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Please suggest me Better solution for Hernia Operation, open Surgery or laparoscopy please suggest because my wife is suffering from hernia size around 4.5 mm.

Dr. Adnan Mattoo 95% (232 ratings)
MS - General Surgery, Fellowship in Minimal Access Surgery(FMAS), Diploma in Advanced Laparoscopic surgery, Training in Laparoscopy
General Surgeon, Srinagar
Lap surgery is always better than open surgery in experienced hands. Still benefits vary. You haven't written exact nature of hernia Viz. Inguinal, femoral, incisional or umbilical. And 4.5 mm is too small for a hernia. Kindly recheck the details. Regards.
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Best Surgeon in Bangalore!

Dr. Sanjeev Kumar Singh 88% (119 ratings)
Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Lakhimpur Kheri
Best Surgeon in Bangalore!

Undergoing a surgery can be very difficult emotionally, physically and mentally. But knowing the best surgeons in Bangalore can give you confidence and support decision making. A general surgeon is trained and specialises to perform surgeries on various parts of the body like head, neck, abdomen, endocrine system, vascular region etc. Here is a list of best surgeons in Bangalore: 

1. Dr. Adarsh Patil

MBBS, MS - General Surgery

Dr. Adarsh Patil with over 18 years of experience, he is amongst the best surgeon in Bangalore. He has successfully performed several laparoscopic surgeries like appendix, hernia repair and gallbladder surgeries and open surgeries such as gastric resection, pancreatic and thyroid surgeries. He has contributed in various clinical papers and part of research in India and internationally.

Consultation fees:  ₹450-600

2. Dr. Preetham Raj

MBBS, MS - General Surgery

Dr. Preetham Raj is a leading General Surgeon in Bangalore. He is associated with many clinics and hospitals like Manipal Hospital and Rajkumar multi speciality clinic and diagnostics, JP Nagar, Bangalore. He has been a practicing for 11 years and has also done a fellowship in Minimal Access Surgery.

Consultation fees:  ₹400

3. Dr. Anupama Pujar K

MS - General Surgery, FMAS, Fellowship of Indian Association of Gastrointestinal Endo Surgeons (FIAGES)

Dr. Pujar K has 12 years of experience and her area of specialization is laparoscopic and breast surgery. She is currently practicing at MS Ramaiah Memorial Hospital and is also an assistant professor there.

Consultation fees:  ₹500

4. Dr. Praveen C R

MBBS, MS - General Surgery, Diploma In Minimal Access Surgery

Dr. Praveen C R is an experienced and reputed General Surgeon in Bangalore. He is currently associated with Columbia Asia Hospital in Whitefield, Bangalore. He has done a Diploma In Minimal Access Surgery after completing his  masters. In 16 years of experience he has encountered many challenging cases and has handled them successfully.

Consultation fees:  ₹600

5. Dr. Satyajit Godhi

M.S. General Surgery, M.Ch Gastro - Intestinal Surgery

Dr. Godhi is amongst the very few surgeons in Bangalore who have M.Ch degree in Gastroinetstinal a span of six years he has become a trusted name when it comes to laparoscopic and gastrointestinal cancer surgeon. He has been delivering on cancer surgeries related to gastro with results as per international standards. Other areas where he has been delivering are minimal invasive surgeries like laparoscopic cholecystectomies, hernia surgeries and appendectomies.

Consultation fees:  ₹350

6. Dr. Dinesh Kumar

MS - General Surgery, MBBS Bachelor of Medicine and Bachelor of Surgery

Dr. Dinesh Kumar practices at Apollo Clinic. He has 19 years of experience and has done fellowship in Laproscopic Surgery (Minimal Access Surgery) after completing his MBBS. He is an active member of Association of Surgeons of India (ASI), Association of Surgeons of India (ASI). He is known for his treatments and surgeries related to kidney stone treatment, pancreatic surgery and piles treatment

Consultation fees:  ₹400-500

7. Dr. Niranjan P

MBBS, DNB - General Surgery

Dr. Niranjan P has 12 years of experience as laparoscopic and bariatric surgeon in Bangalore. He is a member of Association of Surgeons of India (ASI). He is known for his services are- laparoscopic and endocrine surgery, fistula treatment , gastrointestinal and endo surgeries. He is associated with many hospitals and clinics like Apollo and Vasavi hospital.

Consultation fees:  ₹500

I am 64 years male. I have frequent urination problem (every 5/10 mts once). I have prostrate problem and hernia problem. I am not using any medications I heard about afdura medicine can I take this medicine? I was told that hernia problem is grade IV stage and advised to for surgery for both hernia and prostrate I want avoid surgery please advice.

