1 Symptoms

The first sign is a sharp pain in the groin area that can spread AS across the entire abdominal cavity. Pain syndrome occurs sharply, immediately after a strong strain.

When examining the groin, you can find a protrusion. It is slightly swollen, hard and irreparable. When you try to fix it with your hands, the pain becomes worse. The skin around is elastic. In children this protrusion can be imperceptible.

Another of the earliest symptoms is nausea and vomiting. With the progression of the disease, vomiting becomes permanent. Immediately after infringement, diarrhea may occur, and then constipation and the absence of gases. Periodically, there are false urge to excrement.

If there is an infringement of the bladder, the patient experiences frequent urge to urinate. The process is painful. Can be caused by a pain shock of 1-2 degree( medium and heavy form).At the same time, the general condition of a person worsens. The temperature may rise.

In young children, infringement of inguinal hernia is accompanied by anxiety, crying. Older children complain of pain in the groin.

The longer the disease develops, the more pain becomes and spreads to the entire abdomen. Symptoms develop more quickly and are more pronounced. The general condition also begins to deteriorate. For example, at the very beginning of infringement the patient, in general, feels well, then every other day his condition is sharply worsened. There is a temperature and constant vomiting.

2 Reasons and risk groups

Reasons for the infringement are:

• overvoltage;
• weight lifting;
• severe cough;
• long crying in children.

As a result of the above phenomena, the pressure in the abdominal cavity increases, and the inguinal hernia gates stretch more strongly, some organs fall out. After relieving tension, the muscular ring narrows back, and the organs remain pinched. With this type, the contents of the hernia can become both areas of the intestine, and the ovaries, uterine tube, bladder.

The fecal form arises from the accumulation of feces in the adductor gut. The accumulation of feces begins to press on the abduction muscle, and the infringement is gradually formed. In this case, the intestine is in the hernial sac. Usually such processes are observed in the elderly.

Inguinal hernia in 20% of 100% can have an infringement. Among middle-aged and elderly people, most often the representatives of the male sex suffer. In childhood, the disease occurs equally in boys and girls.

3 Diagnostic measures

The surgeon diagnoses the disease, an external examination is carried out. The doctor examines the inguinal zone. In the right or left side( less often in both), protrusion is detected. It can be small in size, in infants it is not always easy to detect it because of its small size and developed subcutaneous fat.

Bulge is dense, with palpation, painful sensations occur. When you change position or cough, the hernia does not change its shape, in addition, it can become denser when turning. In the area of ​​the hernia may be redness or swelling.

Infringement of the inguinal hernia does not lend itself to correction.

Difficulties in diagnosing can occur if the ovary or the fallopian tube is in the hernial sac( this occurs when women and girls infringe on it).These organs very quickly become necrotic( within a few hours).Because of this, when you touch, there is a sharp pain. For this reason, female representatives are immediately sent for surgery.

Diagnosis of small children also has its own characteristics. On examination, they experience severe pain, which is why they cry loudly, they may experience painful shock, they can pinch their legs. This is due to the peculiarities of physiology. In young children, accelerated blood flow in the intestine, because of which when palpation pain syndrome is stronger than in adults.

4 Required treatment

Inguinal hernia, if infringed, is treated only operatively. Without intervention, the surgeon can not cope with it, and with delay and failure to provide treatment, necrosis of organs in the hernial bag( organ dying) begins to occur.

When the diagnosis is made, the patient is immediately sent for surgery. The only exception is infants( boys).

In young children, the musculature is still weak and more elastic than in adults. This contributes to the possibility of self-regulating the contents of the hernial bag. Children infringement occurs as a result of strong crying, the muscles of the peritoneum tensify and the organs fall out. Infringement also stimulates motor activity and increases muscle tension.

If the child is reassured, the muscle ring relaxes and the contents are manually turned on. For this purpose, first conservative treatment is performed( provided that less than 8 hours have passed since the infringement).

First the baby is given a solution of pantopone, its concentration depends on age. After this, a bath with water of a temperature of 37-38 degrees Celsius is made. You can put a heating pad on your tummy. If the correction has not occurred within an hour, it is prepared for surgery.

Girls have the same body characteristics as boys, but they are immediately sent for surgery. This is due to the fact that they usually have an ovary or part of the fallopian tube. The death of these organs begins in 5 hours, so urgent surgical intervention is indicated. Otherwise, the girl will remain barren.

During surgery, the contents are first eliminated, and then plastic. Depending on at what stage( temporary) the operation takes place, the organs in the hernial sac may already be necrotic. Based on the evaluation of the degree of necroticization, there are three solutions:

• If the gut is healthy, the surgeon directs it and only then produces plastic.
• In the event that necrosis has already begun, but only at an early stage, the patient is injected, corrects the organ and makes plastic.
• If a part of the body is dead, it is removed, the gut stitched, inserted into the cavity and made plastic.

If there is an infringement of inguinal hernia, you should immediately contact a surgeon. Diagnosed this disease is very simple, so the hitching will not occur. The only way to treat adult and female children is surgery. Infant boys can try to fix the problem by repositioning. After treatment, post-operative rehabilitation is mandatory.