What are the symptoms of neonatal small intestinal hernia?

Patient's question:

The baby is 42 days old for a health check-up today. She is a girl. The doctor felt a hard lump in the groin area. An ultrasound was performed, and the results are as follows: A hernia sac mass was observed in the right groin area, measuring 21mm13mm. The content is a medium-high echo mass. The diameter of the internal ring of the hernia sac is 7mm. Color Doppler imaging shows color flow signals in the abdominal cavity flowing from the internal ring to the hernia sac. Please ask the doctor to provide a specific diagnosis based on the baby's ultrasound report, as well as advice on care and treatment. Thank you!
Previous Treatment and Effect:
The baby has normal urination, defecation, and deep sleep. Her weight loss is normal.
What kind of help is needed:
1. The baby hasn’t cried much in the past 42 days. What could be the reason for this? She went swimming at 20 days old. How is this related?
2. Is the baby’s condition likely to be pediatric hernia? How should it be cared for and treated in the future?

Doctor's answer:

Except for a small number of infantile hernias, the vast majority of inguinal hernias cannot be relieved. As the condition is delayed, the hernia mass gradually decreases, which will bring difficulties to treatment. Moreover, inguinal hernias are prone to recurrence, strangulation, and even endanger the patient's life safety. Therefore, except for a few special cases, pediatric hernias should be treated as early as possible and thoroughly.
Medical advice: Drug therapy can alleviate symptoms such as abdominal pain, constipation, and discomfort caused by hernias, thereby reducing the hernia. However, its drawback is the inability to control the hernia from protruding. Common traditional Chinese medicine formulations include Hernia Internal Dissolving Pills, Bitter Orange Pills, and Tonifying the Middle Qi Pills.

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