Where There Is No Doctor 2011 177
HERNIA (RUPTURE)
A hernia is an opening or tear in the muscles covering the belly. This permits a
loop of gut to push through and form a lump under the skin. Hernias usually come
from lifting something heavy, or straining (as during childbirth). Some babies are
born with a hernia (see p. 317). In men, hernias are common in the groin. Swollen
lymph nodes (p. 88) may also cause lumps in the groin. However . . .
A hernia is
usually here,
and you can feel it with a
finger, like this.
Lymph nodes are
usually here
How to
prevent a hernia:
Lift heavy
things like this
It gets bigger when you
cough (or lift).
and do not get bigger
when you cough.
not
like this.
How to live with a hernia:
♦ Avoid lifting heavy objects.
♦ Make a truss to hold the hernia in.
PLAN FOR A SIMPLE TRUSS:
Put a little
cushion here
so it presses
against the groin.
CAUTION: If a hernia suddenly becomes large or painful, try to make it go back in
by lying with the feet higher than the head and pressing gently on the bulge. If it will
not go back, seek medical help.
If the hernia becomes very painful and causes vomiting, and the person
cannot have a bowel movement, this can be very dangerous. Surgery
may be necessary. Seek medical help fast. In the meantime, treat as for
Appendicitis (p. 95).