What should I do if the baby pedals hard?

Patient's question:

A two-month-old baby will have their right testicle swell when they kick their legs hard, but it disappears quickly when they don't exert much effort. The left one is normal. What could be the reason? Is it a hernia? I didn't notice it when they were crying.

Doctor's answer:

Hello, based on the symptoms you described, it could be considered as pediatric hernia. The fundamental reason is that the processus vaginalis does not close in time. The processus vaginalis is formed due to the descent of the testis or round ligament of the uterus, and it typically closes within one year after birth. It is recommended to avoid situations that increase intra-abdominal pressure in babies, such as excessive crying, constipation, or coughing, as these can also help reduce the incidence. Pay attention to keeping the baby warm and preventing colds.

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