How to determine umbilical hernia

In most cases, to determine at the presence of umbilical hernia can the patient himself. But sometimes, in the course of atypical or there are complications it is difficult to do and the doctor. Therefore, there are a number of techniques that allow time to identify as the umbilical hernia, and its complications.

Typically, umbilical hernia can be seen at the first examination of the patient. It manifests itself in the form of a soft bulge in the umbilicus, which is sometimes easy to reduce a, in other cases not reduce a quite. In the upright position umbilical hernia can be seen almost always in horizontal it disappears. Umbilical ring expanded. While performing any physical work or when coughing occur abdominal pain and protrusion increases in volume. Over time, the protrusion increases, often reaching an enormous size with access to it almost all the abdominal organs. A so-called "second abdomen" that significantly affects the quality of life of patients and making surgical treatment impossible without a special routine preoperative preparation.

There umbilical hernia congenital nature that can be found in the first few days after birth. It is seen in the form of small balls with a wide base connected to the umbilical cord. When baby's cries hernial protrusion grows on the eyes.

Umbilical hernia in adults

In adults, it is difficult to diagnose is a small umbilical hernia in obesity. On the contrary, large irreducible hernia perfectly visible, they often impede progress through the bowel content, which is why patients have habitual constipation. Overflow bowel feces can cause intestinal obstruction and infringement of an umbilical hernia. Before the surgery, the surgeon must be aware of the presence of such complications.

The hernial sac may begin the inflammatory process caused by inflammation of the body located there. In such case the patient before surgery appointed antibacterials.

But the surgeon for proper diagnosis of the inspection is not enough. He should ask the patient carefully when and how often a hernia occurs, reduce a she or sometimes it can be done. Reveals all the complaints of the patient.

On the basis of this survey and a thorough examination of the surgeon will put the correct diagnosis, which will include not only the definition of an umbilical hernia Hernia: Types and symptoms - which are the most dangerous? But its duration, vpravlyaemost and the degree of potential danger for the patient. This is necessary in order to choose the right tactics treatment. If the patient does not wish at this point to be operated, the doctor may or watch him for a while, or categorically insist on the operation if necessary.

Diagnosis of umbilical hernia

Sometimes, to understand the situation is not so simple, then come to the aid of diagnostic tests. Be sure to do a complete blood count - it will show the presence or absence of inflammation. This is a very important feature, when the question about the time of the transaction.

To clarify the diagnosis is sometimes necessary to specify the nature of the protrusion. First of all, it carried ultrasound protrusions resembling hernial. If necessary, the X-ray examination of the hernia sac (herniography) the introduction into the abdominal cavity of contrast agent. This method allows you to see which body is in the hernial sac.

Finally, a study conducted of the gastrointestinal tract to identify comorbidities and complications of umbilical hernia. For this purpose do gastroduodenoscopy - study of the gastric mucosa and duodenal ulcers, as well as X-rays of the gastrointestinal tract. These studies are necessary and in order to distinguish the umbilical hernia some tumors, e.g., by metastasis of stomach cancer in the navel.

Only on the basis of diagnostic studies addressed the issue of the planned operation, as well as its methodology and scope. But sometimes the patient requires emergency assistance and the surgeon must on the basis of one survey to decide whether he needs emergency surgery or not. Emergency surgery for strangulated umbilical hernia is required if:

• the patient suddenly appeared in great pain, the intensity of which is constantly growing;
• he is concerned about nausea, vomiting, and often - headache Headache ;
• in the feces of the patient is in the blood, there is no stool, stomach distended by gas;
• hernial protrusion not reduce a into the abdominal cavity of the patient in a horizontal position.

In order to provide expert assistance to the patient, it is first necessary to make an accurate diagnosis.

Related Articles

Surgery to remove an umbilical hernia: options

Ties umbilical hernia: for the prevention of infringement

Plaster for umbilical hernia: is used in pediatric practice

Exercises in the umbilical hernia: Will the sport?