drtowfigh
Forum Replies Created
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Hiatal/umbilical
Hi Kelly.
Any updates? Did you see Dr Schwaitzberg? -
Female pelvic pain, hernia?
Hi there
Please let us know how you’ve progressed and if you have found a diagnosis. We can all learn from your experience. -
Inguinal hernia recurrence
So excited that you got the care you needed.
Please keep spreading the word about our HerniaTalk discussion board.
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Chronic RUQ pain
Hi Aman,
Were you able to see a hernia specialist to treat your symptoms? -
Possible recurrent hernia?
Hi there
Any updates on how you’re doing? -
Female with right groin pain, finally ultrasound
Hi there.
Wondering if you were able to get your hernia repaired and how you’re doing.
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Swollen Groin after Mesh Removal
Hi there.
Any update on your situation? Were you able to find the help you needed? -
Post-vasectomy Pain – Neurectomy Options
Happy to help.
I offer a very extensive online consultation via my website http://www.beverlyhillsherniacenter.com
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Inguinal Hernia Surgery
Yes!
No coughing! It transmits a very high amount of pressure onto your hernia repair.
Make sure you take whatever steps are necessary to stop the cough: cough drops, inhalers, antibiotics, cough syrup, etc. Talk to your medical doctor to stop the cough.
When coughing, first engage your abdominal muscles (tuck in your belly), then cough. That will help reduce the pressure transmitted to the hernia.
It is not 100% that it will undo your repair, and in fact we do not know what % risk there is with coughing, but it is among the most common causes for hernia recurrence. Others include chronic constipation requiring straining to have a bowel movement, large prostate requiring straining to urinate, and nicotine use. -
Post-vasectomy Pain – Neurectomy Options
Hi
Did Dr Paul Turek contact you?
He’s a fantastic resource for vasectomy-related pain.
He wanted me to evaluate you for hernia and also other neuropathic pain.
Let me know your thoughts. -
Can Incisional Hernias Cause Genital Pain in Women?
about the Cesarean section:
the ilioinguinal nerve or, more typically, the iliohypogastric nerve, can be injured at the time of Cesarean section or get involved in scar tissue as you are healing from it. It is not a common problem.
this will cause burning sensation along the inner lower abdomen/groin (iliohypogastric nerve) or into the labia/sometimes vagina (ilioinguinal nerve).Local anesthetic block of this nerve at the hip level can be diagnostic and therapeutic. Your pain management specialist should be able to perform this.
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Dr. Towfigh – Neurectomy
This is a fantastic discussion among true pioneers and experts in hernia surgery.
That said, we try not to injure or sacrifice the genital nerve with the Shouldice repair.
I hope you get treated, so that the nerve pain you have does not continue to spread to affect you with other parts of your body.
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Can Incisional Hernias Cause Genital Pain in Women?
In women, small hernias may cause vaginal pain, but not clitoral pain. It is described most commonly as a burning or sharp pain. Rarely dull. The pain can also radiate around the back or down the front of the leg.
Also, random acts of increasing the abdominal pressure may cause symptoms if you have a hernia.
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Question
Hi there and thanks for the posts. Both are excellent scenarios.
– You should look into getting a Gastroenterologist to evaluate you for SIBO (small intestine bacterial overgrowth). After surgery, if antibiotics were given to you (e.g., for your laparoscopic surgery, even one dose of antibiotic will do), it is possible that this caused an imbalance in the bacteria in your intestines, and thus you now have SIBO. The classic symptoms are bloating, especially worse with eating, and no change in diet works, but probiotics may have a small improvement. A hydrogen breath test is the study to diagnose this. A specific type of antibiotic and diet will help treat this.
– Ultrasound and CT scans may be negative for small inguinal hernias or small recurrences in the groin. However, they are excellent tools for evaluation of epigastric hernias. If there is not hernia, then usually that is a true finding, unless the study was misinterpreted. Perhaps you have a suture reaction, such as to the knot in the suture(s) placed, and that is the cause of the bump under the skin. That is easily treated with either time (allow months), or local exploration, even in the surgeon’s office.
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Dr. Towfigh – Neurectomy
We don’t know as much about the human body as we would like to. Nerve damage is an especially ambiguous part of medicine as it can act on many other parts of the body without any direct scientific or anatomical relationship. I cannot explain your headache, but I also cannot say it isn’t related to the nerve damage. We doctors just don’t know enough about these things (yet).
As for the Shouldice technique: yes, the cremasteric muscle is cut as part of the original description of the repair. The genitofemoral nerve, however, is spared.
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Update: hernia repair
So awesome to hear!
Continue to spread the word about our forum.
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Soreness after working out
There is no consensus as to the length of time, if any, that is appropriate to limit weight lifting and other gym activities after laparoscopic inguinal hernia repair. Many specialists, including myself, do not place a limit.
Also, weight lifting and other gym type activities typically do not increase your abdominal pressure, if performed correctly.
That said, it is hard to know why patients get pain in the mesh area. One possibility is that the repair is tight and so there is a little pulling. If tacks were used, there may be pulling at the tack. It is rarely due to a recurrence.
In most cases, the pain resolves and the pain is not a sign of anything bad. Infrequently, tacks may need to be removed. If it persists or gets worse, then I would evaluate it for a hernia recurrence.
Dr Earle recommends use of Aspercreme or Myoflex cream over the area. You can also use muscle relaxant compounded creams prescribed by your doctor.
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Swollen Groin after Mesh Removal
Then you need to evaluate the groin further. You may have a recurrence since the mesh removal so essentially you are feeling another hernia.
You really need to have a full evaluation of your operative report, symptoms, imaging, and eventually an exam.
Where do you live? Perhaps we can find you a hernia specialist nearby.
Alternatively, you can sign up for an online consultation with me. Go to http://www.beverlyhillsherniacenter.com
I recommend a valsalva CT scan or valsalva MRI
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Post-vasectomy Pain – Neurectomy Options
I’m going to have to do some research on this.
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How long will this post op fluid bulge last?
It will take a couple of months for your own body to completely resort the fluid.
Massage it daily and that may help expedite the process.
It usually goes away on its own.