Inguinal Hernia – How to Make a Hernia Truss for Best Fit – Also Gluten-Free Diet for associated Celiac Disease

Men are eight times more likely to develop an Inguinal Hernia than are women. In men, the weak spot usually occurs in the inguinal canal, where the spermatic cord enters the scrotum. In women, the inguinal canal carries a ligament that helps hold the uterus in place, and hernias sometimes occur where connective tissue from the uterus attaches to tissue surrounding the pubic bone.

Most inguinal hernias enlarge over time if not repaired surgically. In men, large hernias can extend into the scrotum, causing pain and swelling. If the contents of the hernia become trapped in the weak point in the abdominal wall, it can obstruct the bowel, leading to severe pain, nausea, vomiting, and the inability to have a bowel movement or pass gas. An incarcerated hernia can cut off blood flow to part of your intestine. Strangulation can lead to the death of the affected bowel tissue. A strangulated hernia is life-threatening and requires immediate surgery.

An inguinal hernia occurs when tissue, such as part of the intestine, protrudes through a weak spot in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object.

An inguinal hernia isn’t necessarily dangerous. It doesn’t improve on its own, however, and can lead to life-threatening complications. Your doctor is likely to recommend surgery to fix an inguinal hernia that’s painful or enlarging. Inguinal hernia repair is a common surgical procedure.

Inguinal hernia signs and symptoms include:

  • A bulge in the area on either side of your pubic bone, which becomes more obvious when you’re upright, especially if you cough or strain
  • A burning or aching sensation at the bulge
  • Pain or discomfort in your groin, especially when bending over, coughing or lifting
  • A heavy or dragging sensation in your groin
  • Weakness or pressure in your groin
  • Occasionally, pain and swelling around the testicles when the protruding intestine descends into the scrotum

You should be able to gently push the hernia back into your abdomen when you’re lying down. If not, applying an ice pack to the area may reduce the swelling enough so that the hernia slides in easily. Lying with your pelvis higher than your head also may help. If you aren’t able to push the hernia in, the contents of the hernia can be trapped (incarcerated) in the abdominal wall. An incarcerated hernia can become strangulated, which cuts off the blood flow to the tissue that’s trapped. A strangulated hernia can be life-threatening if it isn’t treated.

Signs and symptoms of a strangulated hernia include:

  • Nausea, vomiting or both
  • Fever
  • Sudden pain that quickly intensifies
  • A hernia bulge that turns red, purple or dark
  • Inability to move your bowels or pass gas

If any of these signs or symptoms occurs, call your doctor right away.

You can’t prevent the congenital defect that makes you susceptible to an inguinal hernia. You can, however, reduce strain on your abdominal muscles and tissues. For example:

  • Maintain a healthy weight. Talk to your doctor about the best exercise and diet plan for you.
  • Emphasize high-fiber foods. Fruits, vegetables and whole grains contain fiber that can help prevent constipation and straining.
  • Lift heavy objects carefully or avoid heavy lifting. If you must lift something heavy, always bend from your knees — not your waist.
  • Stop smoking. Besides its role in many serious diseases, smoking often causes a chronic cough that can lead to or aggravate an inguinal hernia.
  • Don’t rely on a truss. Wearing a supportive garment designed to keep hernias in place (hernia truss) doesn’t correct the 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.

A hernia truss is a supportive undergarment for men designed to keep the protruding tissue in place and relieve discomfort. If you have an inguinal hernia, a hernia truss can help you feel more comfortable temporarily, but it doesn’t treat the hernia. Talk to your doctor if you want to use a truss because a truss might make the hernia worse. It should be used temporarily, if at all. Surgery is usually needed to repair a hernia. Untreated, a hernia can grow, and serious, even life-threatening, complications can occur. If your hernia is small and isn’t bothering you, your doctor may recommend watchful waiting. If your hernia is causing discomfort, don’t rely on a hernia truss.

I believe the main problem with a truss is finding a professional made truss that is adjustable or otherwise fits well. I believe a poorly fitting truss is what can cause complications and making the hernia worse.

