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Hernia


Everyone knows that an overstretched part will normally give way or tear or burst. For example an overblown balloon can burst at its weak point. Likewise, in our body, due to overstretching or weakness, any part can give/tear and simultaneous propulsion of internal parts happens through them. This pop up is called hernia. Hernia is a protrusion of internal organs through an abnormal opening. It can occur in any weak part of the body which allows the part to protrude.
hernia clip image002 Hernia Incidences and causes – Hernia may develop in any part of the body; however, it occurs most commonly in the abdominal walls. Any increase in intra-abdominal pressure contributes for hernia formations. The incidences of tear mostly coincide with weakness of abdomen after obesity, pregnancy, multiple deliveries, diseases of the abdomen which makes it bulge or weakens it. Likewise, strain in lifting heavy objects, strenuous coughing, strain while passing stool or urine, standing continuously for a long time, putting on weight can also initiate popping of hernia.
hernia clip image003 Hernia Hernial sites – Even though hernia can occur anywhere, the commonest hernial sites (weak spots) are inguinal region, femoral region, umbilical area, epigastric area and in diaphragm (which splits chest from abdomen). According to the site, nature of sac, contents, covering may differ from one place to another. Normally, skin, superficial fascia, ligaments and fatty tissues are the coverings.
hernia clip image004 Hernia
                    Types
– Hernia can be classified in a different way:
  •  Congenital – by birth i.e., development disorders
  •  Infantile – during infant stage due to weakness
  • Senile – due to weakness in elderly persons
  • Traumatic – due to injury or strain
Further, it can be classified as:
  • Bulging
  • Sliding
It can also be classified as:
  • Reducible – which get back easily to original position
  • Non-reducible – which will not get reduced due to strangulation or obstruction
According to region
  • Inguinal
  • Femoral
  • Umbilical
  • Epigastric
  • Hiatus
Inguinal hernia – is the most common hernia occurring in the groin (the lowest part of abdomen or pot belly near the junction of thigh). Weakness, ageing, strain and pregnancy are the major precursors for this type of hernias. Inguinal hernia can be classified further into
    hernia clip image005 0000 Hernia
  • Incomplete hernia – hernia which has not reached the scrotum
  • Complete hernia – hernia that has reached the scrotum
  • Direct hernia – hernia that comes directly forward. This type is more common in aged people irrespective of sex. It is usually bilateral and small. It will usually respond quickly to direct pressure and even just by lying down.
  • Indirect hernia – hernia that passes through inguinal canal are called indirect hernia. It can occur at any age but can be seen only in men and it will be mostly unilateral. When attempting for reduction, it usually goes back into the abdomen by receding upward, backward and laterally.
Femoral hernia – Even though it can occur in any sex, fat women above the age of 40, who have given birth to multiple children, are more vulnerable to femoral hernia. This type of hernia lies below the pubic tubercle whereas inguinal hernia lies above it. When attempting for reduction, it goes first medially, then backwards and then upwards.
Umbilical hernia – is also one of the commonest types of hernia occurring more commonly in infants irrespective of sex. This type of hernia protrudes through umbilicus. It commonly arises due to development defect, premature delivery and in children who cry a lot, who cough a lot, and who strain a lot at stool. In adults, weak umbilicus gives way to protrusion in obese and multi-para female.
Epigastric hernia – occurs in median line in epigastric region i.e. just in front of stomach Hiatal hernia – means protrusion of stomach into chest through diaphragm.
Incisional hernia – means hernia occurring at the site of surgical incision. It can be compared with worn out thread in the stitch. It occurs due to strain or improper healing.
Symptoms – Symptoms of hernia varies according to the site, contents, intensity and aggravating factors. Mostly symptom may appear on standing or at strained time and it may subside automatically after lying down. Usually, many of the hernias are symptomless, other than mere swelling. Occasionally, pain may occur in hernia as it increases in size. The pain may be tearing/pricking in character. Other than pain & discomfort, abdominal bloating, tenderness, gas trouble, vomiting, constipation, leg pain, scrotal pain, hydrocele (fluid collection in the scrotum) may occur.
Diagnosis – Hernia will be usually ascertained with the character of swelling i.e., its temperature, tension, tenderness, consistency, position, size, shape, margin, mobility, movement with respiration, pulsating nature, resonance on tapping, impulse on cough, presence of scar in hernia, etc. Examination of abdomen, groin area, spermatic cord, scrotum, testis, epididymis, should be done in standing posture and lying posture and also with cough or strained impulse (which increases abdominal pressure).
Complication – Patience and time takes one to natural healing for many complaints, but in the case of hernia, the delay will usually lead to increase in size, pain and pressure with chances of twist and its complications i.e., strangulation, obstruction, gangrene, necrosis, infection, adhesions, etc.
Prevention
hernia clip image006 0000 Hernia Avoid strain which can increase the abdominal pressure such as
  • Weight lifting
  • Chronic cough
  • Passing urine with great difficulty (enlarged prostate)
  • Straining at stool due to constipation, piles, fissure, etc.
  • Gaining weight
  • Taking full and heavy meal
Give support to the part
  • With hand while coughing or passing stool or urine to avoid increase in size
  • Truss / bandage / padding / belt can be used as a supporter
General treatment – Other than umbilical hernia in infants, no other hernia heals on its own. Hernia management ultimately depends on the nature of site, its intensity, pain, reducible characters and risk factors. Even though hernia can be managed and supported well with truss / hernia belt / padding, they can in no way cure it. For curing, one should opt for surgery.
Since hernia is treated as a surgical disorder, the patient will be forced to undergo surgery in either reducible or irreducible hernia to lead a peaceful life again. Also, as hernia gets worse over time and strain, it is better to opt for surgery in the initial period itself.
Surgery – According to the place and size, hernias are repaired surgically (i.e. Herniorrhaphy – with or without plastic / nylon mesh). This normally prevents intestinal damage and further complications. Surgical correction also relieves swelling, discomfort, and pain immediately. Surgery always outweighs the risk of strangulation, obstruction and other complications. Elective surgery is usually performed in cases of reducible and emergency surgery will be conducted in case of non-reducible hernias.
Homeopathic treatment – Homeopathy works well in hernia clip image007 0000 Hernia chronic complaints and tumours. Lots of patients come for Homeopathy treatment for hernia fearing surgery. In fact, hernia is not at all a disease, it is just like a tear which surely needs to be stitched. More the tear, more will be the bulge and there will be more chances for strangulation and pain. But it is better to opt for surgery to avoid complications. Homeopathy can only treat pain and discomfort.
Many would like to manage than correct surgically since most of the time it remains a painless swelling and also it cannot be seen by others to cause embarrassment. Anyway, patients should be aware of hernia i.e. its type, content, need for surgery, risks, complications, etc., before leaving it untreated or opting for management. Regarding management, hernia in the initial stages can be managed well with care (restrictions) and medicines. Any way cure is impossible.
Also patients should be aware that even after surgery one should be careful (as before surgery) since it may recur. The stitched part will not be the same. Even though stitched, the surgical incision is a weak spot, so it needs to be taken care of or otherwise the tear may recur. Likewise, after surgery, many a time, people continue to strain at their job and ultimately end up in surgery again. So, they should go for a lighter job than persist with the previous one that makes them strain and get more complications.
Some times, in extreme cases, surgical repair may not be possible due to its extensive damage or unfavourable condition to perform the surgery. In such cases, medicines can be tried to support the muscles with supports and restricted habits to avoid complications.
Homeopathic medicine commonly used for treating hernia are Arnica, Causticum, Cascara, Cocculus, Colocynthis, Lycopodium, Mag carb, Nitric acid, Nux vom, Rhus tox, Silicea, Sulphur, Veratrum album, etc. These Medicines should be taken under the advice and diagnosis of a qualified Homeopath.


