Tuesday, October 4, 2022

Can A Hernia Cause Urinary Problems

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What Is The Prevalence Of Urinary Retention Following Open Inguinal Hernia Repair

Inguinal Hernia Symptoms and Treatment

Urinary retention may occur after open inguinal hernia repair, especially in middle-aged and elderly male patients with prostatic enlargement. In a meta-analysis of 72 studies, the incidence of urinary retention after herniorrhaphy was 0.37% with local anesthesia, 2.42% with regional anesthesia, and 3% with general anesthesia. Such retention is said to be due to the inhibitory effect of regional and general anesthesia on bladder function.

Which Children Are At Risk For A Hernia

Hernias happen more often in children who have 1 or more of the following risk factors:

  • Being born early or premature

  • Having a parent or sibling who had a hernia as an infant

  • Having cystic fibrosis

  • Having developmental dysplasia of the hip, a condition that is present at birth

  • Being a boy with undescended testes,. This means the testicles didnt move into the scrotum before birth.

  • Having problems with urinary or reproductive organs

What Are The Symptoms Of Bladder Control Problems

Signs and symptoms of urinary incontinence can include

  • leaking urine during everyday activities, such as lifting, bending, coughing, or exercising
  • being unable to hold in urine after feeling a sudden, strong urge to urinate
  • leaking urine without any warning or urge
  • being unable to reach a toilet in time
  • wetting your bed during sleep
  • leaking during sexual activity

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Signs That You Or A Loved One Might Have A Hernia

  • A bulge in the groin or scrotum, or swelling in the scrotum
  • Discomfort in the groin that gets worse when you bend or lift something
  • Heaviness in the groin or abdomen
  • Pain or discomfort during a bowel movement or urination
  • Pain or discomfort toward the end of the day, particularly if you were standing a lot
  • Any symptoms of a strangulated hernia, which include fever, vomiting, nausea and severe cramping

Key Points About Hernias In Children

Hernia Problem
  • A hernia is when a part of the intestine pushes through a weak spot in the belly muscles.

  • A hernia creates a soft lump or bulge under the skin.

  • A hernia that happens in the belly button area is called an umbilical hernia.

  • A hernia that happens in the groin area is called an inguinal hernia.

  • Surgery is needed to treat an inguinal hernia. An umbilical hernia my close on its own.

  • In some cases, hernias can get stuck. Blood supply may be blocked to part of the intestine. This is a medical emergency.

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What Causes An Inguinal Hernia

An inguinal hernia usually happens when fatty tissue or a part of your bowel, such as the intestine, pokes through into your groin at the top of your inner thigh.

It pushes through a weak spot in the surrounding muscle wall into an area called the inguinal canal.

Inguinal hernias mainly affect men. Most are thought to be caused by ageing, although they can happen at any age.

This is because as you get older, the muscles surrounding your abdomen can become weaker.

Inguinal hernias can sometimes appear suddenly after putting pressure on the abdomen, such as straining on the toilet if you have constipation or carrying and pushing heavy loads.

They have also been linked to having a persistent, heavy cough.

What Preparation Is Required

  • Most umbilical hernia operations are performed on an outpatient basis, and therefore you will probably go home on the same day that the operation is performed.
  • Preoperative preparation includes blood work, medical evaluation, chest x-ray and an EKG depending on your age and medical condition.
  • After your surgeon reviews with you the potential risks and benefits of the operation, you will need to provide written consent for surgery.
  • It is recommended that you shower the night before or morning of the operation.
  • If you have difficulties moving your bowels, an enema or similar preparation may be used after consulting with your surgeon.
  • After midnight the night before the operation, you should not eat or drink anything except medications that your surgeon has told you are permissible to take with a sip of water the morning of surgery.
  • Drugs such as aspirin, blood thinners, anti-inflammatory medications and Vitamin E will need to be stopped temporarily for several days to a week prior to surgery.
  • Diet medication or St. Johns Wort should not be used for the two weeks prior to surgery.
  • Quit smoking and arrange for any help you may need at home.

