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Hernias can be either internal or external. An external hernia is where the buildup of gases, such as air, falls out of a hole that forms in the wall of your abdomen (pelvic cavity). When this happens, it’s called an inguinal hernia. Internal hernias don’t form from outside in but are defects that form from within out. A hinged hernia is a type of internal hernia where part of the intestine sticks through something else like a bone or the opening of an organ. The other parts of the intestine should be able to pass through. This type of hernia is known as an inguinal hernia and it’s usually harmless and not painful. However, it might also be embarrassing because some people have large internal herniations. You can get treated by hernia surgery Singapore one.

What Causes Hernias?

Hernias are defects that form inside a body part. If one part of your body has a hernia, other parts of your anatomy can usually pass through it.

There are many different causes of hernias, including:

• Abdominal surgery (peritoneal, bariatric, colorectal)
• Calf surgery
• Calf rupture
• Congenital hernias
• Disposition to pregnancy (age)
• Genetic factors
• Intersex conditions
• Trauma
• Vaginismus
• Other conditions Hernias are sometimes inherited

- External hernias: This is caused by a tear in the skin, usually caused by a weightlifter or gymnast. - Internal hernias: This is when part of your intestine passes through your anus. This type is known as inguinal hernia.

What Are the Symptoms of a Hernia?

The most obvious symptom of a hernia is a painful abdominal spasm.

Other symptoms include:

- A weight on your stomach that’s hard to move (hydration)

- An aching back (lumbar) area

- Fatigue

- Is a change in your bowel movement typical?

- Nausea - Vomiting - Diarrhea - Constipation

- An increase in your intake of fiber (gut health)

- Rectal bleeding

- An increase in the amount of “waste” in your toilet (intermittent explosive bowel movement) - Fecal incontinence (incontinence due to a hernia)

How Is a Hernia Diagnosed?

Your doctor will first inspect your body to see if there is anything unusual. You may also be referred to a surgeon for a hernia evaluation. The hernia specialist Singapore doctor will examine your abdomen and pelvis with a special tool called a barium swallow. A barium swallow records your income and your barium meal to check for regulation issues or dietary restrictions. If your doctor suspects a hernia, he or she will order a series of tests to confirm the diagnosis. If your hernia is due to abdominal surgery, the doctor may order an abdominal ultrasound to rule out other causes of abdominal pain. If a hernia is suspected due to a large abdominal ache, the doctor may order an examination on the stomach and/or backside to rule out appendicitis.

Treatment for a Hernia

The first step in treating a hernia is to determine the exact location of the hernia. This is usually by X-ray uroscopy. Once the exact location of the hernia is determined, an operation to correct it is called a repair. If the hernia is in the pelvic cavity, it’s repaired with stitches, sutures or a mesh (soft tissue) graft. If the hernia is on the outside of the body, it’s repaired with a mesh, suture or a surgical incision. There is debate as to whether a mesh suture is better than a suture or mesh alone for repairing a hernia. The decision is made based on each patient’s circumstances. A mesh suture can be used in certain situations, for example, when there’s a risk of strangulation.

The Long-Term Care of a Hernia

Once a hernia has been treated, the patient’s diet should follow the same rules as for otherwise healthy people to prevent the re-occurrence of the hernia. This includes a strict diet low in fiber and high in sodium and protein, along with fluid restriction (no more than 2% of body weight in 24 hours). Exercise should be limited to moderate levels (5-10% of normal daily activity) as well as hygiene rules such as not using the bathroom when you’re not ready to go and brushing and flossing daily.

The Bottom Line - Should You Have an Internal Hernia Procedure?

If a hernia is mild and does not affect your daily life, there's no need to worry. Most hernias don't require any treatment. However, if a hernia is persistent or turns out to be a serious condition, it might be possible to have it removed surgically. If a hernia is large enough to be painful and keep recurring, a hernia repair may be the best option after all.

If a hernia is located in your rectum, it can cause significant abdominal pain and a problem with bowel movement. If you have a hernia and you're not sure whether you should have it repaired or not, it's better to be safe than sorry. A hernia repair is a safe procedure and may not even be necessary. However, if you have one of these hernias, you should definitely get it repaired. You'll feel so much better once it's done.

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