What is the hard lump in a child's inguinal hernia?

Patient's question:

My baby is the second child, and he was diagnosed with a hernia at just four months old. My husband and I are very worried. There's a hard lump at the location of the hernia, and I don't know what it is. It disappeared after a few hours, but it has reappeared now. I'd like to ask the experts what the hard lump inside a pediatric hernia is.

Doctor's answer:

According to the described situation, this may be related to inguinal hernia in children, which is often caused by the failure of the processus vaginalis to close during the descent of the testis in the embryonic period. It can develop in the neonatal period and is a congenital disease. For children with a history of a mass in the inguinal area or those who temporarily cannot be found with a mass in the inguinal area, infants and young children can be stimulated to cry or have pressure applied to their abdomen, while older children can be asked to cough, hold their breath, or bear down after running or jumping, after which the mass can often be found and a definitive diagnosis can be made. Currently, it should be an active hernia, and conservative treatment with a hernia belt can be used first.

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