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What Causes An Umbilical Hernia

The wall of the abdomen has natural areas of potential weakness. Hernias can develop at these or other areas due to heavy strain on the abdominal wall, aging, injury, an old incision or a weakness present from birth. Anyone can develop an umbilical hernia at any age. Most umbilical hernias in children are congenital and close spontaneously by the age of two. In adults, a natural weakness or strain from heavy lifting, persistent coughing, difficulty with bowel movements or urination can cause the abdominal wall to weaken or separate. In the umbilical region, there is a natural weakness at the site that the umbilical cord was attached as a fetus.

How Do You Tell If Your Bladder Is Not Emptying Fully

Causes of Hernias – Parham Doctors’ Hospital

Chronic urinary retention the inability to completely empty your bladder when urinating. frequent urination in small amounts. difficulty starting the flow of urine, called hesitancy. a slow urine stream. the urgent need to urinate, but with little success. feeling the need to urinate after finishing urination.

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What Does It Mean When You Feel Like You Have To Pee But Only A Little Comes Out

If a person has a constant urge to pee but little comes out when they go, they may have an infection or other health condition. If a person frequently needs to pee but little comes out when they try to go, it can be due to a urinary tract infection , pregnancy, an overactive bladder, or an enlarged prostate.

Retention Of Urine After Inguinal Hernia Elective Repair

Irish Surgical Research Collaborative , IE

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Treatment Of Perineal Hernia In Cats

Before the cat undergoes surgery, the vet orders medical treatments that include stool softeners, enema, dietary changes or management, painkillers and IV fluid therapy. All of these help to stabilize the cats condition if its hernia isnt life-threatening. These treatments wont correct or control the hernia.

Surgical intervention is required to correct the hernia and repair the cats pelvic diaphragm. While the cat is under anesthesia, the surgeon may also suture or tack the cats bladder and colon to the abdominal wall so they wont protrude into the perineum in the future. The cats ductus deferens will also be tacked to the abdominal wall so the prostate wont herniate in the future.

The surgeon also places an internal obturator muscle flap, which strengthens the repair work done. This muscle is moved from the floor of the pelvis to the area where the diaphragm failed. If the hernia was severe, the vet may incorporate surgical mesh. If the cat has already been through a hernia repair that failed, the vet may take a flap of muscle from one of the animals rear legs to close off the area of the defect/failure to make a second repair. If the cat is an unaltered male, he will be castrated during the hernia repair surgery so the hernia is less likely to return. After castration, the cats prostate begins to shrink.

Phase : Field Testing

Men

A postal questionnaire pack will be administered to patients to self-complete. The pack will include the RETAINER II tool, as well as additional measures selected for validation purposes. A select group of patients who have completed the baseline questionnaire, will have a second questionnaire pack after initial questionnaire completion.

Eligibility

Patients fulfilling the eligibility criteria in for RETAINER II will be eligible to participate.

Methods

An approximate sample of 50100 patients will be purposively sampled ensuring representation of all subgroups. There is no formal sample size calculation for the development of PRO measures, however, recommended guidelines state 510 patients should recruited per item within the questionnaire . We are aiming to develop a PRO measure with a maximum of 10 items, therefore our sample size is deemed to be sufficient. Consecutive patients will be identified and approached to participate. Qualitative analysis, using NVIVO 12 for Windows will be performed independently .

Test-Retest

Recruitment and Consent Procedure

Data collection/Assessments

Study data will be recorded by members of the clinical teams and by patients on questionnaire packs. Data will be returned to the research office at RCSI.

Assessments will be undertaken as follows:

  • Registration and Baseline
  • 710 day follow up questionnaire pack

Registration and Baseline Data

Baseline information will be recorded by:

RETAINER II questionnaire pack

Psychometric Analysis

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How Are Abdominal Pain And Painful Urination Treated

Your doctor may prescribe antibiotics if a bacterial infection causes your symptoms. Kidney infections, which are serious, may require intravenous antibiotics.