Dr. Amit Tuli 91% (683 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery, Genito Urinary Surgery
Urologist, Ludhiana
Have you done your USG abdomen and pvrv and urine routine and culture and sensitivity and uroflow done. If reports are ok you can use either afdura or urimax d once daily for 1 month and see how is the response.
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My mother is suffering from hiatus hernia. She regurgitate everything she eats after completing her meal. She is consuming levosulpiride medicine to increase her gut movement but still all these medicines seems ineffective. Actually she is also suffering from sarcoidosis from past 10 years and consuming azoran, omnacortil,derifyline but her health starts deteriorating from past 1 month v don't understand what to do. Any advice?

Dr. Anushtup De 90% (53 ratings)
MBBS, DNB (General Surgery), Membership of the Royal College of Surgeons (MRCS)
General Surgeon, Faridabad
Hiatus hernia has very good response with surgery and relief from symptoms is quick. Surgery can be done laparoscopically with small holes. But get her assessed first if she is fit to undergo surgery as you say she has othet assocated problems. Otherwise medication as is going and some lifestyle change is the only solutuon, eg head end up when lying down by 30 deg, not bending forward. Regds.
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Hello, I am 25 and I had operation for Appendix 4 years back and now when I was swimming and my stomach was paining and I went to doctor. But they said it's Hernia. Because on my stitches place was swelling when I am doing some physical activities. Kindly let me know if there is some ayurvedic cure we can do about that.

Dr. Udaya Nath Sahoo 94% (1556 ratings)
Internal Medicine Specialist, Kendujhar
Hello, Thanks for your query on Lybrate "As" per your clinical history is concerned please discuss with your treating Doctor about antibiotics like[ceftriaxone-1gm]injection for stitch swelling and regarding a hernia, there is no cure in Ayurveda so discuss the surgical procedure with your treating Doctor and it is a simple minor operation. Do follow lifestyle modifications like this- 1)Maintain a healthy weight. Talk to your dietician about the best exercise and diet plan for you. 2)Emphasize high-fiber foods. Fruits, vegetables and whole grains contain fiber that can help prevent Constipation and straining. 3)Lift heavy objects carefully or avoid heavy lifting altogether. If you must lift something heavy, always bend from your knees, not your waist. 4)Stop smoking. Besides its role in many serious diseases, smoking often causes a Chronic cough that can lead to or aggravate an Inguinal hernia. 5)Avoid relying on a truss. Wearing a supportive garment designed to keep Hernias in place (Hernia truss) doesn't correct the underlying problem or help prevent complications. Your doctor might recommend a Hernia truss for a short time before surgery to help you feel more comfortable, but the truss isn't a replacement for surgery. Hope that helps
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I have a little bit groin pain for previous days -what is reason behind this? Can it affect on my sexual life? I am afraid. Please tell me the truth doctors.

Dr. Nikhilesh Borkar 95% (807 ratings)
MBBS, M.S. General Surgery, M.R.C.S. England, M.Ch. Surgical Oncology, DNB Surgical Oncology, FEBS Surgical Oncology, DNB General Surgery, MNAMS, FMAS, FIAGES, FAIS, FICS, FEBS Breast Surgery, FACS, Fellowship IFHNOS & MSKCC USA, Fellowship in breast and oncplastic Surgery
Oncologist, Mumbai
Please see a general surgeon. It could be due to various causes from musculoskeletal pain, hernia, appendicitis, epididymoorchitis or urinary calculus. They would examine you and if needed ask for an ultrasound. Feel free to contact me directly if you want to discuss this further.
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Is there any treatment of hernia without surgery? If I prefer the same is it safe?

Dr. Srinivas K 87% (71 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - General Surgery
General Surgeon, Hyderabad
Only surgery is the treatment of choice, no other treatment gives you permanent relief, laparoscopic surgery also available for hernia, you can try for it.
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Common Types Of Hernia That Can Affect Anyone!

Dr. Shubhada Bhamre 90% (10 ratings)
MS - General Surgery, Bachelor of Medicine, Bachelor of Surgery (M.B.B.S.), Medicine
General Surgeon, Nashik
Common Types Of Hernia That Can Affect Anyone!

