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Child had a left inguinal hernia surgery, constipation, fluid in the patent canal. Symptoms of hernia again. Will surgery be required?

Hi Dr.- My daughter who is 3 yrs old had a left inguinal hernia surgery done in May and now last week again we saw a bulge on the right side.She has the problem of constipation inspite of drinking more than a litre of water and eating fruits and vegetables. The report this time said that it’s a fluid in the patent canal and symtoms of another inguinal hernia.Does she have to undergo another surgery and is there any surety that this will not happen again once both the sides are operated.
Asked On : Fri, 2 Nov 2012
Answers:  2 Views:  60
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Gastroenterologist 's  Response
likely she had patent canals on both side and constipation is increasing the chance of development of hernia there coz of surgery the left sided canal is oblieraed hence recurence on that side is unlikely
however it can occur on right you can reduce its chance by reducing her constipation may need to give her low dose laxatives if required
hope this ans your query
feel free to get back in case of any questions
wish you a speedy recovery
Answered: Sat, 3 Nov 2012
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Pediatrician, Critical Care Dr. Tejas Shah's  Response
Hernia in children usually doesn't recur as the canal which is patent is ligated/closed during surgery. This canal can be patent on either side, resulting in bilateral hernia. If there is swelling, it needs surgery. Please consult a Pediatric Surgeon for the same.

So, in short following surgery in children- it doesn't recur. There could be a hernia in old age and is related to weak muscles and that can recur even after surgery.

For constipation - Have you tried any laxatives like Paraffin? It is advisable to get checked over for causes of constipation like dietary habits/thyroid problems or bowel motility problems.


Dr Tejas Shah
Answered: Sat, 3 Nov 2012
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