Another hernia question

jpcolter
on 7/17/07 6:57 am - San Francisco, CA
Hi All - I just read an earlier question about hernias and now I have a question of my own on that subject. About 3-4 years ago I began experiencing low grade throbbing pain in my lower abdomen just inside where my hip bones are located (on both sides). The pain is always present to some degree but is generally tolerable although some it's sharper than others.  I asked my Dr. about it about a year ago - a few months before I had WLS.  She pretty much shrugged it off and attributed "possibly" to my weight.  I've lost about 80lbs but there has been no change in the pain. I was a bit perplexed at her nonchalance as I've always felt that if you are experiencing pain, it's your body's way of telling you something is wrong.   I read about Inginal hernias and the place where diagrams show  the inginal canal is exactly where I am experiencing pain.  Has anyone on this forum had an inginal heria?  Did you experienced pain like I described associated with it?  I don't have swelling but have had some testicular aching off and on.  Any feedback anyone has is appreciated. JP
NotDave (Howyadoin?)
on 7/17/07 8:31 am - Japan

Don't know, but when in doubt, a little Mayo always helps (Mayo Clinic, that is...)

http://www.mayoclinic.com/health/inguinal-hernia/DS00364

Dave

TomL
on 7/17/07 10:53 am - Bradford, MA
I work in the OR as a surgical/ortho tech and I am willing to bet that it is an inguinal hernia. The spot where it is usually located is in that spot.  Get a new doc...LOL. J/K press her about it.

7/15/07 - 225 pounds

GOAL!!!!!!!!!!!!!!!

Dx E
on 7/17/07 3:43 pm - Northern, MS

Jp, sorry I got here late… But- I had similar pain. Went to my PCP…she found nothing. (shoved on my nutz for Too Long, but found Nothing) Asked my Bariatric Doc about it… He shoved all around… Found NOTHING. He did refer me to a urologist. So doc 3, the peeppee-Doc, Poked, proded, sonogram-ed me with full and empty bladder…. Found Nothing! He gave me a med to help relieve bladder pressure And it seemed to help for about a week Then it came back. I brought it up again with my Bariatric Doc… He said- "Well, lets MRI it and see what everyone is missing." Found it! I had a Femoral hernia. Why did they not find it? Femoral Hernias, normally happen on Women after a pregnancy Has strained their muscle tissue with the huge baby… My Big gut, had strained my muscle tissue. The presence of a penis, kept all of the docs from looking for the obvious. * Note the Med illustrations--- Inguinal Hernia?- Comes with a Penis-

Femoral Hernia- No Penis-

Femoral hernia

That Med-School training can keep docs from seeing any thing other than what they have been trained to see From the slick illustrations. It’s probably an Inguinal Hernia, but could be any indirect herniation in the anatomic region known as Hesselbach's triangle. (the lower abdominal area extending down through the scrotal region) In med speak--- Direct inguinal hernias are not generally congenital. Instead, they are acquired by the development of tissue deficiencies of the transversus abdominis muscle, which makes up the floor of the inguinal canal. Thus, these hernias protrude directly through a defect in the inguinal canal floor, rather than indirectly following the potential space of the processus vaginalis and the path of the spermatic cord. The development of femoral herniation is not well understood. A femoral hernia can occur as a result of elevated intra-abdominal pressure. In this cir****tance, preperitoneal fat can protrude through the femoral ring, with its accompanying pelvic peritoneum. The hernial sac can then migrate down along the femoral vessels into the anterior thigh. Women may be predisposed to femoral herniation due to weakness of the pelvic floor musculature from previous childbirth Keep going back, and have them loo****il they see! The surgery to repair it was fast and low pain. Total of less that 4 hours from arriving at the hospital To returning home. I was up and going great the next day. Hope you’re fixed soon! Best Wishes- Dx

 Capricious;  Impulsive,  Semi-Predictable       

jpcolter
on 7/18/07 2:24 am - San Francisco, CA
Thanks for the feedback and links and info!  Sounds like I need to be more aggressive with the Dr about finding out what is causing the pain. JP
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