How to deal with pain from pediatric inguinal hernia?

Patient's question:

Started saying stomach pain, then started vomiting. Cried and screamed non-stop. Later, noticed a hard, egg-sized lump on the right upper part of the child's scrotum. 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 even more important to seek an outpatient consultation in pediatric surgery to check for any impaction. If impaction is present, emergency surgery is required to prevent ischemic necrosis, which could lead to severe conditions such as intestinal infection. Local palpation and inguinal color Doppler ultrasound are needed, and the inguinal hernia should be treated with high ligation of the hernia sac under general anesthesia. The treatment plan will be tailored to the child's specific condition. Pay attention to hygiene and develop good habits.

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