Hard to Detect Femoral Hernia Advice. Please Help!

[sngoldstein]

Hard to Detect Femoral Hernia Advice. Please Help!

There are many causes of groin pain; most of which are not life threatening. Unless the patient is fairly obese, a hernia capable of strangulating should cause an obvious bulge. The other sign of a hernia being the cause of the pain is if it is gone in the morning and gets worse during the day. The few strangulated femoral hernias I have seen that were not obvious were in elderly women that were a bit stout.

As far as exercise goes, studies have shown that coughing, sneezing and jumping increase intraabdominal pressure more than lifting and yoga should really not be a problem so, in general, my advice is that if it doesn’t hurt, it’s probably OK.

The signs of a strangulated hernia are severe pain in the groin and abdomen, nausea and vomiting, inability to pass gas and a painful lump. I have, however, seen patients without the severe pain despite having compromised bowel.

There are no special protocols for pain management of a hernia except to get it fixed. Your first step, however, is to get a diagnosis. I would agree that Brian Jacob is a good choice in NYC.