… Continued …
- Hernia cannot be manipulated with manual pressure (incarcerated).
- Malaise (a general feeling of illness) with or without fever.
- Severe nausea or /and vomiting.
- A hot or burning sensation around the hernia that persists or more difficult to relieve.
- Constipation, especially if the problem doesn’t relieve with lifestyle measures such as diet high in fiber and exercise (constipation usually improves when you have adequate physical activity).
- Severe, sharp pain in the hernia or elsewhere in the abdomen cavity.
- Passing blood with stools.
Diagnosis and tests
A physical examination is often enough to diagnose hernia – especially if there is already a lump /swelling to see or feel. In general, no other tests are required if:
- There is an obvious bulge in the particular areas commonly associated with hernia.
- The bulge is less obvious or disappears when you’re lying down.
- The bulge is more obvious when you have pressure in the abdomen such as when standing, coughing, or straining.
However sometimes patient has inconclusive symptoms. In such a case, additional tests are usually needed. Some of these tests are as follows:
- Abdominal ultrasound. It can provide shadowy white and black pictures to exam your abdominal cavity.
- Herniagram, a kind of x-ray test that involves an injection of special liquid to the abdominal cavity. If you have hernia, the liquid can flow through the hole and shows on x-rays. Sometimes herniagram is used to help confirm whether a repaired hernia has recurred (returned).
- Sometimes other imaging tests such as MRI and CT-scan can be used, too.
For a better understanding of whether or not your pain is caused by a hernia, see experienced hernia specialists!