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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Appearing Of Bulge While Doing Sit Ups

I have a hiatal hernia. When I do a sit-up, a large bulge appears about the size and shape of 1/2 of a football. The bulge disappears upon lying flat. It bulges when getting into or out of bed. The doctors and imaging simply say "so don't do sit-ups" and don't seem to be too concerned. I have no pain with it, but I am concerned. I am female, age 61, 5'5", 245 lbs. What do you suggest?
Mon, 4 May 2015
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Pulmonologist,  's  Response
Thanks for your question on HCM.
You are having hernia due to abdominal muscle weakness due to age.
Abdominal organs are protected by tough muscular layer anteriorly.
This muscle layer can be weakened by
1. Old age
2. Muscle trauma or muscular disease
3. Excessive weightlifting lifting and strenuous exercise.
4. Smoking etc
When these muscles weaken, abdominal organs can protrude through the defect and appear as bulge. In initial stages this bulge is reducible.
But possibility of obstruction and strangulation is high in later stage.
So better to get done surgical correction of muscular defect to prevent future complications.
So consult surgeon and discuss all these.
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Suggest Remedy For Appearing Of Bulge While Doing Sit Ups

Thanks for your question on HCM. You are having hernia due to abdominal muscle weakness due to age. Abdominal organs are protected by tough muscular layer anteriorly. This muscle layer can be weakened by 1. Old age 2. Muscle trauma or muscular disease 3. Excessive weightlifting lifting and strenuous exercise. 4. Smoking etc When these muscles weaken, abdominal organs can protrude through the defect and appear as bulge. In initial stages this bulge is reducible. But possibility of obstruction and strangulation is high in later stage. So better to get done surgical correction of muscular defect to prevent future complications. So consult surgeon and discuss all these.