Direct vs. Indirect Hernia: What's the Difference? | Indirect hernia

HealthlineSubscribeWhatYouShouldKnowAboutDirectversusIndirectHerniasMedicallyreviewedbySuzanneFalck,M.D.,FACP—WrittenbyJamesRoland—UpdatedonOctober14,2017SymptomsCausesRiskfactorsDiagnosisTreatmentOutlookPreventionOverviewAherniaoccurswhenanorganorinternalbodypartpushesthroughthetissuethatusuallysurroundsandprotectsit.Aherniacandevelopinvariousplacesintheabdomen.Inguinalherniasarethemostcommontypeofhernia.Theyformwhenthere’sathinspotonyourabdominalwall.Learnmore:Hernia»Aninguinalherniacanbelabeled“direct”or“indirect”dependingonhowandwhenitforms.Chancesare,theageandgenderofthepersonwiththeherniawillhavealottodowithwhichtypeitis.SymptomsBothanindirectanddirectinguinalherniacancauseabulgeoneithersideofthegroiniftheherniaislargeenough.Thebulgeisusuallymostnoticeablewhenstandingandwhenstrainingorcoughing.Inmanycases,herniascausenopainuntiltheygetlarger.Inmen,painmaybefeltinthescrotumiftheintestinepushesdownintothatregion.Anindirectherniausuallyfirstoccursininfancy.That’sbecauseit’softenacongenitalcondition.Anindirectherniainaninfantmaybemostnoticeablewhenthebabyiscrying.Adirectherniaalmostalwaysdevelopsinadulthood,usuallylaterinlife,unlesstheproblemistheresultofaspecificinjury.CausesAdirectherniaisusuallycausedwhenthewalloftheabdominalmusclesbecomesweak.Thatallowsaportionoftheintestinetopushthroughtheabdominalwall.Thisweakeningcandevelopovertime,duetoeverydayactivitiesandaging.Insomecases,improperlyliftingsomethingheavycanputextrapressureonthosemuscles,allowingthemtoweakenandtear.Anindirectherniaisnotcausedbyweakenedorinjuredabdominalmuscles.Instead,itoccurswhenanareaofabdominalmuscletissuecalledtheinguinalringfailstocloseupwhileababyisinthemother’swomb.Inboys,theringallowsthetesticlestodropintothescrotum,andthenusuallycloses.Whenitremainsopen,apartoftheintestinecanalsopushthroughit.RiskfactorsRiskfactorsfordirectherniasinclude:beingaman,thoughwomencanalsodevelopherniashavingafamilyhistoryofherniassmokinghavingaconditionthatleadstochroniccoughing,suchascysticfibrosishavi

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