How dangerous can an inguinal hernia become in a baby?
In principle, a hernia is not a life-threatening illness of a baby. Only when the inguinal hernia leads to an impairment of the baby, it can be considered as immediately dangerous. However, it should be treated surgically to avoid complications.
The greatest risk of an inguinal hernia is the irreversible entrapment of intestines, which in the worst case leads to the death of the affected intestine. If an irreversible incarceration is not treated, the reactive inflammatory reaction eventually leads to a dissolution of the intestinal mucosa. In extreme cases, the intestine may even rupture at this point.
As a consequence, stool then leaks into the abdominal cavity and leads to a generalized inflammation. This is very stressful for a baby and carries the risk of a life-threatening circulatory disorder. In such cases, quick action is indicated. The only cure then promises an emergency surgery with the removal of the affected intestinal parts.
Diagnosis of inguinal hernia
The diagnosis of an inguinal hernia is mainly made by physical examination. Mostly a typical bulge in the groin area is visible, which can be felt as a soft bulge. Depending on the severity of the inguinal hernia, the bulge can be pushed away completely or not at all.
If the bulge is not visible, the parents often report it during anamnesis. Characteristically, the bulge is described as occurring during strong crying, screaming or pressing. In most cases, a protrusion can be provoked by the examiner in these cases. If the diagnosis is uncertain despite the physical examination, an ultrasound can help to show parts of the intestine in the groin area or scrotum.
How can you recognize a hernia in the baby itself?
It’s best to take a close look at your baby while you’re taking care of him. If a bump is visible in the groin area, a suspected inguinal hernia is obvious. It does not matter how big the bump is.
It can vary in its expression from the size of a marble to an egg. Once the bump has been observed, it is important to pay attention to when the bump occurs and whether it is permanent. Parents should not try to push the bump away on their own when they first notice it. Especially if there are additional symptoms, the risk of an additional injury is higher than helping the baby. A light touch of the fingers allows only to feel the consistency of the bump and the skin temperature.
