News Feed Discussions Could this be a hernia?

  • Could this be a hernia?

    Posted by Julia on September 11, 2014 at 4:52 am

    Hello, thanks for this forum.

    I have had chronic pain for 5 years and wondering if it could be due to a hidden hernia. I have seen countless doctors from gynecologists, to urologists, alternative therapies, etc. with no confirmed diagnosis or relief. Pudendal neuralgia was suspected, but a pudendal nerve block did not relieve symptoms.

    My symptoms are:

    -left sided only
    -pain at labia majora
    -burning, aching, raw
    -worse with prolonged sitting or standing
    -feeling of pressure/fullness in pelvic floor
    -feeling of pressure on bladder
    -pain used to be relieved upon lying down, but is constant now
    -pain worse with lifting heavy objects, pulling open a heavy door, bending down
    -only thing that helps is ice and amitriptyline (Elavil)
    -unable to wear tight pants

    I have not had any surgeries in the past. My brother was born with a hernia and my maternal grandmother had one also.

    Thanks for any thoughts or advice!

    drtowfigh replied 9 years, 9 months ago 2 Members · 1 Reply
  • 1 Reply
  • drtowfigh

    Moderator
    September 23, 2014 at 6:14 am

    Could this be a hernia?

    Yes! Pain with opening heavy door: Classic. Female in the family with hernia: strong link. Pain at labia: absolutely. These are all symptoms which are typically seen sming my patient’s with hernias.

    I recommend you start with a dynamic hernia ultrasound. If it’s “negative “, then MRI with valsalva.

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