How to repair and heal inguinal hernia without surgery

Inguinal hernia can be prevented or treated with natural methods and no surgery. There is medical evidence that sometimes “watchful waiting” is a safe and acceptable option.

Once diagnosed the hernia, there are two options: surgery or wait. Studies have shown that it is better to compare the risks associated with the surgery with the ones of living with the hernia, when this does not give particular trouble. Most likely, in the presence of minimal pain there is little or no reason for surgery.

Moreover, data indicates that not 100% of patients who had surgery get better, because the pain is likely to remain, even after surgery.

Unlike official medicine, according to “naturalist physicians” inguinal hernia should be operated only in very critical cases, because it’s curable with a specific diet and workouts for the abdominal area that should always be done either as preventive action or during the “watchful waiting” period.

In fact, you can not only keep an eye on the hernia to be sure it is stable, but also work to strenghten your abdominal muscles, hence reducing the risk of a worsening of your hernia. Or, decide to heal your ernia altogether, without drugs or surgery.

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And if your hernia was fake?

Predominantly affects athletes and people who lead an active life: it is the’groin’ also called ’the sports hernia,’ which in recent years has become a very common disease and is increasingly being mistaken for a hernia. The professor of the University of Varese, Giampiero Campanelli, on the occasion of 110 th National Congress of the Societa’ Italian Surgery (SIC),explains: ’the sports hernia is characterized by pain in the groin during training, pain that often occurs with extension movements of the thigh, for example, tokick a football or cycling. To suffer are mostly people between 20 and 60 years old, of slim build. And ’most powerful’ common to see people who have a very hectic life ’. Are performed each year in Italy 150 000 hernia. Of these, approximately 5% (7500) are actually a ’fake hernia “. The causes of the pubalgia still unknown, but all patients have a protruding posterior inguinal wall that resembles, in fact, a hernia, which can be cured naturally strengthen theabdominal wall.

 

 

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The causes of hernia

A hernia is a soft swelling, usually as big as an egg, that starts with a leakage of a bowel, from the cavity that normally contains it, through an orifice or other anatomical canal.
The abdominal wall is thin, and thus forms a pouch where the bowels gather.
The swelling is visible when standing up and it disappears when lying down or with external pressure.
Initially the swelling can be invisible even when there is pain.
The hernia tends to grow and in many cases causes cramping. The person affected becomes more aware of their state, fearing every effort, even coughing, sneezing, passing stools, jumping, running and so on. According to statistics, the inguinal hernia is the most common form (around 80% of cases) of hernia and occurs mainly in middle-aged adults but can also affect children and the elderly. It occurs in the majority of cases on the right side of the body, although it often occurs on both sides.
So a hernia is not an illness, but a simple anatomical defect , resulting from a gradual stretching of the tissue that creates a leak of the abdominal content.
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Inguinal hernia during pregnancy

Pregnancy is one of the causes that can contribute to a hernia, since the weight of the foetus pushes on the abdominal wall. The greatest worry for future mothers is: Does an inguinal hernia during pregnancy necessarily mean a caesarean?

Normally, there is no need for correction. The hernia can form during pregnancy or be pre-existing. In the latter case, they resolve by the seventh month.

If, on the other hand it appears after the fifth month during pregnancy, this is generally due to congested veins and resolves after birth.

In any case, it is a good idea to follow the exercises for strengthening the abdomen and adopt a diet that is light on the digestive system.

 

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post-operative convalescence

Changes in the sensitivity of the skin in the area of the operation can occur after inguinal hernioplasty (anaesthesia, pain, tingling). Generally, these sensitivity problems resolve progressively over the arc of a few months.

In the first week there can be sharp pains when making movements that place the abdominal muscles under tension. Actually, the first two days are an outright ordeal, which is only relieved by intramuscular painkillers (together with anti-inflammatory and anticoagulant drugs, prescribed by the surgeon). During this week, it is essential to avoid driving, since, due to the pain, the legs may have reduced reflexes.

