Hernias are often associated with a visible bulge in the abdominal area, but there’s more to these protrusions than meets the eye. Men and women can experience similar symptoms, yet the subtleties may lead to misdiagnosis, especially in women who face potential confusion with gynecological issues.
Dr Amita Jain, leading laparoscopic surgeon for hernia in Delhi shares a few silent signs of hernias that anyone can miss.
What are the silent signs of hernia that everyone may miss?
Some of the signs according to Dr. Jain include:
1. Pain in the pelvic region
Pain experienced in the pelvic region can sometimes lead to misdiagnoses in women, with certain hernias being mistaken for conditions such as fibroids, ovarian cysts, or endometriosis due to their specific location. Despite potentially causing pain in the leg or back, these compact yet highly painful hernias are typically identified through MRI scans. Furthermore, umbilical hernias, commonly found near the belly button, are prevalent among women. Interestingly, a robust laugh coupled with discomfort might serve as an inconspicuous indicator of this particular hernia.
2. Muscle Fatigue
Hernia can result in heightened pressure on surrounding areas, contributing to increased muscle fatigue and pain. The sensation of muscle fatigue and weakness in the upper leg and groin area could serve as an indicator of a hernia. The condition has the potential to induce weakness or weariness in the abdominal or groin muscles, particularly after any physical activity. Hernias exert a physical toll on the body, leading to a pervasive sense of fatigue and weakness. Individuals may find themselves weary even after minimal physical exertion, and this lingering tiredness can serve as a subtle cue for a potential, yet undiagnosed, hernia. Recognizing the broader impact of hernias on overall energy levels is crucial for a comprehensive approach to healthcare.
3. Nausea and Vomiting
Nausea and vomiting are commonly overlooked indicators of a hernia. An upset stomach may signal a potentially serious condition called an incarcerated hernia. In such cases, the hernia fails to protrude easily and may become strangulated, thereby stopping the blood flow to the trapped tissue. Swift medical intervention is crucial, as a strangulated hernia poses a life-threatening risk.
4. Fever
If you have a fever alongside a hernia, it could be a serious case of a strangulated hernia, where blood flow may be compromised. It is crucial to promptly consult a doctor for swift and appropriate treatment in such cases.
5. Constipation
Constipation may lead to hernias, where the large intestine herniates, causing a blockage in digestion. This can result in difficulty passing gas. A study suggests that the affected bowel segment may swell and become strangulated, often requiring surgical intervention to resolve the condition.
6. Heartburn
Heartburn may occur for various reasons, and when accompanied by chest pain, it could signal a hiatal hernia. This type of hernia allows stomach acid to leak into the oesophagus, leading to inflammation. Hiatal hernias affect the upper abdomen and have distinct symptoms, such as chest pain resembling heartburn. When weak tissue allows a portion of the stomach to push through the diaphragm, stomach acid can inflame the area, resulting in a burning sensation. Recognizing persistent heartburn, not linked to diet, is crucial as it may indicate an underlying hernia, necessitating timely intervention.
7. Feeling of fullness
Individuals with hernias may experience a persistent sense of fullness in the abdominal area, even after consuming a small meal. This symptom is often overlooked as it closely resembles the feeling of genuine fullness. Inguinal hernias, the most common type located in the lower abdominal or groin area, can cause discomfort or a sensation akin to having just finished a large meal. If you feel bloated and heavy without overeating, especially if the discomfort intensifies or becomes painful, it is advisable to seek a medical evaluation for a potential hernia.
8. Abdominal pain while bending or lifting heavy objects
Abdominal pain without a noticeable bulge could indicate a hernia, especially if discomfort occurs during activities like bending, lifting, or coughing. If you experience pain, pressure, or tightness in your abdomen or groin, it’s advisable to consult with your doctor. Less common hernias, like femoral or obturator hernias, may not present as lumps and may require a CT scan for diagnosis.
These are subtle yet crucial signs of hernias that often go unnoticed. From pelvic pain to muscle fatigue, nausea, and abdominal discomfort, recognizing these silent indicators is vital for early diagnosis and intervention. Seeking prompt medical attention for persistent symptoms can prevent complications and ensure timely treatment for a healthier future.
Dr Amita Jain is a surgeon with highest degree of professional competence, precision and surgical craftsmanship. Performed all complicated general surgery procedures with in depth knowledge of invasive and few minimal invasive and onco surgical techniques. Underwent special training in trauma, executed various trauma-related complex life-saving neurosurgical procedures, reconstructed injured mangled limbs and performed vascular and reconstructive procedures with critical care.
Dr Amita Jain holds 28 plus years of rich experience in Trauma and General Laparoscopic Surgeries (including Gallbladder stone removal, appendix removal, hernia repair surgery, piles and fissure surgeries). She was the Professor Surgery of at the Army College of Medical Sciences and Base Hospital Delhi Cantt. In 1994 she was commissioned as Surgeon under the United Nations Mission in Congo. From 2020 to 2022, she worked with Bansals Hospital. Currently, Dr Amita Jain is the Senior Consultant, (Speciality: General and Laparoscopic Surgeon) at Artemis Lite Hospital, New Delhi