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when i cough sometimes too hard, my nuts hurt and i think it might be hernia... how is it treated

2006-12-18 12:26:40 · 11 answers · asked by obvlious56 3 in Health Men's Health

11 answers

Hernia is a tear in the abdominal muscles around the inguinal canal. Treatment is usually surgery unless you want it back.

Good chance the pain could be associated with a lumbar spine disc condition also. Go to the doctor. Its nothing to screw around with. Example: testicular cancer!

2006-12-18 12:32:23 · answer #1 · answered by Sowhat 3 · 1 0

You have two questions.
1. Do your symptoms indicate a hernia?
2. How is a hernia treated/repaired?

Answer 1 - I doubt that you have a hernia, but a simple examination by a doctor should resolve that uncertainty.
Answer 2 - The hernia that I had repaired was in the intestinal wall in the groin area. There are more than one type of hernia. It is caused by a weak spot in the abdominal muscle such that some of the bowel can poke through that gap.
It can be temporarily alleviated by pushing the bowel back into the abdomen. The permanent repair is day surgery where a reinforcing mesh is inserted to cover the gap. The mesh spreads out like a cone pushed against a wall to form a round patch inside the abdominal wall. After the incision is closed and heals, the repair is quite strong.
The surgery is performed under general anesthesia but generally takes one full day. If scheduled for a Thursday, you can typically return to work by Monday, though the lifting limitation of 10 pounds or less lasts for several weeks after that.

2006-12-18 12:40:02 · answer #2 · answered by Thomas K 6 · 1 0

What is a hernia?

A hernia is an opening or weakness in the muscular structure of the wall of the abdomen. This defect causes a bulging of the abdominal wall. This bulging is usually more noticeable when the abdominal muscles are tightened, thereby increasing the pressure in the abdomen. Examples of activities that can worsen a hernia are lifting, coughing, or even straining to have a bowel movement. Imagine a barrel with a hole in its side and a balloon that is blown up inside the barrel. Part of the inflated balloon would bulge out through the hole. The balloon going through the hole is like the tissues of the abdomen bulging through a hernia.

Serious complications from a hernia result from the trapping of tissues in the hernia -- a process called incarceration. Trapped tissues may have their blood supply cut off, leading to damage or death of the tissue. The treatment of incarceration requires surgery.


What are the symptoms of a hernia?
Symptoms of a hernia include pain or discomfort and a localized swelling somewhere on the surface of the abdomen or in the groin area.

Where are hernias located?

The most common location for hernias is the groin (or inguinal) area. There are several reasons for this tendency. First, there is a natural anatomical weakness in groin region, which results from incomplete muscle coverage. Second, the upright position of human posture results in a greater force occurs at the bottom of the abdomen (at the bottom of the barrel), thereby increasing the stress on these weaker tissues. The combination of these factors over time breaks down the support tissues enlarging any pre-existing hole, or leading to a tear, resulting in a new hole. Several different types of hernia may occur, and frequently coexist, in the groin area. These include indirect, direct, and femoral hernias, which are defined by the location of the opening of the hernia from the abdomen to the groin. Another type of hernia, called a ventral hernia, occurs in the midline of the abdomen, usually above the navel (umbilicus). This type of hernia is usually painless. Hernias can also occur within the navel (umbilical hernia).

What other types of hernias are there?

Epigastric, umbilical, incisional, lumbar, internal, and Spigellian hernias all occur at different sites over the abdomen in areas that are prone to anatomical or structural weakness. With the exception of internal hernias (within the abdomen), these hernias are commonly recognized as a lump or swelling and are often associated with pain or discomfort at the site. Internal hernias can be extremely difficult to diagnose until the intestine (bowel) has become trapped and obstructed because there is usually no external evidence of a lump.

How is a hernia repaired?

A hernia repair requires surgery. There are several different procedures that can be used for fixing any specific type of hernia. In a standard repair, following appropriate anesthesia and sterilization of the surgical site, an incision is made over the area of the hernia and carried down carefully through the sequential tissue layers. The goal is to separate away all the normal tissue and define the margins of the hole or weakness. Once this has been achieved, the hole is then closed, usually by some combination of suture and a plastic mesh. When a repair is done by suture alone, the edges of the defect are pulled together, much like sewing a hole together in a piece of cloth. One of the problems with this approach is that it can put excessive strain on the surrounding tissues through which the sutures are passed. Over time, with normal bodily exertion, this strain can lead to the tearing of these stressed tissues and the formation of another hernia. The frequency of such recurrent hernias, especially in the groin region, has led to the development of many different methods of suturing the deep tissue layers in an attempt to provide better results.

