Strangulated hernias cause a noticeable bulge in the abdomen or pelvis. They can also cause excruciating abdominal pain, fever, nausea, vomiting and rapid heartbeat. Gastrointestinal complications of a strangulated hernia include bloody stools and the inability to have a bowel movement or pass gas.
Symptoms of a hernia in need of emergency treatment include: Severe pain, swelling or redness at the hernia site. Hernia bulge growing quickly. Nausea and/or vomiting.
If this condition is left untreated longer than 6 hours, incarcerated hernia can cut off blood flow to part of the intestine, resulting in strangulated hernia.
Signs and symptoms of a strangulated hernia include:
- Nausea, vomiting or both.
- Sudden pain that quickly intensifies.
- A hernia bulge that turns red, purple or dark.
- Inability to move your bowels or pass gas.
It is estimated that 75% of all hernias occur in the inguinal region. The most serious complication of a hernia is strangulation, which occurs in approximately 1–3% of groin hernias.
Strangulated hernias can prove fatal. At best they can be extremely painful and are surgical emergencies. That means they require urgent professional attention. Also, patients tend to do less well after emergency surgery than they do following planned procedures.
Spontaneous rupture of an abdominal hernia is very rare and usually occurs in incisional or recurrent groin hernia. The rupture of abdominal hernia demands emergency surgery, to prevent further obstruction, strangulation of bowel and to cover its contents.
Call your doctor right away if you have any of the symptoms of a strangulated hernia, including: Nausea, vomiting, or both. Fever. Sudden pain that gets worse quickly.
Patients can wait for surgery relatively safely because the cumulative probability of strangulation for an inguinal hernia is no more than about 2% per year.
Incarcerated inguinal hernias are caused by a weakened abdominal wall lining or incomplete deep inguinal ring closure, and they are often exasperated by pressure on the abdominal cavity. Other risk factors include smoking, advanced age, and obesity.
Strangulated hernias are life threatening and require emergency medical care.
If the hernia becomes very painful, that can mean the intestine is trapped inside the hernia, cutting off blood flow to the intestine. This is uncommon, but it can be life-threatening and should be repaired immediately. If you develop significant pain, go to the Emergency Department.
The pain may not just be in the area of the hernia; it can radiate to your hip, back, leg — even to the genitals. As your hernia gets worse, many aspects of your life will get worse right along with it. Even if it isn't painful (yet), the sensation and pressure may cause you to avoid certain activities.
Pain, localized to the area of the hernia defect itself is usually the result of stretching and tearing of the abdominal wall tissue such as the area muscle and tendon. As the bulge increases, this pain tends to be more intense.
An irreducible hernia cannot be pushed back inside. Any time a hernia cannot be reduced, you should contact your health-care provider. Sometimes these types of hernias can become strangulated. The tissue, usually intestine, can become trapped and the blood supply cut off.
One of the dangerous aspects of hernias is that they can negatively affect your ability to defecate (and, perhaps, even to urinate).
Is Your Hernia a Medical Emergency? Some hernias are extremely serious and require immediate medical attention. If you have a noticeable bulge or protrusion accompanied by nausea, vomiting, fever or chills, or if you are unable to have a normal bowel movement, you need to see a doctor as soon as possible.
You may be able to wait to have surgery if: Your hernia goes away when you lie down, or you can push it back into your belly. This is called a reducible hernia. It's small, and causes few -- or no -- symptoms (these may never need surgery)
The symptoms that lead most people to the doctor, and eventually a hernia diagnosis, typically include pain in the abdomen, particularly in the groin area. The pain tends to get worse if you sneeze, cough, lift something heavy or strain. But different types of hernia can cause other symptoms.
Comparing surgical repair options
Open hernia repair is a major surgery that's performed with the aid of general anesthesia or local anesthesia and sedation. It's done through one or two standard-sized incisions (three to six inches in length) that allow the surgeon to fully visualize and access the problematic area.
In total, 83 (3.5%) of patients with a primary hernia had a non-reducible incarceration, another 106 (4.5%) had a reducible incarceration. In total, 79 (3.7%) of the patients with an incisional hernia had a non-reducible incarceration, another 93 (4.4%) had a reducible incarceration.
An inguinal hernia can cause someone to feel like they had an enormous meal when in fact they did not. This very common type of hernia can also make you feel bloated accompanied with pain in the groin and lower abdomen. Some of these easy to miss signs of a hernia can be potentially dangerous if not treated.
Avoid foods that cause constipation such as dairy products, red meat, processed foods such as pizza, frozen dinners, pasta, sugar products such as cakes, pies, pastries, doughnuts and caffeine and caffeine drinks. Some discomfort, but this should not be excessive. Some swelling and bruising into the scrotal area.