I’ve ordered vis Amazon…

Sold by: Underworks 
$39.74
  • NylonPolySpandex
  • Machine wash in cold water, gentle cycle, flat dry or machine dry low
  • Size – Fits Waist – Small 28-32 / Medium 33-36 / Large 37-40 / X-large 41-44 / 2X 45-48 / 3X 49-52 / 4X 53-63 (Measure around the biggest part of the mid-section)
  • INGUINAL HERNIA SUPPORT FOR MEN AND WOMEN – Provides strong and gentle support for the groin area with adjustable straps that fasten with Velcro
  • SINGLE OR DOUBLE INGUINAL HERNIA TRUSS – With pads that are removable and washable, you have the choice to support left inguinal hernia or right inguinal hernia or both
  • ANTI-MICROBIAL AND LATEX FREE MATERIALS – This inguinal brace does not contain any allergens from latex and the anti-microbial treatment on the elastic prevents bacterial proliferation and provides odor free properties
  • MADE IN THE USA – High quality construction and made with the finest materials for maximum durability and service to you

Expensive for just one.

Reviews complain size runs small for fit too tight.

It should arrive by the end of this week.

Meantime, I decided to make my own for a perfect fit – to survive until I receive the professional made one – and if that one is not a good fit, as well as to last until I can get the surgery done.

At Walmart, I bought two packages Dritz Non-Roll Elastic 1 inch width, 1 yard in a package – 36 inches. First, think of those 36 inches as being comparable to buying a belt for your pants. Those who need more than 36 inches will need to buy 3 packages of the elastic – two for making a belt and one for the strap. I also bought one package of Dritz Snap Fasteners – 7 sets – size 16, used for the belt and to fasten the strap to the belt.

First I made the belt, using all 36 inches, even though I’m 33 – like a belt some extra for adjustment. Therefore, more then one socket part is used with one stud part.

For the second 36 inches of elastic, I fastened by snap one end to the front of the belt, lined up with the hernia at the right side of my groin. Now, thinking in terms of this idea being similar to a jock strap, the strap goes from the belt down into the groin, under, and up the back side like a thong (but will be adjustable for moving to side). It loops over the belt at the back, and then goes back down to the underside, up into the groin, and up to the belt where it is fastened with a snap. Again like a belt the second snap has one stud part and may have more than one socket part for adjusting how tight you want it to be. It is not fastened by snap at the back. Looping over the belt part keeps it adjustable for side-to-side and can be moved to side like a jock strap instead of like a thong. Where connected to the front on the belt the strap ends should be next to each other forming a slight V – the top of the V on the belt – making the front of the strap nearly double wide where it covers and applies pressure to the hernia area to help keep it from popping out.

I wear it from soon after start of day about 6:00am until about 6:00pm or later to about 10:00pm. I do not wear it while sleeping. I usually put it on after a brief morning wake-up shower, and take it off before a longer shower to get clean before going to bed to sleep.

It should not be put on while the hernia is popped out. Do not use the strap to push it back in. It is also better to not push in back in my hand. Instead, allow gravity to do the job, since it is gravity that helps to cause it to pop out while standing and walking. Not as bad while sitting – and no problem for me while riding a bicycle. The best way is to be horizontal on your back, on a bed or couch or on the floor. Try to relax and take in slow deep breaths. Within a couple of minutes it should slip back inside. Then while on your back pull the truss up into place – do not stand up to put on the truss because it could pop back out while doing so. I have it pulled up to my knees while waiting for it to slip back inside. When the truss is in place, then I can stand up and put on underwear – and wearing men’s briefs is better for additional support instead of boxer shorts.

Wear the briefs while you sleep at night. Try to sleep on your back or on one side or the other, but not face down on your stomach if you can avoid it.

If I’m going to be watching TV for an hour or more then I use my “Zero Gravity” recliner chair instead of sitting in a normal chair. Reclined on any kind of recliner chair is best.

For added comfort, apply Gold Bond Medicated Body Powder to the groin area of the hernia and all skin the truss comes into contact with. Also, taking an Excedrin once every 6 to 12 hours, or any anti-inflammatory, can help to reduce discomfort and inflammation.

The stress of going from a reclined position or squatting position to a standing position, and going up stairs, can help to cause it to pop out, so I’ve also ordered a simple walking cane via Amazon…

Sold by: Amazon.com LLC
$15.80

So by ordering the truss and walking cane at the same time the total is over $50.00 – qualifying me for Free Shipping. Even so, I didn’t have enough money to buy the truss and walking cane until March 3rd. Also, before I had enough money to buy the elastic bands to make my own, I cut the elastic bands off of tow pair of briefs to make a similar truss, and using glue instead of snaps. By the way, you don’t need to buy the Dritz snap tool to install the snap parts. The package of snaps has instructions for using a small hammer for forcing the prong part into the socket or stud parts with the elastic band material between them.