A medication called pyridium relieves burning in the urinary tract, but it can turn your urine bright orange or red.

Antibiotics or antiviral medications are prescribed to treat sexually transmitted infections.

Drinking plenty of fluids may help you overcome painful urination. This can dilute the amount of bacteria in your urinary tract and encourage urination.

You also may wish to take an over-the-counter pain reliever such as ibuprofen to relieve your pain.

If a UTI is the cause, symptoms will typically resolve soon after you begin taking antibiotics. However, be sure to take your full course of antibiotics to ensure that the infection is cured.

When Should I See A Health Care Professional

See a health care professional if you have symptoms of a bladder problem, such as trouble urinating, a loss of bladder control, waking to use the bathroom, pelvic pain, or leaking urine.

Bladder problems can affect your quality of life and cause other health problems. Your health care professional may be able to treat your UI by recommending lifestyle changes or a change in medicine.

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Watch Out Do Not Leave Hernias Untreated

7 minute read

Hernias occur when an organ especially small intestine protrudes through a weakened spot or tear in the abdominal wall. Hernias are commonly caused by a combination of muscle weakness and increased abdominal pressure.

Hernias cause a bulge or lump in the affected area such as groin , umbilicus or surgical incision which is not properly closed . If the protruding intestine is not pushed back in place, the contents of hernia might be trapped in the abdominal wall, then becoming strangulated which cuts off blood supply to surrounding tissue that is trapped. If it is left untreated, a strangulated hernia can lead to life-threatening conditions such as necrotizing enterocolitis and sepsis. Since hernias can happen to anyone at any age, knowing warning signs of hernias and being aware of them are essential. If suspected signs and symptoms are presented, early diagnosis and timely treatment must be provided as soon as possible.

Risk Factors & Symptoms Of A Hiatal Hernia

Can a Hernia come back after Mesh Repair? – Dr. Sathish N

As you might imagine, there are a number of risk factors for developing Hiatal Hernias. Although the biggest two are probably OBESITY and SMOKING, there are plenty of others, including ASTHMA , CONSTIPATION , regular vomiting , trauma, stress , constant bending, PREGNANCY, too much sitting, or heavy lifting. Let me show you the symptoms of an HH.

  • ASYMPTOMATIC: Remember that only about 10% of of Hiatal Hernias create any symptoms at all not a unique situation when it comes to health and healthcare .
  • REFLUX: Although reflux can be caused by lots of things , Ive shown you how HH causes reflux. Thus, if you are constantly experiencing regurgitation, there is a significantly increased chance you have a Hiatal Hernia.
  • ESOPHAGITIS AND ESOPHAGEAL STRICTURE: Although HH can cause stomach acid to reflux all the way up into the mouth , its the lower esophagus that bears the brunt of the damage. Stomach acid where it should not be can cause the formation of both scar tissue and stricture / constriction / loss of elasticity in the lower esophagus. It can also cause something called Barretts Esophagus . As you might suspect, all of these increase the chances of developing full-blown cancer.
  • MOUTH & THROAT ISSUES: This could be dry mouth, bad breath, bleeding gums, chronic cough, rough or scratchy voice, hoarseness, and / or trouble swallowing. Speaking of trouble swallowing.

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The Most Common Types Of Hernias

  • Inguinal hernia: When the intestine or the bladder extends into the abdominal wall or into the groins inguinal canal. This type of hernia mostly occurs in men.
  • Incisional hernia: When the intestine protrudes through the abdominal wall at the site of a previous surgery. This mostly occurs people who are older, overweight or inactive following abdominal surgery.
  • Femoral hernia: When part of the intestine causes a bulge in the upper part of the thigh, close to the groin. This is most common in women, particularly those who are pregnant or overweight.
  • Umbilical hernia: When part of the intestine extends into the umbilical opening in the abdominal area. Infants are susceptible to this. These hernias are usually harmless in children.
  • Hiatal hernia: When the upper part of the stomach squeezes through an opening in the diaphragm. A small one might be harmless, but a larger one can cause symptoms such as heartburn.