When an organ residing in a cavity such as the abdomen tries to push through the muscular layer it resides, it is called as hernia. Though said to be genetic, hernias can be caused by things such as improper heavy lifting, incorrect posture, or chronic constipation and as a result of surgical complication or injury. Factors like obesity, pregnancy, smoking, chronic lung disease aggravate the severity of the hernia. It is believed that about 27% of all males and 3% of females can have a hernia during their lifetime.

Types of hernias:

  • Inguinal hernia: The groin is the most common area, where the abdomen pushes through a weak spot in the lower abdominal wall, causing a protrusion into the inguinal canal. More common in men than women.
  • Hiatal hernia: The abdomen has the diaphragm separating it from the thoracic cavity in the upper border. When it pushes through the diaphragm, a hernia is caused and there is almost always associated food reflux in these cases. Though the most common cause is associated old age, due to muscle weakness, there also are cases of congenital hiatal hernias.Incisional
  • Umbilical hernia: The abdomen finds a weak layer along its length and protrudes through the skin on the stomach. Most commonly seen in babies around the bellybutton, it gradually corrects itself on its own. Quiet rare in adults, seen during pregnancy and in chronic obese people.
  • Incisional: These are post-surgical, and happen when the organ protrudes through the weakened wall due to surgery. The abdomen is again the most common area and the hernia can happen either onto the external surface or internally, when they are called ventral hernias.

These are the most frequent types, though hernia affects other organs like the spine, brain, appendix, etc.

Treatment: This includes a combination of constant monitoring followed by a decision to do surgical treatment. Hiatal hernias and umbilical hernias can be monitored for a while before deciding on surgery. Inguinal hernias may require surgery earlier in the stage. Post-surgery, a mesh is placed to hold back the tissue in its corrected place. The umbilical hernia in children could be self-limiting. If it does not get auto-corrected in the first year of life, that also would qualify for a surgical treatment. Dependent on each patient, hernias need to be managed under medical supervision. In case you have a concern or query you can always consult an expert & get answers to your questions!

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What is Hernia - Types, Symptoms, Causes, Treatment and More!

Internal Medicine Specialist, Delhi


Hernia is a disease that occurs when one of the body organs pushes through the tissue or muscle holding it in its place. This disease commonly affects the abdominal area. However, it may also affect other parts of the human body including the thighs, belly button and groin. Hernia is not considered to be a life-threatening disease. But it doesn’t cure on its own and may lead to several complications. Patients, suffering from hernia, may need to undergo surgeries to get the disease cured and prevent any complications.

Types of Hernia:

There are four major types of hernia. They are:

1.     Inguinal hernia – This is the commonest form of hernia and makes for 70% of all hernia cases reported worldwide. It occurs when the intestines push through the weak muscles or tissues of the lower abdomen. This type of hernia mostly affects the inguinal canal.

2.     Hiatal hernia – This type of hernia occurs when part of stomach pushes up through the diaphragm muscles into the chest cavity. Diaphragm is a muscular layer that helps breathing by contracting air and drawing it into the lungs. And this muscular layer separates the human organs in the abdominal area and the organs in the chest area.

3.     Umbilical hernia – This type of hernia mostly affects toddlers who are aged 6 months or less. This hernia affects the belly button area and occurs when the intestines protrude through abdominal walls near the belly button. One of the easiest ways to spot this type of hernia is by noticing the bulge in or near the belly button of the toddler, especially when they cry. This type of hernia goes away as the child grows. Typically, when the child is one year’s old, abdominal wall muscles become stronger and Umbilical hernias completely vanishes. If the bulge in the belly button area continues even after the child is 1 years old, a surgery may be required to remove the hernia.

4.     Incisional hernia – This type of hernia mostly affects people who have undergone abdominal surgeries. In this hernia, the intestine pushes through the incision scar or the tissues weakened by the surgery.


The commonest way to identify hernia is by noticing a lump or bulge in the affected areas of the body. Those suffering from inguinal hernia may notice a bulge on the sides of their pubic bone. This is the area where groin and thigh meet.

Here is a list of some of the most common symptoms of inguinal hernia:

Pain in lower abdomen (when bending, coughing, or lifting an object)


Heaviness in abdomen

Burning sensation in the affected area

Here is a list of some of the most common symptoms of hiatal hernia:

Acid reflux

Burning sensation in stomach

Chest pain

Swallowing difficulty

Please note: In many cases, hernia shows no symptoms at all. One may not be able to identify the problem until it is discovered by a medical examination


There are many causes for hernia. However, it is typically caused by strain and muscle weakness. The symptoms of hernia may show very early or may even take years to show up depending on its cause. Here is a list of some of the many causes of muscle weakness that may eventually lead to hernia.

