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Query about hernia
I have underwent three major abdominal surgeries(midline excision,laparotomy) owing to intestinal problem (the same incision was used for surgery thrice),last surgery date 25thJan 2020. .Since last few months I'm having discomfort in right upper abdomen,just 2cms away from incision..I'm feeling something will bulge through that spot,but there is no visible bulge...it is similar to feeling we get while checking pulse rate...Also while sneezing I get the same feeling...Due to surge in covid cases I'm unable to visit my doctor... Kindly help me...Can it be hernia or it is due to adhesions? Please reply
Answers (7)
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Yes it might be incisional hernia. Please avoid heavy work, weight lifting and use abdominal binder. You should get an ultrasound abdomen which will support the diagnosis. Remember surgery is the definitive treatment of any type of hernia. But situation is difficult right now, so you can manage your problem with above conservative treatment.
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Possibly incisional hernia,use and binder specially in day time,and when comfortable after vivid,visit at surgeon to confirm diagnosis.
Next Steps
as described above.
Health Tips
avoid weight bearing.
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From your statement and symptoms it seems to be a self reducible incisional hernia. For now you don’t need to worry , get a abdominal binder and wear it while working , remove it while sleeping. Rest will be sure after physical examination. Get one ultrasound as soon as you can to be sure about it. Can consult me or any other doctor. But Inform your doctor if it hurts or gets stuck there.
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yes. it is inciosional hernia
is that hernia is visible on cough and straining?
reduced swelling on lying down ?
if reduced on lying down - reducible inciosional hernia
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Hi...
This is Dr.Harsha,consultant Gastrointestinal and Minimal access Surgeon from Bangalore,
Laparotomy done through midline incision will predispose to the formation of a midline incision hernia...
From your description I suspect that you might be developing an incisional hernia which is protruding through the the fascia at times of increased intra abdominal pressure such as during sneezing causing the above symptoms.
I need to ask you a few more questions as well as inspect the wound once before I can suggest whether you require an ultrasound scan or if you can be managed on medications followed by ultrasound scan once the pandemic stabilizes
Next Steps
please send to me the photographs of the previous surgeries as well as any ultrasound scan which was done recently.
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Dr. Mohammed Jameel Ahmed
General Surgeon
25 yrs exp
Nagpur
It may be hernia
U need examination
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Dr. Malyadri Paladugu
Surgical Oncologist
7 yrs exp
Hyderabad
Incisional hernia reducible
At present looks not an emergency as per ur symptoms
Once pandemic settle down then get surgeons consultation and go for surgery either laparoscopy or open as per ur convenience
If you get pain and not reducing swelling by its own
Then consult surgeon immediately
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.