National Hernia Awareness Month is observed each June. Hernias can be described as abnormal bulges created by a weakness or a hole, usually in the abdominal wall or groin. It occurs when an internal organ, such as the bowel or bladder, extends through the wall of the muscle or tissue where it normally resides.
A bulge in the abdomen or groin caused by a hernia is a common condition in both men and women and can range from pain-free to painful. Nearly 1 million hernia operations are performed each year in the United States.
Hernias can be congenital, which means they were present at the time of birth. They can also develop due to tissue weakness in the abdominal wall or groin, usually from overexertion and straining. Long-term constipation issues or urinating, persistent cough, heavy lifting and physical exertion can all contribute to the development of hernias. Other factors that can increase your risk for hernias include poor nutrition, chronic obstructive pulmonary disease, obesity, pregnancy, previous surgeries (specifically open surgeries) and smoking.
When hernias become painful or symptomatic it may prevent patients from participating in work, exercise or other activities that they love to do. When a hernia becomes symptomatic it is important to see your primary care physician to discuss repair before the hernia becomes very large or turns into a very serious complication. When organs are stuck in a hernia, they can lose their blood supply, which may result in an emergency that requires immediate attention.
Many times, your physician will be able to diagnosis a hernia by physical exam. However, sometimes a hernia may be difficult to see or feel due to its location or a person’s body size and shape. In those instances, radiologic tests like a CT (computerized tomography) scan or ultrasound may be ordered to help with the diagnosis.
There are different options for surgical repair, including both open surgery and minimally invasive laparoscopic (using small incisions with a laparoscope) approaches. Many times, we utilize mesh to help repair the hernia to lower the recurrence risk. Hernia repair is usually performed under general anesthesia or on an outpatient basis, so patients may be able to go home on the same day of surgery.
For more information about hernias and treatment options, please call us directly at 609-204-5357 or visit our website.
Authored by Dr. Desiree D’Angelo.
National Women’s Health Week begins on Mother’s Day every year to remind women to take care of themselves and to make their health a priority, especially this year with the COVID-19 pandemic.
The Centers for Disease Control and Prevention (CDC) has several recommendations including getting the suggested screenings and preventative care, which may be delayed due to the pandemic. As health care providers, we hope that we will be able to resume breast cancer screenings as soon as possible. If you have any questions or concerns, feel free to contact your primary care or breast physician.
Other recommendations by the CDC encourages you to “get moving.” There are free workouts available from well-known brands or you can consider a socially distanced walk. The CDC recommends at least 2 ½ hours of aerobic activity once a week and at least 2 days of strengthening activities. Physical activity lowers your risk for heart disease and cancer risk so any exercise helps.
While in quarantine, a lot of us have become chefs! We can try to have a more balanced diet, which includes adding more fresh fruits, vegetables and whole grains. Additionally, we can try to eat more lean meats, saturated and trans fats and added sugars. As my favorite dietitian says, “you can eat everything, but just in moderation!”
It is also important to avoid drinking too much alcohol. One glass of red wine a day is recommended for heart disease but drinking in excess can have deleterious effects.
While practicing social distancing, it is important to prioritize mental health. Send a text or make a phone call to a friend who you haven’t talked to in a while. It is important to check on your friends, family members and neighbors. Research shows that positive mental health is associated with improved physical health. Mental health is correlated to stress levels and there are healthy ways to cope with stress including meditation.
There can be a positive that comes out of the COVID-19 pandemic, and one of those positives can be your health. Let’s start this together today!
Authored by Dr. Ann Chuang