Yesterday 5 March 2017 was my 61st birthday. I got the hernia a little over a month ago. I believe the physical stress of extreme pain from bleeding stomach ulcers contributed as one of the causes of my hernia.

It did briefly get bad enough – I believed – to justify a trip to the hospital emergency room. The ER doctor refused to treat it. He wanted my primary care doctor to treat it. I could not do that yet because I’m currently without a doctor willing to accept Medicare. Also, if it is not an “emergency” then it is an “elective” to have the surgery to repair it, and therefore not covered by most insurance and Medicare. How much coverage can depend on if the surgery is done as an inpatient or as an outpatient. Most hernia surgeries are so simple now that they are done as outpatients. I would get the surgery done as soon as possible after finding a new primary care doctor to order it. Even so, I have justified concerns about the use of mesh. Recently, TV channels – especially Fox News Channel – have been saturated with commercials for class action lawsuits because of mesh complications and malfunctions.

Has anyone’s Inguinal Hernia ever got better without surgery to repair it? A few sources claim YES! Most claim NO! Some “cures” amount to money making scams, so consider the source. I will be considering the information at https://www.earthclinic.com/cures/inguinal-hernia.html to see if any of those options might help reduce it. The reason is because of the second condition I have, which I believe contributed to causing the hernia. I’ve already mentioned the first condition being the physical stress of severe pain of bleeding stomach ulcers. Symptoms of the second condition began about the same time I got the hernia. I do not believe it to be a coincidence. I have genetic Celiac Disease [my sister developed its symptoms soon after she turned age 60], of which gluten [wheat] damages the small intestine. It takes about 2 years on a gluten-free diet for the small intestine to heal. The small intestine is what is trying to push out – forming the hernia. So I have to wonder if the gluten-free diet will help to reduce the hernia as the small intestine heals. I don’t know yet. Time will tell. I have read a few histories of patients who have a history of Inguinal Hernias and have have Celiac Disease.

Celiac Disease is a sensitivity to gluten which is a component of wheat. Patients with Celiac Disease who ingest any wheat products develop abnormalities in the lining of the small intestine, particularly the upper part (jejunum). Wheat, rye, barley and oats contain the proteins that make up gluten and will all affect patients with Celiac Disease. It is believed that there is an immunological response to components of gluten which result in inflammation of the lining of the small intestine which is characterized by flattening of the finger-like projections (villi). The mucosa can become so damaged that it can become “leaky”; water and salts can leak out of the cells into the small intestine and be lost with diarrhea. Patients classically have symptoms and signs of malabsorption (i.e. diarrhea, nutrient deficiencies, iron deficiency, folic acid deficiency, anemia). They may experience weight loss, gastric distension, features of other associated disorders such as diabetes, dermatitis herpetiformis (a particular type of skin disorder), and bone pain from osteoporosismayo clkinic

.* However, some patients may not have any symptoms. Celiac disease may be suspected by family history and routine blood tests.

* – My sister then died from complications associated with osteoporosis.

[Some information in this report came from the Mayo Clinic website.]

Special Note: Apparently there has been an increase in the number of people who have Celiac Disease and go on gluten-free diets here in the United States – including Oklahoma – and here in Norman. Recently, Braum’s – in the grocery area, and Homeland grocery stores, have started carrying more gluten-free foods and have a special section for them near or next to other health and diet foods.

My Special Theory: An increase in number of people suffering from genetic Celiac Disease is resulting in an increase in number of people also suffering from an Inguinal Hernia, in turn an increase in the mesh operations, in turn an increase in mesh failures – because untreated Celiac Disease causes the mesh to fail and returns the hernia, in turn resulting in the increase in class action lawsuits for mesh failures. If so, therefore, treatment of Celiac Disease with a gluten-free diet to heal the small intestine could also help to heal the hernias or at least make the mesh operations more successful.

Reported by Jim Lantern

LANTERN TIMEGLASS JOURNAL
Monday morning, 6 March 2017

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