Inguinal hernia What is it?

An inguinal hernia occurs when a portion of intestine pushes through a weak spot in the muscle of the abdominal wall.

It can descend into the scrotum and is painful, particularly when you lift something heavy or when you cough.

What are the symptoms?

A bulge in one side of your lower abdomen – it’s more visible when you’re standing up. You may feel a burning or aching sensation in the area and pain when you cough, lift something or bend down. A dragging sensation in your groin is common, as is pain and swelling around your testicles when the protruding intestine descends into the scrotum.

When is an inguinal hernia serious?

If you can’t push the hernia back in, it may be trapped in the abdominal wall. It becomes an incarcerated hernia and is then in danger of becoming strangulated, cutting off the blood flow to the tissue that’s trapped. If you have a fever, nausea, sudden pain and you’re vomiting, see your doctor urgently.

What causes it?

Commonly an inguinal hernia can begin with a weak spot in the muscles of the abdominal wall. Any increase in abdominal pressure, such as straining during bowel movements or urination, chronic coughing or vigorous activity, can worsen the hernia.

What’s the treatment?

„ Watch and wait if the hernia is small and isn’t causing you any problems.

„ A truss can help relieve symptoms, but it needs to be properly fitted, so consult your doctor.

„ Open or laparoscopic surgical repair if the hernia is large and painful. Try to be as mobile as possible after surgery, but it can take weeks before you’re fully back to normal.