what type of doctor to see for hernia

3 min read 26-12-2024

A hernia occurs when an organ pushes through a weak point in the surrounding muscle or tissue. This can cause a bulge or lump under the skin. The type of doctor you should see for a hernia depends on the location and severity of the hernia. This article will guide you to the right specialist.

Types of Hernias and the Specialists Who Treat Them

Several types of hernias exist, each often requiring a specific type of physician for diagnosis and treatment.

1. Inguinal Hernia

What it is: This is the most common type of hernia, affecting the groin area. It occurs when part of the intestine pushes through a weak point in the abdominal wall.
Doctor to see: A general surgeon is the primary specialist for inguinal hernias. They're trained in the surgical repair of hernias.

2. Femoral Hernia

What it is: This type of hernia occurs in the inner thigh, near the groin. It's less common than inguinal hernias but can be more dangerous because of the risk of strangulation.
Doctor to see: Again, a general surgeon is typically the best choice. They have expertise in repairing femoral hernias, which can be more complex than inguinal repairs.

3. Umbilical Hernia

What it is: This hernia occurs around the navel (belly button). It's common in infants but can also develop in adults.
Doctor to see: For infants, a pediatrician will usually monitor the hernia. If it doesn't resolve on its own, they'll likely refer to a pediatric surgeon. Adults with umbilical hernias should see a general surgeon.

4. Hiatal Hernia

What it is: This type of hernia affects the stomach, where part of the stomach pushes up through the diaphragm (the muscle separating the chest and abdomen).
Doctor to see: A gastroenterologist is the specialist best equipped to diagnose and manage hiatal hernias. They're experts in the digestive system. While some cases may require surgical intervention (performed by a surgeon), the gastroenterologist will usually lead the care.

5. Incisional Hernia

What it is: This occurs at the site of a previous surgical incision. The abdominal wall weakens, allowing abdominal contents to protrude.
Doctor to see: A general surgeon is the most appropriate specialist to evaluate and treat incisional hernias. They’re familiar with the surgical anatomy of the abdominal wall.

6. Epigastric Hernia

What it is: This hernia occurs in the midline of the abdomen, between the navel and the breastbone.
Doctor to see: A general surgeon is best suited to diagnose and treat this type of hernia, as surgical repair is often required.

When to See a Doctor

It's crucial to seek medical attention if you suspect you have a hernia. Don't delay, especially if:

The bulge is painful.
The bulge is becoming larger.
You have nausea or vomiting.
The bulge is tender to the touch.
The skin over the bulge is discolored.

These symptoms can indicate a strangulated hernia, a serious condition requiring immediate medical attention.

Diagnostic Tests

Your doctor will perform a physical exam to diagnose a hernia. They might also order imaging tests like an ultrasound or CT scan to confirm the diagnosis and assess the severity.

Treatment Options

Treatment options for hernias vary depending on the type and severity. Many hernias are repaired surgically, often using minimally invasive laparoscopic techniques. In some cases, particularly with smaller, asymptomatic hernias, watchful waiting might be an option.

Finding the Right Specialist

Your primary care physician (PCP) is a good starting point. They can perform an initial assessment and refer you to the appropriate specialist based on your specific situation. You can also search online directories for surgeons and gastroenterologists in your area. Look for doctors with experience in hernia repair and positive patient reviews.

Remember, early diagnosis and treatment are essential for managing hernias effectively. Don't hesitate to seek medical attention if you suspect you have one.