Nowadays, more and more children may have pediatric hernia problems, but more and more people want to know about the examination methods of pediatric hernia. This is a very good phenomenon because if you know this knowledge, it can not only save your own time but also be good for your children. After all, these diseases should be treated early. ① If there are local and systemic symptoms of typical hernia and clear physical signs, it is not difficult to determine whether a hernia exists. If there is only a mass in the hernia-prone area, or only typical manifestations of intestinal obstruction such as abdominal pain, abdominal distension, vomiting, difficulty in anal defecation and flatulence, and hyperactive bowel sounds, it is necessary to distinguish whether a hernia is present or not. For abdominal wall masses, the patient should be asked whether the mass has ever "disappeared" during its occurrence and development, and whether there is a history of gastrointestinal symptoms or abdominal pain due to the enlargement of the mass. ② During the physical examination, pay attention to whether the lump is tender and whether the lump shrinks or disappears when pressure is applied. If the lump never "disappears" or shrinks, if there are no symptoms, no tenderness, and if it does not shrink or disappear when pressed, the diagnosis of a hernia is difficult to make, especially if the location of the lump is inconsistent with the site of a hernia. It must be pointed out that the hernia contents of most white line hernias are the greater omentum, the hernia ring is small and the tissue is dense, the hernia mass may not change and is asymptomatic, and it is easy to be misdiagnosed as an abdominal wall lipoma. For mechanical intestinal obstruction, when looking for the cause of the obstruction, the possibility of hernia should be considered, and further examination and differential diagnosis are needed. ③First, carefully check the areas where hernias are prone to occur. Such as the groin area, thigh, navel, linea alba, waist, perineum, etc., to find out whether there is a hernia. For hernias in some hidden parts, such as lumbar hernia, the hernia is deeper and not easy to touch. Attention should be paid to whether there is local tenderness. If necessary, B-ultrasound examination or hernia sac angiography should be performed. Digital rectal examination is important for diagnosing obturator hernia and perineal hernia. If intra-abdominal hernia or diaphragmatic hernia is suspected, a standing abdominal or chest X-ray should be taken, and gastrointestinal barium contrast should be performed if necessary. Now you should know how to check for pediatric hernia, so you will definitely be familiar with this knowledge in the future. Whether it is your child or you have children around you, you will be able to make adjustments for them early, which is very beneficial for the children. Moreover, children will always get sick when they are young, so you should take good care of your children. |
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