After 15 days the stitches are removed and it is possible to begin thinking about leading a normal social life, only avoiding physical activity and exertion. For the latter activities, it will be necessary to wait at least one month after surgery, and another 10 more days before gradually restarting physical activity.

In the meantime, movement is recommended, taking short relaxing walks, in order to allow better positioning of the mesh, but no exertion. Time and tranquillity are required.

Sometimes, the pain experienced in the groin region after a hernia operation can be due to unnatural movements, poor post-operative posture and gait, which normally resolve progressively over time.

However, if the pain continues, it would be advisable to be “re-examined” by the surgeon, who will decide on the best therapy.

Swelling or inflammation can appear in the testicular sac following surgery

Even though not entirely normal, the onset of swelling immediately after surgery is very frequent. It appears similar to the operated hernia, but is painless and does not re-enter on lying down or by pressing with the fingers.

It is reabsorbed by the body over approx. 3 months, becoming increasingly more fluid.

However, sometimes it is not completely reabsorbed and must be drained using a syringe. The reabsorption process can be accelerated using hot-moist packs, avoiding however the area above the wound.

Relapse, reappearance of the hernia

With modern surgical techniques, the likelihood of a hernia reappearing is less than one in every 50 operations. In order to avoid a relapse, at 40 days after surgery, when gradual physical activity is restored, it is advisable to follow the prevention exercises in order to strengthen the abdomen.

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inguinal hernia at the testicles

Usually, when an inguinal hernia reaches the testicles it has assumed the size of a nut, and the situation, even if still not severe, begins to become complicated, in the sense that “it might” become something more serious, generally within the arc of a year or so.

Scrotal-inguinal hernia: this represents the most advanced and evident form. Indeed, the hernia, initially small (the Greek word from which it is derived: ρνος,-ους means ‘germ, ‘bud), has the characteristic of increasing in volume over time, progressively occupying the scrotum.

As the hernia advances little by little inside the scrotal sac, it becomes increasingly more difficult to make it return to its proper location. Initially, more time is required, and there is also more difficulty in lying down in order to understand when it has fully re-entered. Until with passing years, the only way to make it fully re-enter is by means of a very painful squeezing manoeuvre: by taxis.

In this phase, any movement can initiate a strangulation which, if it occurs, requires immediate emergency room treatment, where Taxis is first applied, followed by surgery.

When the hernia descends to the scrotum, the decision to treat it either by surgery or by natural treatments becomes obligatory, also because it will have a tendency to constantly increase in volume.

The use of a truss (hernia belt) is a palliative treatment, which by itself, does not cure a hernia, but is recommended by some physicians, at least for alleviating pain.

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Risks associated with surgery for inguinal hernia

The operation is relatively safe and the possible complications are rare: in any case, knowing the potential risks allows patients to evaluate any post-operative symptoms with greater safety:

  • The risk associated with general anaesthesia, particularly likely in elderly patients or those with prior health problems; this aspect can sometimes be associated with nausea, vomiting, urinary retention, sore throat and headache. Rare and more severe complications include heart attack, stroke, pneumonia and blood clots in the legs (thrombosis). To reduce the risk of thrombosis and pneumonia, it is useful to get out of bed as soon as possible after the operation.

  • It is possible for the hernia to reappear several years after the operation: this is the most common complication.

  • In approx. 2 patients in 100, bleeding occurs requiring further surgery.

  • Although somewhat rare, infections of the surgical wound are in any case possible: more common in adults than in children, they can cause fever, reddening, swelling and pain at the wound site.

  • Sometimes the wound can become a cause of pain, which generally resolves over time.

  • Complications affecting the internal organs near the area of the operation are extremely rare: intestine, bladder, kidneys, nerves, blood vessels, reproductive organs.

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Inguinal hernia surgery

Medical hygienists also recommend surgery to treat inguinal hernias when the hernia has reached a significant size and where treatment with natural remedies has achieved poor results.

