Ask The Doctor

Dear Ask The Doctor: The 1st of Dec. I was diagnosed with a right lower quadrant small inguinal hernia after many tests etc. (It was quite painful). The surgeon said it could heal itself with rest, ice, & ibprofen because we were planning to leave in about 3 weeks for 30th wedd. anniv. vacation. It did get alot better. Now almost 3 months later it occasionally reminds me it is still there with mild discomfort lasting briefly with swimming or quick walking. Our insurance ends in about a month. If it comes back after insurance expires it will be considered pre-existing? What should I do (surgery or not)? I have an appoint. with the surgeon, but would like another opinion. Thanks!

Dear Dee Ann: An inguinal hernia or any hernia for that matter will not resolve on its own. If the hernia does not cause any symptoms it is sometimes left alone if the patient is a high risk surgical candidate. Otherwise, whether symptomatic or not all hernias should be surgically repaired so as to avoid potential complications associated with them. These complications include chronic pain, incarceration and bowel obstruction.

I am not sure when your insurance expires if the hernia will be considered a pre-existing condition. I suggest speaking with your insurance company about that. I think it best to see your surgeon so that he may evaluate your fitness for surgery. If you are determined fit then I would suggest you proceed with surgery.