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Symptoms and treatment for Inguinal hernia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: General Health
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   hello
User :   i have a fairly long bump in my lower abdomen area, it is not movable
User :   you cannot see it from the outside, only if you press down
Doctor :   Since when is the bump present? Is there any pain, itching, burning or any discharge? Also may i know your age?
User :   a small amount of pain, no itching no discharge, no discoloration
User :   i am 22
Doctor :   Since when is it present? Is there any other symptom present?
User :   it has been present for at least a year now (although i didn't think anything of it until lately)
User :   but i have remembered feeling it out at least a year ago thinking it was odd
Doctor :   I need to ask you more questions regarding this.
User :   no other symtoms besides twitching in the leg on the side of the body it is on, probably related to it i can imagine
User :   ok
Doctor :   Is the consistency solid or liquid? Is the periodic or continuous?
User :   solid, it is actually pretty hard, almost like a cartilage
User :   it has no "give", pretty solid
User :   it is continuous, especially when my bladder becomes full i can feel it
User :   if my bladder is empty it is less noticeable unless i am probing for it
Doctor :   Do you feel is it increasing in size or so? What is the colour?
User :   no coloration, no increase in size over the past year, maybe a very small increase in size if any
Doctor :   Is it on right or left side?
User :   left side
Doctor :   There are various causes of the lump in abdomen as Hernia,Haematoma, Lipoma, Lymph nodes, Tumour of skin or muscles
Doctor :   May i know your occupation? Are you an athelete or go to gym regularly?
User :   not an athlete, in fact the opposite: i am a computer programming and spend the majority of the day sitting
Doctor :   Do you have cough or constipation regularly?
Doctor :   Are you overweight?
User :   constipation somewhat, but it is also a side effects of pain medications for my shoulder
User :   no i am very skinny, about 125lbs
User :   no cough either*
Doctor :   What medications are you taking and why for shoulder?
User :   hydrocodone for my shoulder twice daily usually, for an issue i have with my shoulder (repetitive strain injury from computer use)
User :   i am on the computer ALOT
Doctor :   It seems more of a Hernia as you do not have any other symptoms, also constipation aggravates the hernia.
Doctor :   Are Hydrocodone prescribed to you?
User :   can the hernia also cause muscle twices in areas near it? like the twiches in my leg?
User :   yes
Doctor :   Twitches could be due to effects of Hydrocodone which you are taking
Doctor :   I will advice you to get a complete examination done for this lump and also you may require investigation like CT scan which will help in confirming the diagnosis.
User :   also, i have had pain in my left testicle as i am walking
Doctor :   Also Hydrocodone causes constipation
User :   (only on certain occassions, but makes it too painful to continue to stand)
Doctor :   Since when is this testicle painpresent?
User :   for approx 1 year as well
User :   it happens if my pants are too tight, like if i have a tight belt on
User :   so i thought it may be related as well
Doctor :   Then probably it may be related to hernia only as inguinal hernia does cause referred pain in testicles also due to the same nerve supply
Doctor :   Do you feel any pain while urinating also?
User :   no pain during urination
User :   yet (lol!)
Doctor :   It is better to get yourself examined once so that it can be treated accordingly.
User :   you are in india, correct?
Doctor :   Yes
User :   my country (the us) has a very sad healthcare state
User :   i will have to pay for the surgery out-of-pocket
User :   since i am not eligible for insurance
User :   i am on a "waiting list" which is basically to tell you that you cannot get insurance for 1 year
Doctor :   But the treatment for this is surgery only and can be corrected by it as the lax muscles cannot be repaired by drugs.
User :   understood.
User :   do you think this is very serious (i am paranoid about health related things, i think everything is cancer and i will die asap), i will get the surgery but i have a vacation coming up (on the 3rd of next month)
Doctor :   1)Till then i can advise you to avoid any heavy lifting.
User :   am i safe to take the vacation before i see a doctor?
Doctor :   2)Also avoid any straining like cough and constipation.
Doctor :   Yes it is not am emergency and you can go for vacation easily
User :   awesome, that's all i need to know
Doctor :   3)Do not apply any heat or any pressure over the area. You can use ice pack for the pain relief
User :   yes it seems as if pressure agitates it
User :   after i push on it it becomes painful for a few hours
Doctor :   4)Avoid wearing tight clothes and undies.
Doctor :   5)Do not have heavy meals as it may put pressure on that area. Have frequent small meals.
Doctor :   6)Avoid smoking and alcohol.
User :   i do not drink alchohol but i do smoke, about half a pack per day
User :   i will try to significantly cut down
Doctor :   7)Drink 1/4 cup of Aloe Vera juice in the morning and again at night. This is a very beneficial home remedy for hernia.
User :   very nice, i will run and pick that up as well
Doctor :   8)Have more of fibre in diet.
Doctor :   9)Do not go to bed immediately after dinner as it may pt pressure on the area.
Doctor :   9)Do some yoga daily. It will help in strengthening the muscles.
User :   you know what i just realized, as you sent me the name of the type of hernia that you suggested it may have been?
User :   when my bladder is full it looks almost just like the picture they show
User :   where one side of my lower abdomen protrudes a bit compared to the other side
User :   this means i have had a hernia for years and years
Doctor :   Ok then probably it is that only.
User :   i want to start yoga, what is a good place to learn? do you do yoga as well?
Doctor :   You can learn it from any instructor or many DVD's are also available these days which help you in learning. Yes i do it.
User :   when did you start and what benefits do you notice from it?
User :   do you meditate as well?
Doctor :   I started about a yesr ago and there are many benefits as it maintains weight, stress free, BP control, relaxed mind.
Doctor :   *year
User :   ok, i am downloading a yoga dvd now
Doctor :   Have you followed what i have said?
User :   yes i have all 9 tips, i will buy some v8 juice to add more fiber to my diet as well
Doctor :   Fibre is found in dals, beans, tofu, soyachunks, soyamilk, fruits etc. Have more of them
Doctor :   Also in oats, cereals, pulses
User :   ok, easy
User :   my time is running out!
User :   thank you for all your tips
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