How long does inguinal hernia surgery take?

Usually, patients are faced with 2 solutions:

  • classic surgery (anterior inguinal hernioplasty) with local anaesthesia. Through a small incision, the hernia is identified and repositioned inside the abdomen. An appropriately shaped and biocompatible, synthetic, non-reabsorbable mesh is fixed to the muscles and tendons to reinforce the muscle walls. This procedure has the advantage of being performed in day hospital, where the patient remains in the facility only for the time necessary for the procedure and then returns to their own home without occupying a hospital bed.
  • Laparoscopy under general anaesthesia and less traumatic recovery. By adopting a minimally invasive method, there is a significant reduction in surgical trauma and post-operative recovery is more rapid. This is generally performed on patients in good health, capable of being subjected to general anaesthesia, to treat bilateral inguinal hernias, i.e. on both right and left sides at the same time, or in the case of relapsing hernia already treated by anterior surgery. On average, the hospitalisation time is four days.

The surgeon shall decide the most appropriate technique, depending on their experience and the patient’s state of health.

How long does post-operative pain last for?

The perceivable pain immediately after surgery is bearable. In subsequent days, there may be some general “bother” because sitting down and standing up will be movements that cause some discomfort. But nothing unbearable. With passing days, the improvements are evident. It is only a matter of having some patience. From the fourth day, it will be possible to laugh, sneeze and cough without pain.

During the period in hospital, the genitals tend to assume a bluish colour, and the swelling of the area makes it seem the surgery has still not been performed.

See the article “Inguinal hernia, post-operative convalescence“.

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Inguinal hernia briefs

truss (hernia belt)

Hernias used to be contained using hernia belts, later replaced by the more comfortable briefs for containing inguinal hernias.

These are only put on when the patient is in an upright position, and removed when the patient is resting. It has no curative effect, the sole purpose of the briefs is to prevent the hernia from expanding and worsening the patient’s condition, and offer immediate pain relief. However, excessive use of a hernia belt over the years leads to deterioration of the inguinal hernia, since the abdominal tissues become weak, and a certain degree of dependency is formed due to the relief obtained.

There is a certain level of disagreement over their use: there are some physicians who don’t prescribe them while others prefer that their patients wear them while awaiting surgery. Medical hygienists prescribe hernia belts for patients during the entire duration of natural treatment.

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How does a inguinal hernia manifest

THE SYMPTOMS OF INGUINAL HERNIA

Depending on size, inguinal hernias are subdivided into small, medium and large. In males, they can develop to completely occupy the scrotal sac. The symptoms can vary, depending on the size of the hernia, and personal sensitivity to pain.

The most common symptoms are PAIN and a heavy and/or burning sensation localised in the groin. The pain increases sharply when standing or during physical exertion (even just with coughing, sneezing and defecating) and in any fatigue situation (physical exercise, long walks). There are hernias that begin to cross through the inguinal canal without causing any disturbance, and can be more or less visible.

In the erect position, the hernia tends to increase in size, due to abdominal pressure. On the other hand, in the supine position, the hernia tends to shrink.

While hernias are initially only noticed during physical exertion and coughing, they later expand and become visible: they appear as a globular swelling in the groin, which can remain in place while standing and reducing in size when lying down.

The inguinal hernia worsens by growing in size, becoming increasingly voluminous, until it remains permanently visible and not reducing in size in the abdomen, even when lying down. (irreducible hernia).

One significant symptom of irreducible hernia is constant groin pain, which increases with passing time, accompanied by nausea and diarrhoea, indicating that STRANGULATION is taking place. A significant complication that can prove fatal.

The strangulation is due to the intestines entering the restricted channel and then not being able to exit. The tissues become swollen, which in turn inhibits the blood supply, leading to further swelling of the intestines, resulting in a vicious circle leading to closure of the arteries supplying the herniated intestines.

In such cases, natural remedies are difficult to implement, even if Dr. Shelton has had some success with this latter type of inguinal hernia.

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