a young male worrying about pain from a hernia

When to Worry About a Hernia: Signs You Need Medical Attention

Hernias are a common condition, often causing discomfort but not always requiring immediate surgery. However, some hernias can become dangerous if left untreated. Knowing when to seek medical care is essential for preventing complications. If you’re wondering when to worry about a hernia, here’s what you need to know.

What Is a Hernia?

A hernia occurs when an organ or tissue pushes through a weak spot in the muscle or connective tissue. While hernias can develop in different areas of the body, they most commonly appear in the abdomen or groin. Some hernias may be small and painless, while others cause noticeable discomfort or visible bulging.

Types of Hernias

The most common types of hernias include:

  • Inguinal Hernia – Occurs in the groin and is more common in men.
  • Umbilical Hernia – Forms near the belly button and is often seen in infants but can also occur in adults.
  • Hiatal Hernia – Develops when part of the stomach pushes into the chest cavity through the diaphragm.
  • Incisional Hernia – Happens at the site of a previous surgical incision.
  • Femoral Hernia – Found in the upper thigh or groin area, more common in women.

While some hernias are harmless, others can lead to serious complications if they become trapped or strangulated.

Signs Your Hernia Needs Medical Attention

1. Sudden or Severe Pain

Mild discomfort or aching is common with hernias, but severe, sharp, or persistent pain is a warning sign that something may be wrong. Pain that worsens over time or occurs suddenly can indicate a trapped or strangulated hernia, which requires urgent care.

2. Hernia Bulge That Won’t Go Away

Most hernias cause a visible bulge that may shrink when you lie down or gently push it back in. If the bulge becomes firm, swollen, or won’t go back in, this could mean the hernia is incarcerated (trapped), which can cut off blood flow and lead to serious complications.

3. Nausea, Vomiting, or Digestive Issues

A strangulated hernia can block the intestines, causing nausea, vomiting, bloating, or difficulty passing gas or stool. These symptoms are signs of a bowel obstruction, which can be life-threatening if not treated quickly.

4. Redness or Discoloration Around the Hernia

If the skin over your hernia becomes red, purple, or darkened, it may indicate strangulation, meaning the hernia is cutting off blood supply to the tissue. This is a medical emergency that requires immediate surgery.

5. Fever and Infection Symptoms

Hernias that become trapped or strangulated can lead to infection, causing symptoms like fever, chills, rapid heart rate, or increased pain and tenderness. If you experience these signs along with hernia discomfort, seek medical help immediately.

Do All Hernias Require Surgery?

Not all hernias need immediate surgery. Small, painless hernias can sometimes be monitored if they don’t grow or cause discomfort. However, surgery is often recommended if:

  • The hernia is getting larger.
  • You experience persistent pain or discomfort.
  • It interferes with daily activities or digestion.
  • You have signs of strangulation or obstruction.

What Happens During Hernia Surgery?

Hernia repair can be done through open surgery or minimally invasive laparoscopic surgery. In many cases, robotic-assisted techniques allow for smaller incisions, less pain, and a faster recovery. The procedure typically involves reinforcing the weak area with surgical mesh to prevent the hernia from returning.

Preventing Hernia Complications

While some hernias are unavoidable, you can reduce your risk of complications by:

  • Avoiding heavy lifting that strains the abdominal muscles.
  • Maintaining a healthy weight to reduce pressure on the abdominal wall.
  • Strengthening core muscles through safe exercises.
  • Treating chronic coughing or constipation, which can increase abdominal pressure.

Final Thoughts

A hernia may not always be an emergency, but knowing when to worry about a hernia can help you avoid serious complications. If you’re experiencing persistent pain, an enlarging bulge, or symptoms like nausea and vomiting, don’t wait—seek medical attention. The experienced team at Surgical Associates of Tulsa offers advanced hernia treatment options, including minimally invasive surgery, to help you recover quickly and safely. Contact us today to discuss your hernia concerns and explore your treatment options!