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.