You may have heard that you can repair a hernia yourself if its small and not too painful, but its always wise to seek medical attention to make sure that the problem isnt more serious, says Dr. Gretschel. Hernias cannot heal on their own if left untreated, they usually get bigger and more painful, and can cause serious health risks in some cases.

If the wall through which the intestine is protruding closes shut, it can cause a strangulated hernia, which cuts off blood flow to the bowel. This condition requires emergency surgery.

A List Of Hernia Surgery Complications

Hernia repairs are generally considered to be very safe. Unfortunately, complications sometimes occur. These include the following:

1. Longstanding Pain

About 75 out of 1000 cases of hernia surgery have chronic pain as one of the hernia repair complications. If you have laparoscopic hernia repair, the pain after surgery is less and there is less of a chance of having longstanding pain afterward. About 60 of every laparoscopic surgery done will lead to ongoing pain, while 80 out of every 1000 open hernia repairs will lead to ongoing pain.

2. Hernia Returns

The hernia can come back in 37 out of 1000 hernia repair cases. The rate is higher in men who are older. Laparoscopic repair is usually done after a relapse, so the surgeon doesn’t have to go through the first incision. Mesh can be used to prevent a relapse of the hernia.

3. Retaining Urine

This is one kind of temporary hernia surgery complications, occurring in about 37 of 1000 hernia repair cases. The risk is higher with those who have regional anesthesia or general anesthesia when compared to those who have their repair under local anesthesia. Usually, a catheter is used to treat this complication.

4. Seroma

This is a buildup of clear fluid at the site of the surgery. It happens in about 30 of 1000 cases done without mesh and slightly more than that in cases done with mesh. These usually go away spontaneously, but it can also be removed by draining the seroma using a sterile syringe and needle.

6. Infection

7. Hematoma

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What Are The Symptoms Of A Hernia In A Child

Hernias often happen in newborns. But you may not notice a hernia for a few weeks or months after birth.

  • Inguinal hernias appear as a bulge or swelling in the groin or scrotum.

  • Umbilical hernias appear as a bulge or swelling in the bellybutton area.

In both cases, the swelling may be easier to see when your baby cries, coughs, or strains to have a bowel movement. It may get smaller or go away when your baby relaxes. If your child’s healthcare provider pushes gently on this lump when the child is calm and lying down, it will often get smaller. Or it may go back into the belly.

In some cases, the hernia cant be pushed back into the belly. Then the loop of intestine may be stuck in the weak spot of abdominal muscle. When this happens, symptoms may include:

  • A full, round belly

  • Redness or discoloration near the hernia

  • Fever

If the stuck intestine is not treated, blood supply may be blocked to part of the intestine. This is a medical emergency.

Hernia symptoms may seem like other health problems. Always talk with your child’s healthcare provider for a diagnosis.

What Are Hernias In Children

You have stomach pain,.........it is important in which ...

A hernia is when a part of the intestine pushes through a weak spot in the belly muscles. The hernia creates a soft lump or bulge under the skin.

In children, a hernia often happens in 1 of these 2 places:

  • The groin area. This is called an inguinal hernia.

  • Around the belly button. This is called an umbilical hernia.

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Bulge Turning Red Or Blue

If the skin over your hernia bulge changes color, it may be a sign of it getting worse. When the skin turns gray, red or blue, this tells us that the hernia is strangulated and swollen and needs medical attention. This is most common in the abdomen, near the navel. This an umbilical hernia , and it’s common for people of any age, but it’s seen more in woman than men. An umbilical hernia can also happen to you if other members of your family are prone to hernia.

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