a young male worrying about pain from a hernia

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

Hernias are more common than you might think. While some cause only mild discomfort and don’t require immediate surgery, others can become serious if left untreated. Knowing the signs—and when to seek care—is key to avoiding complications.

What Is a Hernia?

A hernia happens when an organ or tissue pushes through a weak spot in the surrounding muscle or connective tissue. They can develop in various parts of the body but most often appear in the abdomen or groin.

Some hernias are small and symptom-free, while others may cause pain, a visible bulge, or discomfort that worsens with activity.

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.

5 Warning Signs Your Hernia Needs Medical Attention

Not all hernias require immediate surgery—but some can become dangerous without prompt treatment. Here are five red flags you shouldn’t ignore:

  1. Sudden or Intense Pain

    While mild aching is common with hernias, sharp, severe, or escalating pain is a clear warning sign. Sudden discomfort could point to a trapped or strangulated hernia—conditions that require urgent medical care.

  2. A Bulge That Won’t Go Away

    Most hernias create a bulge that shrinks when you lie down or gently push it in. If the bulge becomes firm, swollen, or stuck, it may be incarcerated (trapped), cutting off blood flow and risking serious complications.

  3. Nausea, Vomiting, or Digestive Troubles

    If your hernia causes nausea, bloating, or trouble passing gas or stool, it could mean a strangulated hernia is blocking your intestines. This is a medical emergency and needs immediate attention.

  4. Skin Redness or Discoloration

    Red, purple, or darkened skin over your hernia may signal strangulation—when blood flow to the tissue is compromised. This is a critical situation that requires emergency surgery.

  5. Fever and Signs of Infection

    If you’re experiencing fever, chills, rapid heart rate, or growing tenderness around your hernia, it could indicate an infection from a trapped hernia. Don’t wait—these symptoms demand fast medical evaluation.

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 to Expect During Hernia Surgery

Hernia repair is a safe and effective procedure, often performed using minimally invasive techniques. Depending on your specific case, your surgeon may recommend open surgery or laparoscopic repair.

In many instances, advanced robotic-assisted surgery is used—offering smaller incisions, reduced discomfort, and quicker recovery times.

During the procedure, the weakened area is carefully reinforced—usually with surgical mesh—to strengthen the muscle and help prevent the hernia from coming back. It’s a streamlined process designed to get you back to feeling your best with minimal downtime.

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

While not all hernias are emergencies, recognizing when to seek help can prevent serious health risks. If you’re dealing with persistent pain, a growing bulge, or symptoms like nausea and vomiting, it’s time to get evaluated.

At Surgical Associates of Tulsa, our expert team specializes in advanced hernia care, including minimally invasive surgical options that promote faster, safer recovery. Don’t wait for symptoms to worsen—contact us today to discuss your concerns and take the next step toward relief and healing.