In order to provide a secure repair and avoid the stress on the adjacent tissue caused by pulling the hole closed, an alternative technique was developed which bridges the hole or weakness with a piece of plastic-like mesh or screen material. The mesh is a permanent material and, when sewn to the margins of the defect, it allows the body's normal healing process to incorporate it into the local structures. This has proved to be a very effective means of repair.

After the hernia repair is completed, the overlying tissues and skin are surgically closed, usually with absorbable sutures.

What is laparoscopic hernia repair?

A number of factors have led to the recent development of a new method of repair called laparoscopic hernia repair. This technique is really an extension of a traditional mesh repair method (preperitoneal repair) that was usually used in patients who had already experienced several hernia recurrences at the same site. Previously, this mesh repair approach had required a separate incision somewhat removed from the target area. However, with the progressive development of the instruments and techniques for laparoscopic surgery, the same procedure can now be done with several relatively small incisions. This allows the surgeon to enter the space behind the hernia defect and place the mesh with minimal injury to the surface of the abdomen. The apparent advantages of this method include coverage of all the potential sites of groin hernia, which reduces the risks of recurrence while also decreasing the amount of post-surgical pain.

The potential disadvantages of the technique are: (1) a general anesthetic is required; (2) the risk of injury to blood vessels in the abdomen is increased; and (3) the long-term effects of placement of the mesh in this location remain unknown.

What about the use of a laser in hernia repair?

This is a relatively common question. It arises because, for a time, there were some surgeons marketing "Laser Hernia Repair." While a laser may have been used to make the incision and to separate the tissues, the laser really has no application in the repair of a hernia. It is impossible to perform the necessary structural repair with a laser, which is essentially a cutting tool. Hopes that somehow an incision made with a laser would significantly reduce pain have not been confirmed. This is probably because no matter how the incision is made, the majority of the post surgical pain arises from the deeper structures that require suturing.

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2006-12-18 15:04:21 · answer #3 · answered by meekaila 3 · 0 0

A hernia occurrs when a secion of bowel protrudes through a tear or opening in the stomach muscle or lower abdominal wall, usually in the groin area. When it protrudes you can feel it like a lump or ridge, and you can actually push it back in unless it strangulates( pinches tightly causing great pain.) The only cure is minor surgery ( to close the tear in the muscle and abdominal lining.) However, the first thing I would do is get my cough checked and then maybe a testicular exam.

2006-12-18 12:43:11 · answer #4 · answered by newph1956 2 · 0 0

doesn't sound like a hernia since a hernia is basically a tear or a rip and wouldn't make your nuts hurt. sounds like you have something else wrong and should see a doctor.

2006-12-18 15:01:05 · answer #5 · answered by billnrhonda 3 · 0 0

Hernia surgery is have become very common now. My cousin got her Hernia and colostomy surgery in India by a company called Forerunners Healthcare .The Price for Minimal Invasive and Laparoscopy surgery is very less in India. She paid 25% of the cost she was quoted in America.

Forerunners Healthcare is very famous in India. They arrange Hernia, Appendectomy, Thyroid and other laparoscopy surgery for foreigners in India.
I read a lot about them in the Newspapers and about their patient stories. They arrange financing for USA, Canadian, UK and other international patients who plan to have surgery abroad for low price, as the Hernia, Colostomy and other minimal invasive surgery is not covered by insurance. They also have photos pasted of their International patients. You can checkout their website. There are huge cost savings. As a doctor I personally believe that surgery can be easily handled in India, as the quality of healthcare available In India is simply best in the world. The surgeons are USA/UK trained and facilities are 5 star.

Many patients travel from United States of America and UK to get low cost surgery in India. Indian corporate hospitals are comparable to hospitals anywhere in the world. In fact, India has medical facilities that are comparable with the USA, UK and Canada. India offers World Class Medical Facilities, comparable with any of the western countries. India has state of the art Hospitals and the best medical experts. With the best infrastructure, the best possible Medical facilities, accompanied with the most competitive prices, you can get the treatment done in India at the lowest prices.


http://www.forerunnershealthcare.com
Hope this helps.

2006-12-18 18:56:05 · answer #6 · answered by Amish 2 · 0 0

Sounds like you need surgery. Talk with a doctor.

2006-12-18 12:30:21 · answer #7 · answered by barrych209 5 · 0 0

SOME DOCTORS WONT REMOVE HERNIAS, GOOD LUCK!

2006-12-18 12:29:02 · answer #8 · answered by tolentino03@sbcglobal.net 1 · 0 0

surgery,and don,t put it off,due to where it is at..I have had 4 and had them fixed but the worse ones are in your private area...

2006-12-18 12:38:17 · answer #9 · answered by slickcut 5 · 0 0

it can be treated with medication and or surgery

2006-12-18 12:31:27 · answer #10 · answered by marion m 2 · 0 1

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