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Treating midline hernia through weight loss - Online Doctor Chats

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

General & Family Physician
Practicing since : 2005
Answered : 2581 Questions
User :   What does a very hard abdomon feels like, in obese people.
Doctor :   Hi
Doctor :   Dr XXXXX here
User :   Good evening
Doctor :   what do u mean by a hard abdomen ?
User :   What does it feel like
Doctor :   Are u there ?
User :   yes
Doctor :   i did not understand what you mean by a "hard abdomen" ?
Doctor :   there are a lot of conditions , but presence of symptoms can differntiate each of them
User :   I had an check up and I was dianoss to have a mid line hernia. I am wondering what is the feeling for the doctor. Like tenderness
Doctor :   oh ok
User :   The hernia in midline hernia in obese people about 50 pounds overweight.
User :   touch fat is soft in the abdomin but the hernia there is some tenderness from the lump of fat. is that true
Doctor :   usually in case of hernia, in the midline , there will be a board like rigidity of the muscles is associated with a dent in the middle in the midline
Doctor :   no , it is not that way
User :   it feels like a flat tire. in a sence.
Doctor :   consider a surf board as a muscles of the front of the abdomen
Doctor :   if you have a hole in the surf board, water will be coming on the surface
Doctor :   similarly, in this case, presence of a defect in the abdominal wall, will cause the abdominal fat to pop out to the surface like a small lump
Doctor :   if this gap or defect is too large, then along with the fat, loops of intestines will also protrude out
Doctor :   It is in this situation, that the lump becomes painful
User :   And that is why my doctor said I need to lose weight.
User :   On a another terms I weigh 227 plus I am 5 foot and 6 inches how much should I weigh?
Doctor :   yes, when you are overweight, the muscles in the front of the belly, that is the rectus abdominis lose their strength and can have defects in them
User :   How much should I weigh
Doctor :   your BMI is 36.6
Doctor :   The normal BMI should be in the range of 19 to 25
Doctor :   your ideal weight for ur height is 150 pounds
User :   in 25 bmi what is weight?
Doctor :   for 25 bmi the weight is 155 pounds
User :   In midline hernia is the muscle is called the liba alba that is the midline
Doctor :   linea alba is the ligament holding the 2 flaps of the rectus abdominis muscle
Doctor :   this ligament appears as the midline in the abdomen
Doctor :   the umbilicus is also situated over this line
User :   I forgot to asked my doctor this in my case can I do sit-ups
Doctor :   any defect in this linea alba, causes a midline hernia
Doctor :   first you need to lose weight by means of cardio, and regular walks
Doctor :   in case u have a large hernia, doing situps can complicate things and cause worsening of the hernia
Doctor :   this is coz, the intrabdominal pressure increases during situps
User :   Even for a small midline hernia
Doctor :   and in case of hernia, this excess pressure is channeled outwards from the defect in the abdomen
Doctor :   it is less in case of the smaller hernias
Doctor :   for a hernia defect of 1-2 cms, it will not matter much
Doctor :   but in case the defect in the muscle is 4-5 cms, the chances of complications is high
Doctor :   I hope u have understood my comments
User :   What does 4-5 CM = to inches
Doctor :   2 inches = 5 cms
Doctor :   cm= centimetres
User :   cool
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