Hernia & Fistula: Symptoms and Diagnosis

Posted 2 years ago in Other.

You could be living a perfectly normal life until you notice a bulge in your groin, which could very possibly be a hernia.

Hernia & Fistula: Symptoms and Diagnosis

You could be living a perfectly normal life until you notice a bulge in your groin, which could very possibly be a hernia. Any activity or medical condition that puts pressure on the tissue in the abdominal wall and muscles can cause a hernia. They are noticed after heavy straining or lifting; however, the majority occur at some point due to pre-existing muscle weakness. It typically occurs when an organ or fatty tissue pushes through a weak spot in the fascia (the surrounding muscle or connective tissue). Inguinal (inner groin), Incisional (resulting from an incision), Femoral (outer groin), umbilical (belly button), and Hiatal hernias (upper stomach) are the most common types of hernias. The outer groin, belly button, upper abdomen, or through an epigastric incision or scar are all common locations. In extreme cases, hernia surgery is a must.


  • A visible bulge is the most common hernia symptom. When lying down, it gets pushed back in or disappears. The bump, commonly found in the groin or scrotum, can enlarge over time and cause aches or pain at the site.
  • Feeling bloated or full and being constipated are mild symptoms that usually appear quickly and are accompanied by abdominal heaviness.
  • Some of the most vital symptoms include severe pain, nausea, vomiting, and constipation, which can be fatal. Consult a doctor If you are experiencing these symptoms.
  • It can cause pain when you sneeze or cough, lift heavy objects or even laugh or cry.
  • Hiatal hernia symptoms include frequent heartburn, indigestion, and regurgitation.


Hernias become more common as you age. Thus, keeping fit as you age is critical. Most hernia surgeries are done after several examinations, but in some cases, an ultrasound or MRI scan can be necessary to confirm the diagnosis.

A fistula on the other hand is an abnormal passageway that joins two separated organs or vessels. They can form anywhere between the intestine and the skin. A fistula can frequently arise around the anus. Various types of fistulas can occur in different parts of the body. Fistulas form because of damage or surgery. Inflammatory bowel diseases, such as Crohn's disease and ulcerative colitis, are two examples of conditions that form a fistula. In extreme cases, fistula surgery is a must.


  • Between the bowel and bladder - Urination that is frequent and painful has bubbles, smells weird, and is cloudy or muddy in color.
  • Vaginal - Smelly discharge, passing wind and stools through the vagina, vaginal redness, aches, and pains (vaginitis).
  • Anal - Skin irritation near the anus, throbbing pain, foul-smelling discharge near the anus, passing blood, swelling, and redness near the anus.
  • Urinary tract - Abdominal pain, irritation, discharge/leaking from the vagina.
  • Gastrointestinal - Fever, Dehydration, Diarrhea, fever, an elevated heart rate, and malnutrition.
  • Aortoenteric - Bloody diarrhea or vomiting, as well as sudden drops in blood pressure.


A fistulotomy is a fistula surgery that opens up and drains off the fistula to allow it to heal. It also seals off the infected tract. Larger or deeper fistulas may require surgery in the hospital under general anesthesia.


Sagar Jain

Living in India