Diseases & Conditions
What exactly is a hernia?
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Q. Recently, I have had swelling just above my groin that I only notice when I stand. It goes away when I lie down. Is this what a hernia looks like? If so, does it require immediate attention?
A. That's a classic description of a hernia, bulging of an organ or tissue beyond where it is normally confined. Hernias most often occur when there is an area of weakness in a muscular structure, such as the abdominal wall muscles. This allows contents of the abdomen to push through the wall and form a pouch. Since you notice the swelling just above the groin, it most likely is an inguinal hernia, the most common type of abdominal hernia.
You definitely want to visit your doctor. If your hernia is small and not causing any other symptoms, your doctor may discuss a "watch and wait" approach. You and your doctor can decide whether to schedule surgery sometime soon or just monitor the size. If the hernia gets larger or painful, you will need to have it repaired. Should the area become very painful, you need to seek immediate medical care.
About the Author
Howard E. LeWine, MD, Chief Medical Editor, Harvard Health Publishing; Editorial Advisory Board Member, Harvard Health Publishing
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