What are the symptoms of handsomeness disease?

Many elderly people often mention handsomeness disease, but when we searched on search engines, we did not find any relevant introduction to this disease. After consulting many doctors, the editor discovered that the handsome disease that the elderly often talk about is actually hernia disease. Hernia is a common disease in children. So, do you know what the main symptoms of hernia are? Let us introduce it to you below.

Hernia is when part of the human body tissue or organ leaves its original location and enters another part through a gap, defect or weak part of the human body. Commonly known as "small intestinal gas", it includes umbilical hernia, direct inguinal hernia, indirect hernia, incisional hernia, surgical recurrent hernia, white line hernia, femoral hernia, etc. Hernia is mostly caused by coughing, sneezing, excessive force, abdominal fat, forceful defecation, pregnancy, excessive crying in children, and degenerative changes in the strength of the abdominal wall in the elderly.

1. Clinical symptoms:

The main symptom of hernia is that you can see or feel a lump in the groin area. The mass is formed by the prolapse of organs in the abdominal cavity into the hernia bag. Most of the prolapsed organs are small intestines, so they feel soft to the touch and are often accompanied by gurgling noises when they go back. Other organs such as the large intestine, appendix, and greater omentum may also prolapse. In women, ovarian prolapse is more common, so a thumb-sized, hard, and often tender lump can often be felt.

In addition to being able to see or feel lumps, some people may also experience constipation, loss of appetite, and other symptoms.

2. Clinical type:

2.1. Reducible hernia: A hernia in which the contents of the hernia can be easily returned to the abdominal cavity is called a reducible hernia.

2.2. Irreducible hernia: A hernia in which the contents of the hernia cannot be reduced or cannot be completely reduced into the abdominal cavity but does not cause serious symptoms is called an irreducible hernia. Repeated protrusion of hernia contents, resulting in friction and damage to the hernia sac neck and adhesion, is a common reason why hernia contents cannot be reduced. The contents of this type of hernia are mostly the greater omentum. In addition, some giant hernias with a long course of disease and large abdominal wall defects are often difficult to reduce because the abdominal wall has completely lost its function of resisting the protrusion of contents due to the large amount of contents. In a few hernias with a long course of disease, the downward force generated when the contents continuously enter the hernia sac gradually pushes the peritoneum above the sac neck toward the hernia sac, especially the posterior peritoneum in the iliac fossa area, which is extremely loosely connected to the posterior abdominal wall and is more easily pushed, so that the cecum (including the appendix), sigmoid colon or bladder moves downward and becomes part of the hernia sac wall. This type of hernia is called a sliding hernia and is also considered an irreversible hernia.

2.3. Incarcerated hernia: When the hernia neck is small and the intra-abdominal pressure suddenly increases, the hernia contents can forcibly expand the neck and enter the hernia sac. Subsequently, due to the elastic contraction of the neck, the contents are stuck and cannot be retracted. This situation is called incarcerated or closed hernia. After a hernia becomes incarcerated, if its contents are intestines, the intestinal wall and its mesentery may be compressed at the neck of the hernia sac, first blocking venous return and causing intestinal wall hemorrhage and edema. The intestinal wall and its mesentery in the hernia sac gradually thicken, and the color changes from normal light red to dark red. Light yellow exudate may accumulate in the sac. As a result, the intestinal tract is compressed more and more difficult to return. When the intestine is incarcerated, the pulsation of the internal mesenteric artery can be felt. If the incarceration can be relieved in time, the diseased intestine can return to normal.

2.4. Strangulated hernia: If the intestinal incarceration is not relieved in time, the pressure on the intestinal wall and its mesentery will continue to increase, which can reduce arterial blood flow and eventually lead to complete blockage, which is strangulation pain. At this time, the pulsation of the mesenteric artery disappears, the intestinal wall gradually loses its luster, elasticity and peristalsis ability, and eventually turns black and necrotic. The exudate in the hernia sac turns light red or dark red. If secondary infection occurs, the exudate in the hernia sac will be purulent. When the infection is severe, it can cause cellulitis of the tissue covering the hernia. The hernia sac with pus may rupture on its own, or be mistakenly incised and drained, resulting in intestinal fistula.