- Umbilical hernia: unpleasant, but treatable
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Symptoms
Umbilical hernia is very characteristic symptoms that are difficult with anything confused. When the characteristic bulge on the anterior abdominal wall of the patient should consult a doctor immediately, so as to treat fresh hernia is much easier than is prolonged.
The first sign of an umbilical hernia
Hernia: Types and symptoms - which are the most dangerous?
It is the emergence of a small bulge in the area of the umbilical ring. This is a sign that some of the internal organs of the abdominal cavity with the serous membrane that lines the inside of the abdominal cavity - came under the skin of the peritoneum through the resulting hole in the navel (hernial). The first time it happens is completely painless and the patient himself, by clicking on the hernial protrusion, reduce a hernia. But this situation can be maintained for long, because the walls between the hernia sac and the anterior abdominal wall adhesions are formed, hindering reduction. Adhesions are formed inside the hernia sac, dividing it into sections or chambers - it also prevents the reposition of a hernia. The speed of formation of adhesions and the amount depends on the individual person. Some patients can reduce a umbilical hernia for years, in others very quickly it becomes nevpravlyaemoy.
Symptoms of an umbilical hernia depends on the size of the hernia, the size of hernial ring, the number of adhesions in the hernial sac, the presence or absence of complications and obesity. Sometimes content is herniated portion of the greater omentum that completely plugging the hernia and therefore it can occur without any sign without increasing or decreasing in size.
But, nevertheless, often with narrow hernial ring loss contents of the hernia sac is accompanied by pain and other unpleasant sensations. Pain relief may depend on soldered to the greater omentum hernia sac.
For large hernia appears the most characteristic picture as large hernias with loss of bowel loops, especially if hernial narrow, difficult to move stool through the intestines. If the hernia is not infringed, it leads to chronic constipation. Constipation in turn lead to a common intoxication and may affect the condition of the gastrointestinal tract. Patients may occasionally occur abdominal pain, nausea and vomiting.
If the hernia nevpravimaya, all these phenomena are amplified. Obesity can worsen the patient's condition repeatedly. Obese patients with saggy belly umbilical hernia deliver much trouble.
To determine the presence of umbilical hernia in a patient, even if it does not cause him any discomfort, without any difficulties. Umbilical hernia is characterized by the appearance of the patient in an upright position on the protrusion of the anterior abdominal wall in the area of the umbilical ring, which disappears in a horizontal position of the patient. This thinned through the skin in the area of the hernia can see the contours of loops and even their bowel peristalsis (bowel movements).
When signs of herniation performed X-ray that lets you see what (what organs) is located in the hernial sac, the severity of adhesions and the degree of impairment of intestinal obstruction.
With the sudden compression of the hernia contents in the hernial ring there is infringement of a hernia. This is dangerous in that the blood circulation in the area of restrained, which may lead to necrosis (gangrene) tissues. Strangulated hernia is accompanied by four main features: a sudden sharp pain nevpravimostyu previously free hernia, stress and lack of herniation transmission cough shock.
It is more difficult to recognize impairment in the irreducible hernia. At the same symptoms such as increased pain, a change in their nature, increase herniation, the appearance of strength, density, skin redness in the infringement.
Strangulated hernia is often accompanied by vomiting, which initially is reflex, and then necrosis disadvantaged authority receives a toxic character. Older people have nausea, vomiting, and constipation may be the only signs of infringement.
It is difficult to diagnose in the hidden and small forms of prejudice when the hernial protrusion is almost absent or barely detected. In such cases, if the infringement of a hernia diagnosis is in doubt, put the preliminary diagnosis and the patient hospitalized infringement, since it is very important to watch him at this point and prevent the start of tissue necrosis.
Umbilical hernia is a disease that, for all its lightness may suddenly become complicated and threaten the patient's life, so it is important to timely appeal for medical help.
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After childbirth
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