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Doctors Lounge - Gastroenterology Answers
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| eezablade
- Thu Jun 24, 2010 4:59 pm |
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I saw my GP on Tuesday as I had a stomach ache (quite severe pain) and my belly button was sticking out lots. She diagnosed an umbilical hernia. However in the past day I've not been able to push it back in, as I could before. It is also now red and slightly larger. She said if I had sickness or constipation to get see a Dr. ASAP. However, I've not been sick (but do feel a bit ill). Should I be worried that I can't push it back in now?
IF so what should I do?
Thanks
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| Dr.M.Aroon kamath
- Wed Jun 30, 2010 10:45 pm |
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 Hi,
'True' umbilical hernias are common in children. However, they do occur in adults infrequently (usually in association with conditions causing increased intra-abdominal pressure such as, massive ascitis, obesity, intra-abdominal tumors etc).
More common are the 'Para-umbilical hernias', which protrude from a defect in the linea alba close to the umbilicus (usually above the umbilicus).
They usually contain the greater omentum(omentocele). However, sometimes, they may contain the transverse colon or small gut. Frequently, they are multiloculated. Many of them are only partially reducible.These are very prone to get 'complicated' (incarceration, obstruction and strangulation).
Any redness, tenderness or tenseness should alert to the possibility af strangulation and should lead to an emergency referral to a surgeon.Redness may indicate a srangulation or an infection in a strangulated hernia. Strangulated omentoceles can go on to form abscesses.
I urge you to consult a surgeon immediatly.
Good luck!
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