Patient's question:
Started saying stomach pain, then started vomiting. Cried and screamed non-stop. Later, noticed a lump the size of a chicken egg on the right side of the child's scrotum, very hard. The child refused to be touched and kept shouting in pain. Went to a local regular hospital or institution for examination, and the doctor said it was an inguinal hernia. What should be done if the child constantly complains of pain?Doctor's answer:
Since the diagnosis is clear, if there is no improvement after one year, surgical treatment is necessary. If there is pain, it is essential to seek an urgent consultation with pediatric surgery to check for any impaction or incarceration. If this is present, emergency surgery is required to prevent ischemic necrosis, which could lead to serious conditions such as intestinal infection. Local palpation and inguinal color Doppler ultrasound are needed. The treatment involves high ligation of the hernia under general anesthesia, tailored to the child's specific condition. Pay attention to hygiene and develop good habits.