-Abdominal wall not closing the womb properly. This is a congenital defect.

- Old age

-  chronic coughing

-  Muscle damages due to injuries or surgery

Here is a list of some of the many causes of strain that may lead to hernia:

-  Pregnancy. During pregnancy abdominal area is under constant pressure

-  Constipation. It may strain the bowel movement.

- Lifting heavy objects

-  Ascites (fluid in abdomen)

-  Sudden weight gain

-  Surgery or incision

-  Persistent cough

- Persistent Sneezing

Risk Factors:

Here is a list of some of the many factors that may increase the likeliness of developing hernia.

-  Family history of hernia

-  Obesity

-  Chronic cough

- Chronic constipation

- Smoking

Some medical conditions including cystic fibrosis may also increase the risk of hernia. This is because cystic fibrosis can damages the functionality of lungs and leads to chronic cough.


If hernia is not treated, it may lead to life-threatening complications including:

- Severe abdominal pain 

- Nausea 

- Severe constipation

- Swelling in abdomen 

- Strangulation in intestine 

- Damage to intestinal tissue


The diagnosis of inguinal or incisional hernia requires physical examination of the affected area. Medical professionals may physically examine bulge in the abdomen or groin when standing, coughing or straining to identify hernia.

Diagnosis of hiatal hernia is done by endoscopy or barium X-ray. Barium X-ray takes a series of ex-ray of the digestive tract. Before taking this test, the patients are made to drink a liquid solution containing barium. On the other hand, endoscopy is a process where a small camera attached to a tube is threaded down the throat into esophagus and stomach in order to check for hernia. Both these tests help identify the traces of hernia in the stomach.

For umbilical hernia, an ultrasound is done on children. Ultrasound is the medical test where high-frequency sound waves are used to create an image of the internal body organs.


Hernia patients may need treatment depending upon the size of the bulge and the severity of the symptoms of the disease. Treatment of the disease may vary from a surgery to medication depending upon the complication of the disease. Some of the most common treatment options of hernia include lifestyle changes, medication or surgery.

Lifestyle Changes

Ensuring healthy and balanced diet can help get relief from the symptoms of hiatal hernia. However, dietary changes cannot make the disease go away entirely. Patients suffering from hernia must avoid consuming heavy meals. In addition, one must remain careful of not lying down or bending over after the meal. Furthermore, it makes sense to ensure healthy body weight.

Some form of exercises can help reduce the symptoms of hernia and strengthen the muscles around the hernia site. But be advised that improper exercise may lead to unnecessary pressure at the body parts affected by hernia. This may cause the hernia to increase further. Before starting on a fitness regime, it makes sense to discuss what exercises hernia patients must do or not do with a certified physical therapist.

Hernia patients must avoid smoking as it may cause heart burn and acid reflux. Also, it is important to avoid food items that may cause acid reflux or heartburn. 


Certified medical professionals may suggest medications to hernia patients. These medicines may involve some over-the-counter drugs that help reduce acid reflux and provide immediate relief from symptoms of hernia. Some such medicines are proton pump inhibitors, antacids and H-2 receptor blockers.


In some cases, hernia patients may need to undergo a surgery to remove the bulge created by hernia. This surgical procedure is done by stitching the hole in the abdominal wall. This hole is usually patched using surgical mesh.

Typically, two types of surgical procedures are carried out to repair hernia. These are open or laparoscopic surgery.

In laparoscopic surgery, doctors use a camera which is thrusted inside the body through the tube and then the hernia is repaired using small incisions. This type of surgery doesn’t cause much damage to the muscle tissues surrounding the abdominal wall. Whereas in an open surgery, doctors make larger incision in order to repair the disease.


Mostly, it remains a daunting task to avoid muscle weakness which eventually leads to hernia. But by being a little careful and cautious of not placing strain on muscles, one can easily prevent hernia from occurring. Some of the many tips to prevent hernia include:

- Quitting smoking

-  Regular check-ups to avoid persistent cough

-  Ensuring healthy body weight

- Avoiding strains during urination or bowel movements

-  Avoid lifting of heavy objects


Myth 1: Hernia is a sign of weakness. 

Fact: No! Hernia is not a sign of weakness. It is actually a disease that must be treated properly to avoid life-threatening complications.

Myth 2: Yoga can be effective in treating Hernia.

Fact: While a large number of yoga practitioners claim to have got relief from hernia using yoga, there are no medical evidences that prove that hernia can be treated using yoga. Therefore, it is important to undergo a proper surgery to have the hernia removed. If not treated properly hernia can grow in size and lead to serious, life-threatening complications.

