How to judge pediatric inguinal hernia?

Patient's question:

My child's lower right abdomen has reappeared with an egg-sized lump that has been particularly painful since one day ago. Occasionally, there are no other symptoms, but sometimes there are! Hello doctor, is it better to have surgery now or wait until the child is older? How can we determine if my child might have an inguinal hernia?

Doctor's answer:

Hernia can be retracted initially; it may weaken during coughing or laughing and return when lying flat. If it cannot be retracted and causes severe pain, it may have become incarcerated. In such cases, it is recommended to seek immediate medical attention at a local reputable hospital or institution for follow-up. Testicular hernia is known as an inguinal in clinical diagnosis, characterized by inguinal swelling. It is easily triggered by crying, coughing, or other factors that reduce abdominal pressure. Many children can self-retract the hernia when they are calm. Once a pediatric hernia is detected, timely treatment is crucial to avoid missing the optimal treatment window and leaving a lifelong.

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