Possible hernia - worried about needing another surgery :/

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messthezombie
Regular Member


Date Joined Sep 2016
Total Posts : 27
   Posted 10/5/2017 5:11 PM (GMT -6)   
Hi, I had emergency ileostomy surgery 6 months ago and so I had a large surgerical incision wound down the centre of my tummy that took several months to heal. A couple of months ago I noticed a bulge on the left side of my tummy (the opposite side to my stoma) that starts an inch higher than my belly button and ends 2 inches lower than my belly button. It's not huge but it is noticeably different than the right side of my tummy which is much flatter to in comparison. It could be mistaken for a chubby tummy but I have always been quite slim and my tummy has never bulged like that on one side before - also it doesn't go away when I suck my tummy in. The bulge also seems more pronounced just below my belly button under the scar, but I used to have some fat there anyway so it is hard to tell. I weigh the same as I used to but my belly sticks out more.
I mentioned it to my stoma nurse and she said it might be a small hernia and that I should show my surgeon when I next see him. I am seeing him in 2 weeks.
I am glad my nurse noticed it because I knew it didn't seem right and I needed reassurance that this isn't just the way my body is now. I want it to be sorted out and my tummy to somewhat go back to normal. But I am just worried that when I show my surgeon he might suggest surgery to fix it. I don't really want another scar sad
I don't know much about hernias so I am curious what is normally done about them? Is surgery the only way to fix it or are there other ways? Obviously I'm not 100% sure it is a hernia so are there any ways of telling? Any replies are appreciated x
20 female diagnosed UC May 2016
Hospital admissions: May 2016 (2 weeks), Dec 2016 (12 days), April 2017 (4 weeks)
Previous meds: Prednisolone, mezavant, Humira, azathioprine 100mg, infliximab
Surgery: emergency ileostomy April 4th due to perforated bowel.
Currently: 6 months post-op and off all meds

Post Edited (messthezombie) : 10/6/2017 4:38:55 AM (GMT-6)


NiceCupOfTea
Veteran Member


Date Joined Jan 2010
Total Posts : 9926
   Posted 10/7/2017 2:44 PM (GMT -6)   
I feel a bit bad that nobody's replied yet, so I am, even though I can't really help :/ I think hernias can be left alone if they're not too bad, but otherwise surgery is the only treatment for them that I know of. If you are advised to have surgery, then ask about laparoscopic (keyhole) surgery: that's less invasive and leaves smaller, less noticeable, scars behind.

I noticed from your sig you had UC. Are you going to be sticking with your ileostomy or are you going to have a j-pouch? Has a j-pouch even been talked about? Most UC patients who have a colectomy do go on to have a j-pouch, but some are happy with their ileostomy and choose to stay with it.

Sorry for everything you've been through in the past year. That's a baptism of fire if there was one.
Dx Crohn's in June 2000. (Yay skull)
Tried: 5-ASAs, azathioprine, 6MP, Remicade, methotrexate, Humira, diets.
1st surgery 20/2/13 - subtotal colectomy with end ileostomy.
2nd surgery 10/7/15 - ileorectal anastomosis. Stoma reversed and ileum connected to the rectum.
Current status: Chronic flare. Do I have any other kind?
Current meds: 50mg 6MP; Entyvio (started 3/11/16)

clo2014
Veteran Member


Date Joined Feb 2015
Total Posts : 678
   Posted 10/7/2017 9:16 PM (GMT -6)   
I have a colostomy with the incision that runs down the middle of my tummy. On my left side of the incision I too had a small bulge develop. They think it is a very small hernia. It does not hurt. My CRS had to look at it to diagnose and he advised me to wear support panties (light girdle type) for now and to avoid lifting. For physical activity he prescribed a support belt. Hold a pillow over that area and your stoma when you cough or sneeze. We are waiting to see what happens. NCOT is right in that hernias, if not bad, are left alone and to correct them more surgery is needed.

Hope this helps!

Clo
06/12-07/14 symptoms start, no diagnosis.12/14 diagnosed UC & diverticulitis. 01/15 hosp- fistulas, DX changed to Crohns, 02/15 developed new skin rashes, eye problems and painful joints 06/15 Hosp.2x again.. new specialist.Said was worse case he's seen. 7/16 hosp 5mm Stricture stricturplasty to 15 mm.09/16 colostomy. Meds: Remicade, methtrexate, prednison,folic acid, vit D, calcium, pro biotic,
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