Incarcerated vs Strangulated Hernia: What is it? Causes, Symptoms, Treatment

We know we aren’t talking about criminals, so what is an incarcerated hernia? Similar to the definition involving imprisonment in a jail cell, this an event where fatty tissues, or a section of the intestines, protruding from the weakened wall is trapped.

What is an incarcerated hernia?

While it is difficult to move, it doesn’t immediately endanger you. It can pose some obstacles in treatment and lead to complications. This is where strangulation comes into play.

Incarcerated vs strangulated hernia comparison

When comparing an incarcerated vs strangulated hernia, you get the old rhombus puzzle with the whole bit that not all rectangles are squares. Replace rectangles with incarceration.

Not all incarcerated hernias cut things off. This strangulation is an additional complication which can result in dying. It’s a more critical condition that requires immediate emergency attention.

What is a strangulated hernia?

The muscle surrounded the protruded tissue clamps down onto the visitor which can lead to major complications. It can prevent blood supply, which can kill the tissue.

Incarceration can ultimately lead to intestinal perforation (it gets stabbed or cut), shock, or gangrene (death) of the affected region. This can kill you soon after signs manifest.

What causes a strangulated hernia?

These can occur in anyone at any point or stage in life. It is just an impediment which can arise following any hernia formation. When muscle tissue in the abdomen is weak, other tissues can protrude and invade a cavity they don’t belong. From there, they can remain harmless or get complicated. There are some risk factors which greatly enhance the probability you will develop strangulation. This list includes:

Bowel strain: if you push too hard while you poop, you are applying too much pressure. In addition to hemorrhoids or anal tearing, it can create susceptibility to being strangled. To prevent this, treat yourself when constipated. Also, adopt a diet which addresses constipation. Some foods to try are dried plums (prunes, high in fiber and sorbitol), apples, (high in pectin), pears, kiwis, figs, oranges, lemons, spinach, broccoli, or artichokes. Many also marvel at the little step to reframe your posture while sitting on the toilet.

Chronic coughing: continuously coughing causes strain. Medication to limit your cough fits is important. Investigating the possibility of underlying illness is also crucial as you may be suffering from some pulmonary disorders like COPD.

Strenuous activity: If you are accustomed to physical labor, be careful. There is a lot of wisdom in lifting with your legs. Picking up heavy boxes or engaging in stressful exercises without warming up or stretching can do this.

Pregnancy: While they’re not much that can be helped, remain aware of the consequences of the added pressures and monitor bodily changes

Abdominal surgeries and cesarean delivery (C sections): a history of procedures makes you more likely to encounter hernias in general

Which types of hernias are affected?

There is a chance with any hernia that it will become strangulated. The following offers a reference to more prevalent hernias:

  • Hiatal hernia: referred to pinching of the upper part of your stomach where the esophagus meets it. pushes into your diaphragm through the hiatus. This stomach hernia can result in acid reflux and other symptoms related to disrupted stomachs
  • Umbilical hernia (paraumbilical hernia): formations near the naval region, or belly button
  • Femoral hernia: more uncommon. Generally, a painful lump on the inner thigh or creases where your leg meets your groin

What are strangulated hernia symptoms?

Strangulated hernia symptoms are similar to your regular hernia symptoms but more extreme. What does it feel like? A lot of paid that can transform into excruciating rather suddenly. You may also experience some flu like symptoms such as general fatigue or tiredness, fever, and nausea. You also may vomit or notice inflammation and discoloration in the area near the hernia. Additionally, the region may become reddened, swollen, and hot or burning to the touch. You may also notice some gastrointestinal problems.

Extreme constipation, inability to defecate, or observing blood in stools are all indications something is wrong. You may also be unable to pass gas (fart). Irregular heartbeats or breathing are also basic indications something is wrong.

What’s the best treatment for a strangulated hernia?

The only treatment for a strangulated hernia is swift surgery. They will not disappear on their own and you are on a limited schedule. Time is of the essence and it is crucial you seek help the moment symptoms arise. Death or areas not receiving oxygen due to blockage happen quickly. Additionally, retaining stool or urine can cause some serious toxin buildup which can lead to rather quick sepsis. Septic shocks kill people quickly. They are often detected by superficial exam and description of problems alone.

Ultrasounds may be conducted, but operations are carried out the moment they are discovered. Surgical procedures consist of reducing the size of the mass by attempting to gently apply pressure to squeeze out trapped tissues. Damaged or dead areas will be removed. The operator will then reconstruct the weak area where hernia formed to prevent them from reoccurring. Mesh may or may not be used as an alternative to sutures. The surgery recovery time for hernia repair will vary between patients. This will be a factor of age, fitness, the severity of the case, the success of surgery, and genetics.

 

 

Article References:

  1. https://www.mayoclinic.org/diseases-conditions/inguinal-hernia/symptoms-causes/syc-20351547
  2. https://www.healthline.com/health/strangulated-hernia
  3. https://www.medicalnewstoday.com/articles/320888.php
  4. https://www.medicinenet.com/hiatal_hernia_overview/article.htm
  5. https://www.cincinnatichildrens.org/health/u/umbilical-hernia

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