What are the examinations for hernia in children?

Some parents may find that their children have pediatric hernia problems. At this time, you will definitely take your children to the hospital for examination. However, many parents have little knowledge in this area, so they don’t know what examinations to do after going to the hospital. This will waste a lot of time, which is definitely not good for your children.

Extraabdominal hernias are divided into reducible hernias, irreducible hernias and incarcerated hernias. Reducible hernia refers to a hernia in which the contents of the hernia enter the hernia sac when the intra-abdominal pressure increases due to standing, coughing, weight bearing, defecation, etc., and can easily return to the abdominal cavity when the patient lies flat and the intra-abdominal pressure decreases.

Irreducible hernia means that the hernia contents cannot be completely returned to the abdominal cavity, but it does not cause serious symptoms. It is mostly caused by adhesion of hernia contents and hernia sac, or large abdominal wall defect and wide hernia ring. Sliding hernias are usually also irreversible hernias.

Incarcerated hernia is a condition in which the hernia contents suddenly cannot be retracted, resulting in local pain and obvious tenderness of the hernia mass. If the incarcerated contents are intestinal tract, symptoms of acute intestinal obstruction will occur. Necrotic intestinal tract and other hernial contents may lead to secondary infection, resulting in peritonitis and sepsis, which may be life-threatening if not treated promptly.

Strangulation of hernia contents is a further development of incarceration, and incarceration and strangulation are sometimes difficult to distinguish clearly clinically. Extraperitoneal hernia can be diagnosed based on the duration of hernial incarceration and the degree of inflammatory invasion of the hernial outer covering. Intra-abdominal hernia is mainly analyzed through abdominal signs and systemic poisoning symptoms.

The following conditions indicate that the contents of the intra-abdominal hernia have been strangulated and necrotized:

① Severe and persistent abdominal pain;

② Frequent vomiting, vomitus containing coffee-like blood or bloody stools;

③ Asymmetric abdominal distension, peritoneal irritation signs, and weakened or absent bowel sounds;

④ Abdominal puncture or lavage shows bloody effusion;

⑤X-ray examination shows isolated enlarged intestine or tumor-like shadow;

⑥Body temperature, pulse rate, and white blood cell count gradually increase, and even signs of shock appear.

After knowing what examinations should be done for pediatric hernia, you will be very familiar with it. No matter whether your child will get this disease in the future, you can deal with it calmly. Even if you have to go to the hospital, you can find a place quickly. This can also reduce the pain of your child, which will definitely be very helpful for your child.