Treatment & Diagnosis of hernia

Diagnosis

For those who have an obvious hernia, the doctor might not require any other tests (if you're healthy otherwise). For those who have symptoms of a hernia (dull ache in groin or any other body area with lifting or straining but with no obvious lump), a doctor may feel the area while increasing abdominal pressure (having you stand or cough). This course of action may make the hernia capable of being felt. If you have an inguinal hernia, a doctor will feel for the possibility pathway and look for a hernia by inverting your skin of the scrotum together with his or her finger.

Treatment

Self-Care in your own home

In general, all hernias ought to be repaired unless severe preexisting health conditions make surgery unsafe. The potential exception to this is really a hernia with a large opening. Trusses and surgical belts or bindings might be helpful in holding back the protrusion of selected hernias when surgical treatment is not possible or should be delayed. However, they ought to never be used in the situation of femoral hernias.
Avoid activities that increase intra-abdominal pressure (lifting, coughing, or straining) that could cause the hernia to increase in dimensions

Medical Treatment

Treatment of a hernia depends upon whether it is reducible or irreducible and perhaps strangulated.
Reducible hernia
In general, all hernias ought to be repaired to avoid the potential of future intestinal strangulation.
For those who have preexisting medical conditions that will make surgery unsafe, your physician may not repair your hernia and can watch it closely.
Rarely, your physician may advise against surgery due to the special condition of the hernia.
Some hernias have or develop large openings in the abdominal wall, and shutting the opening is complicated due to their large size.
Most of these hernias may be treated without surgery, perhaps using abdominal binders.
Some doctors believe the hernias with large openings possess a low risk of strangulation.
Treating every hernia is individualized, along with a discussion of the risks and advantages of surgical versus nonsurgical management must take place between the doctor and patient.

Irreducible hernia

All acutely irreducible hernias need emergency treatment due to the risk of strangulation.
An attempt to lessen (push back) the hernia will normally be made, often after giving medicine for pain and muscle relaxation.
If unsuccessful, emergency surgical treatment is needed.
If successful, however, treatment depends upon the length of the time the hernia was irreducible.
If the intestinal items in the hernia had the circulation cut off, the development of dead (gangrenous) bowel can be done in as little as six hours.
In the event in which the hernia has been strangulated to have an extended time, surgical treatment is performed to check if the intestinal tissue has died and also to repair the hernia.
In the event in which the length of time the hernia was irreducible was short and gangrenous bowel isn't suspected, you may be discharged in the hospital.
Because a hernia which was irreducible and is reduced includes a dramatically increased chance of doing so again, you need to therefore have surgical correction at some point.

Occasionally, the long-term irreducible hernia isn't a surgical emergency. These hernias, having passed the exam of time without signs and symptoms of strangulation, may be repaired electively.