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Medical Forum / General / General / May 2007Hernia question
About 6 to 8 months ago I notice a tender bulge in the groin but I did not give it much attention. The tender bulge in the groin area had dessapear, but today I went to the doctor and in the caugh process he notice a bulge only when I caugh hard. He thinks that could be a Hernia but he is not sure, tomorrow I'm seen a surgen to see if he feels the hernia or not. If the Hernia is that small is it necessary to get surgery and why did the bulge go away. Also let me mention I workout in the gym could this be a tear muscle or something like that? > About 6 to 8 months ago I notice a tender bulge in the groin but I did > not give it much attention. The tender bulge in the groin area had [quoted text clipped - 4 lines] > to get surgery and why did the bulge go away. Also let me mention I > workout in the gym could this be a tear muscle or something like that? Here is a picture of what you probably have: http://en.wikipedia.org/wiki/Hernia (Scroll down to inguinal hernia) or http://en.wikipedia.org/wiki/Inguinal_hernia. Basically, there is a wall between your abdomen and scrotum. The small intestine is sometimes coming through the wall (assuming you have this sort of hernia). If you have one, the hernia will only grow bigger. The main risk is that the intestine will become trapped (incarcerated) the will twist around on itself, possibly cutting off the blood supply, thereby killing part of the intestine. Let us just say this is not a good thing. The surgery is a relatively simple one and very common. If you need the surgery, it is not that big a deal. Jeff > About 6 to 8 months ago I notice a tender bulge in the groin but I did > not give it much attention. The tender bulge in the groin area had [quoted text clipped - 4 lines] > to get surgery and why did the bulge go away. Also let me mention I > workout in the gym could this be a tear muscle or something like that? That's a typical description of an inguinal hernia. The bulge is intestine pushing through the abnormal opening in your muscle wall. Sometimes that loop of intestine will protrude through that opening, then with gravity or relaxation it will go back where it belongs. Smaller hernias are generally more problematic and have more associated risk of strangulation than larger ones. It will never go away without surgery, it will only get bigger. HMc > > About 6 to 8 months ago I notice a tender bulge in the groin but I did > > not give it much attention. The tender bulge in the groin area had [quoted text clipped - 13 lines] > > HMc Thanks for both of your response. Could the doctor deternmine if it's a Hernia by just touching and caught or does he need some type of scan? thanks again > Thanks for both of your response. > Could the doctor deternmine if it's a Hernia by just touching and > caught or does he need some type of scan? > thanks again Scan isn't necessary, nor is is particularly useful or effective. Physical diagnosis of inguinal hernia is taught on the second day of surgery school. HMc > > Thanks for both of your response. > > Could the doctor deternmine if it's a Hernia by just touching and [quoted text clipped - 5 lines] > > HMc Thanks. Today I went to the surgen and he said he could not feel anything. make me caught a bunch of times and nothing. Could it be a tendon? > Thanks. > Today I went to the surgen and he said he could not feel anything. > make me caught a bunch of times and nothing. Could it be a tendon? If the hernia defect is small enough, it may not be always detectable in that you can't reproduce the bulge on demand in the space of one exam, sort of like when you take your car to the mechanic because it's making a funny noise, but the noise isn't there when the mechanic tests it. If you get a recurring bulge in your groin, or if you have ongoing pain there and your description of the symptoms are consistent with a hernia, it is occasionally reasonable to recommend diagnostic laparoscopy to look for an abdominal wall defect from inside the peritoneal cavity if the problem bothers you enough. HMc
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