Hernias Presentation and Management

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Causes of Hernia

Undue straining or pressure can facilitate the formation of Hernias through defects in the abdominal muscles

Most hernias develop at weak spots in the abdominal wall. The weakness may be present at birth, or it may develop later in life for a variety of reasons. Most often hernia protrusion is not a sudden event and occurs over a period of time. Once an area is weak and unsupported it yields to persistent pressure. Any unusual pressure on the abdomen can cause a hernia to develop. Some of the causes of hernias are:

Heavy lifting

Unusually severe cough

Pregnancy

Obesity or sudden and excessive weight loss

Chronic constipation

Straining while urination

Fluid in the abdomen (Ascites)

Aging

Previous surgical procedures

It has been suggested that in the Homo sapiens species in many mammalian quadrupeds, there is an evolutionary defect due to a lack of a special covering inside the lower section of the abdomen called the posterior rectus sheath along with a weak fascia called the transversalis fascia in the groin. In quadrupeds this defect is inconsequential as the inguinal channel is directed upwards during ambulation and hence there is no gravitational stress. However in the humans the erect posture creates not only gravitational stress but also the added burden of the intra-abdominal organs that have a tendency to protrude towards the lower abdomen as there is less support in this area. This results in an increase in the incidence of inguinal hernias both direct and indirect.

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mithundey 

I have hernia ......please suggest me suitable doctor name .........Harry.

rockingrobin 

Is it normal to have pain in the testicle after surgery

yoge13 

How long do you have to wait to have sex?

Red50 

How long do you have to wait to have sex?

85Bears 

When can I resume doing my P90X exercise program after my hernia surgery?

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