groin). It is generally more common in women. 5 Umbilical, a protrusion that occurs in the naval (belly button). This type usually affects newborns.

What happens when a hernia is incarcerated?

Incarcerated hernia will cause further swelling and even strangulation, an emergency condition that cuts off the blood flow to the affected area and results in tissue death.

Why do men have hernias?

It is the most common type of hernia, especially in men. Typically, it occurs because of a natural weakness in the abdominal muscles near the inguinal canal. Incisional, a condition of when abdominal tissue or bowel protrudes through a spot weakened by a surgical procedure or an area where previous trauma has occurred.

What is the most common type of hernia?

Types of hernia. In general, it’s classified by where it occurs (location). Some of the common ones are as follows: Inguinal hernia, occurring when tissues or organs push through a weakened spot close to the inguinal canal (in the inner groin). It is the most common type of hernia, especially in men.

Where is the hiatal hernia?

Hiatal, a protrusion in the upper stomach that comes up through the hiatus in the diaphragm ( see more in here ). Femoral hernia. As the name suggests it protrudes through the abdominal cavity at the femoral canal (on the outer groin). It is generally more common in women.

Can an incarcerated hernia cause constipation?

An incarcerated hernia can be more painful. It may also cause constipation /bowel obstruction, nausea, and vomiting. In the worst scenario, incarcerated hernia leads to strangulation. The pain of strangulated hernia can be constant and rapidly become severe.

Can a hernia be popped back?

This phase is called reducible hernia. But over time, it may get bigger and more difficult to be popped back with manual pressure.

How do you treat a hernia?

Hiatal hernias are treated with lifestyle changes and medication or surgery. Specific treatment for a hiatal hernia will be determined by your doctor based on multiple factors, including your general health, anatomy, extent and location of the hernia, and severity of symptoms such as acid reflux.

What is a hernia in the abdomen?

What is a hiatal hernia? Unlike ventral hernias, which protrude through the abdominal wall, a hiatal hernia occurs when the upper part of the stomach pushes up into the chest through a small opening in the diaphragm, the muscle that separates the abdomen from the chest.

What is the name of the hernia that slides up into the chest?

Type II, III and IV hiatal hernias are called paraesophageal hernias.

What happens when you have a hernia in your stomach?

A hiatal hernia results in retention of acid and other contents since the stomach tends to get sque ezed by this opening in the diaphragm. These acids and other substances can easily back up — reflux or regurgitate — into the esophagus. There are four types of hiatal hernias.

How to identify a hiatal hernia?

To identify a hiatal hernia, a health care provider may use multiple diagnostic techniques but will begin with a medical history and physical examination. The provider will inquire about and/or look for: Acid reflux. Acidic or “sour” taste in the back of the mouth or throat. Anemia.

Can a hernia be controlled?

Many people do not experience any symptoms related to their hiatal hernia, or their symptoms, like heartburn, are mild. Generally, the symptoms of hiatal hernias can be controlled with lifestyle changes and medication such as:

How to fix a hernia without surgery?

Here’s how to fix a hiatal hernia naturally without surgery, with a quick morning exercise. (See video below.) Drink a glass of room temperature or slightly warm water when you get out of bed in the morning. (Skip the coffee, tea, juice, and cold water—just drink warm water.) While standing, bring your arms straight out from your sides ...

What happens when you have a hernia?

But first, a quick explanation of what’s happening when you have a hiatal hernia... Your diaphragm separates the organs in your chest from your stomach and other digestive organs. But in the case of a hiatal hernia, your stomach has breached the divide, worming its way through an enlarged hole at the back of the diaphragm ...

Why do you breathe at the end of a hiatal hernia?

The breathing at the end helps close the diaphragm and the hole where your stomach was lodged. As long as you have a hiatal hernia, this is an exercise you’ll have to do every morning to put an end to your acid reflux problems.

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Diagnosis

Treatment

Clinical Trials

Lifestyle and Home Remedies

Medically reviewed by
Dr. Rakshith Bharadwaj
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
Hernia can be treated based on the size of the bulging and severity. Doctor may suggest lifestyle changes, medication or surgery.
Medication

Antacids: To prevent discomfort due to excess of gas in the abdomen.

Aluminium hydroxide . Magnesium carbonate . Magnesium trisilicate . Magnesium hydroxide . Calcium carbonate . Sodium bicarbonate


Proton pump Inhibitors: Reduces the acidity and discomfort.

Omeprazole . Lansoprazole . Rabeprazole . Esomeprazole

Procedures

Open hernia repair: Through an incision in the groin, the protruding tissues are pushed back and a synthetic mesh is stitched around the weak spot.

Laparoscopy: This is minimally invasive surgery to repair the weak spot tissues.

Self-care

Always talk to your provider before starting anything.

  • Avoid heavy meals.
  • Avoid lying down or bending after meal.
  • Maintain healthy body weight.

Nutrition

Foods to eat:

  • Lot of fluids
  • Bananas and apples
  • Increase consumption of green beans, peas, carrots, and broccoli
  • Grains, like cereals, bread, rice, pasta, and crackers
  • Low-fat or skim milk and Low-fat yogurt
  • Lean meat, chicken, and fish

Foods to avoid:

  • Spicy food
  • Carbonated beverages
  • Fried foods
  • Avoid excess of coffee tea and peppermint

Specialist to consult

Gastroenterologist
Specializes in the digestive system and its disorders.

Preparing For Your Appointment

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