Myth 3: Surgery of hernia requires a big abdominal incision. 

Fact: While it is true that an incision in the abdomen is required to push the affected tissues back in place, mostly a very small incision is made to carry out the surgical procedure. Mostly, plastic mesh is used to repair hernia.

Myth 4: Laparoscopic hernia surgery is the only treatment for hernia.

Fact: It is important to understand that not everyone is eligible to undergo Laparoscopic hernia surgery.  People with excessive body weight are usually required to undergo open hernia surgeries. In addition, those who have suffered infections at the site of the hernia or have abdominal scar tissues are also required to undergo open hernia surgery.

Myth 5: Hernia is a communicable disease and spreads with physical contact.

Fact: Hernia is a non-communicable disease and is not spread by physical contact. In addition, hernia also doesn’t spread via air or water.


Question 1: Can hernia be dangerous?

Answer: If hernia is not treated properly, it may get bigger. The bigger it grows, the more painful it becomes.  In addition, in case of strangulated hernia, one may require an immediate surgery to have the hernia removed, otherwise it may lead to life-threatening complications.

Question 2: What is a Strangulated Hernia?

Answer: In case the abdominal wall closes while a fold of bowel protrudes through it, it is called a strangulated hernia. Strangulated hernia may lead to an abruption or blockage of blood supply to the bowel. This could lead to extreme discomfort and one may need to undergo surgery immediately to avoid any further complications.  That’s why it makes sense to not avoid the pain of hernia and one must seek immediate medical attention.

Question 3: Can a hernia be a birth defect?

Answer: Yes! Unfortunately, hernia can be passed on from parents to offspring. In addition, some newborns with extremely weak inguinal canal can eventually develop hernia. Furthermore, many cases of infants having umbilical hernia have been reported. While most of these cases become better on their own, some of them may need surgeries.

Question 4: What is a “sports hernia"?

Answer: A tendon or ligament injury in the groin is referred to as sports hernia. It may mimic the discomfort of a true hernia. Depending on how severe the condition is, sports hernia can be treated using medications, injections, physical therapy or surgery.

Question 5: How to detect hernia?

Answer: Hernia is actually an abnormal opening in the abdominal wall allowing abdominal contents to protrude through the opening. One can easily notice a bulge or a bump under the skin in such a case. While many hernia do not really cause pain or discomfort, a large number of hernia cases reported cause a lot of pain and discomfort. It makes sense to consult a certified medical practitioner as soon as one detects hernia.

Question 6: Is surgery the only treatment for hernia?

Answer: No! Many types of hernia can be treated by medicines, injections or physical therapies. However, most hernia cases require surgeries. Those with little or no discomfort or pain concerning hernia do not require undergoing medical surgeries immediately.

Question 7: Does smoking affect hernia?

Answer: Yes! Smoking may cause chronic coughing and it can lead to hernia. Medical researchers have revealed that smoking may also cause hernia to reoccur. Those who smoke heavily are at a greater risk of developing abdominal hernias as against non-smokers because nicotine in cigarettes usually weakens the abdominal wall.

Question 8: Is hernia surgery risky?

Answer: Usually, there is no risk associated with hernia surgery. However, infections and bleeding is possible when undergoing hernia surgery. The surgery may also pose risk if the patient is a heavy smoker, consumes alcohol in large quantity, is old or is suffering from some other medical conditions. Also, chances of injuries to bladder, blood vessels or nerves may increase due to hernia surgery, as is the case with any other surgery.

Question 9: What is a ventral hernia?

Answer: When there is a weakness in the abdominal wall developing a hole or tear in the wall, it is referred to as ventral or abdominal hernia. This hernia is caused when intestinal or abdominal tissues protrude through the hole or tear in the abdominal wall. This causes a bulge that is visible under the skin.

Question 10: How soon can one start normal activities after hernia surgery?

Answer: This actually depends upon the type of hernia and the kind of surgery undertaken to repair hernia. However, most hernia surgeries just last for a few hours and one can return to normal activities within just 2-4 week of the surgery.

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Sir my CT scan shoes I am facing fatty liver, small hiatus hernia, 5 cm periportal lymph nodes. Please anybody could suggest me proper treatment.

Dr. Sajeev Kumar 93% (26555 ratings)
C.S.C, D.C.H, M.B.B.S
General Physician, Alappuzha
Your hiatal hernia can be corrected by surgery and mild or grade 1 fatty liver is not a serious disease and is common
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