for new hope

Dr. S. Chidambaranathan, BHMS, MD (Homeo)
Laxmi Homeo Clinic
24 E. New Mahalipatti Road
Madurai, TN 625 001
India

Tel:  +91-452-233-8833 | +91-984-319-1011 (Mob)
Fax: +91-452-233-0196
E-mail:  drcheena@yahoo.com
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(Disclaimer: The contents of this column are for informational purpose only. The content is not intended to be a substitute for professional healthcare advice, diagnosis, or treatment. Always seek the advice of healthcare professional for any health problem or medical condition.)


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5 comments:

  1. Hernias are a medicinal disease that various individuals suffer from. The vast majority of them are taken daily and some of them are connected with certain reactions, some people prefer Hernias Natural Treatment relief the symptom.

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  2. Hydrocele is a condition wherein watery liquid collects around the balls. In the desire method, fluid is drained out of the Hydrocele Treatment using a fine needle. Be that as it may, odds of swelling returning are very high.

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    ReplyDelete
  3. Hydrocele is a condition wherein watery liquid collects around the balls. In the desire method, fluid is drained out of the Hydrocele Treatment using a fine needle. Be that as it may, odds of swelling returning are very high.

    http://www.herbs-solutions-by-nature.com/Hydrocele.php

    ReplyDelete
  4. Hydrocele is a condition wherein watery liquid collects around the balls. In the desire method, fluid is drained out of the Hydrocele Treatment using a fine needle. Be that as it may, odds of swelling returning are very high.

    http://www.herbs-solutions-by-nature.com/Hydrocele.php

    ReplyDelete