- Umbilical hernia: unpleasant, but treatable
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Symptoms of an umbilical hernia
Umbilical hernia
Hernia: Types and symptoms - which are the most dangerous?
adults have a tendency to infringe, in this case they are often violated in old age - the longer a hernia, the more there is, and conditions for its infringement. In addition, older people often have contraindications for routine operations.
Umbilical hernia may occur quite quickly, especially if protrusion of the front abdominal wall is small. If the patient does not feel any discomfort, he may not know that he has an umbilical hernia. These hernias are most common for women who have postpartum was stretching the anterior abdominal wall and umbilical ring.
Most hernia
But if the hernia is large, it is impossible not to notice it, since it is a protrusion, which can be free to. Flexing usually appears in a standing position and disappears in the supine position. At first, the patient easily, pressing his hands on the abdominal wall, it is possible to straighten a hernia. But over time, evolved spikes make it impossible to reposition. In this case we speak of irreducible hernia.
Most hernia with frequent precipitation bowel loops, even if it is to reduce a, manifested as chronic constipation and signs of poisoning - nausea and recurrent vomiting. If the patient has thus obesity, it greatly aggravates his condition.
Consult your doctor is necessary as soon as the first signs showed an umbilical hernia or a suspected hernia, since it is better to operate in a planned way and when have not yet formed adhesions.
Infringement of umbilical hernia
Even the smallest, asymptomatic hernia can infringe. This happens usually when lifting weights, any physical stress or overflow of the intestine. The main feature is an infringement of a hernia pain. The pain can vary in intensity, depending on the nature of the infringement and the authority which "stuck" in the hernial sac. But more often there is a strong sharp sudden pain in the infringement.
The general condition of the patient depends on the time that has elapsed after the occurrence of infringement, so the patient can feel and satisfactorily, and can be in a very serious condition.
Very often, patients go to the doctor with complaints do not disappear painful swelling at the site usually reduce a herniation. In addition, for the correct diagnosis it is very important to have the patient umbilical hernia. Patients at increased pain in the area of herniation may not give it much importance, because of pain, though to a lesser extent, were before. The doctor's task at this moment - to evaluate the nature and intensity of pain, as the early detection of infringement can significantly reduce the volume of transactions and trauma patients.
Another equally characteristic feature is the infringement nevpravimost previously well reduce a hernia. But if the hernia has been nevpravimoy, the diagnosis of infringement is not too intense pains to deliver will not be easy.
Finally, a patient with infringement in the hernia sac can be felt transmission cough shock - is one of the surest signs of permanent and prejudice.
The prognosis of this depends largely on the type of infringement, which can be elastic and fecal. Elastic infringement produced a sudden increase in intra-abdominal pressure when through the narrow hernial out the abdominal organs, often bowel loops. Because of the pressure in the abdomen and in the narrow hernial ring blood circulation in the organs inside the hernia sac. It is accompanied by pain, muscle spasm reinforcing located near the hernial ring, making them more narrow.
Fecal infringement occurs in the case of an overflow bowel loops stool. Such denial may be a conventional and retrograde. A special type is the parietal or Richter infringement, which is very difficult to recognize, diagnose while a strangulated hernia is most often successful, when it began inflammation of the peritoneum - peritonitis.
The appearance of peritonitis is accompanied by a rise in temperature, deterioration of general condition of the patient, which is manifested by nausea, vomiting, severe headaches. Abdominal pain acquire bottling character, extending to the entire abdomen. The abdomen becomes hard because of muscle tension anterior abdominal wall, the patient does not allow to touch him - so strong he feels pain.
If at this time the patient will not be provided to emergency surgery, he could die.
Umbilical hernia requires timely treatment to the doctor to the patient would not have to operate on an emergency basis.
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