How can I tell if I have a hernia?

In our practice, we see many patients who come in with the complaint “I think I have a hernia”. So, what is a hernia? A hernia is an abnormal opening in the abdominal wall that allows internal abdominal contents to bulge through the hole. Generally, this can be felt as a noticeable bump with possible pain or pressure in that area. A hernia is similar to a hole in a tire, where the inner tube bulges through the tire.

Diagnosing a hernia can be straightforward when there is a noticeable bulge and discomfort. While some hernias cause little or no discomfort, many can be uncomfortable. Most people know they have a hernia because they notice a bulge that is bigger when standing, sitting or coughing and often disappears when they lay down in bed. Most people first notice a hernia when they are in the shower, as gravity pulls contents from inside the abdomen down, making hernias most visible when standing up for prolonged periods of time. Sometimes primary care providers or some specialists may notice a hernia during an annual checkup.

We hope to educate patients about what hernias are, what their options are and when surgery is necessary.


About Dr. Reinhorn & Dr. Fullington

Dr. Michael Reinhorn is a specialist in inguinal hernia and umbilical hernia.  Dr. Reinhorn started his practice as a full service general surgeon in 2001. In 2012 Dr. Reinhorn started to focus on the care of hernia and pilonidal patients. In 2020, Dr. Nora Fullington was recruited from her work as a general surgeon performing hundreds of laparoscopic hernia repairs to Boston Hernia. Together with their physician assistant team, they provide a focused practice designed to provide a superior clinical experience. The team performs approximately 700 hernia surgeries every year and offers a tailored approach for each patient from anesthesia type to consideration of mesh and no mesh repairs, laparoscopic and open surgery. We have published outcomes and continue to participate in hernia and surgery societies.  Our research led to a reduction in opioid prescribing after hernia surgery. Currently, Dr. Reinhorn serves as the chair of the Opioid Reduction Task Force of the Americas Hernia Society Quality Collaborative.