Hernia / Luslos
Evaluation of groin, navel, abdominal wall, and post-surgical hernias
A hernia (luslos) occurs when tissue or an organ protrudes through a weak spot or opening in the abdominal muscle wall. This common medical condition can affect anyone, from active adults to the elderly.
Common sites include the groin (inguinal), navel (umbilical), and mid-abdomen or old surgical scars (ventral/incisional). While many cause physical pain, others may exist for a long time without any symptoms.
Most hernias appear as a soft bulge (bukol) that fluctuates. You may notice the lump more when standing, coughing, or lifting, while lying down often causes the protrusion to temporarily flatten or disappear.
Consulting with Dr. Juan Miguel T. Delgado, MD (Pasig & Makati) provides clarity on your condition. We will decide together if monitoring the hernia or proceeding with surgical repair is your best path forward.
Common types of hernia
- Inguinal hernia: found in the groin.
Umbilical hernia: located at the navel.
Ventral hernia: occurs along the abdominal midline.
Incisional hernia: forms at the site of a prior surgical incision.
Common symptoms
- A visible or felt bulge (bukol).
A sensation of heaviness or aching.
Localized pain or pressure, often worsening by evening.
Increased discomfort when coughing, straining, or lifting.
Does every hernia need surgery immediately?
Not necessarily. The decision to operate depends on the hernia type, its size, your symptoms, and how much it affects your daily life versus the risk of complications.
Small, painless hernias can often be safely monitored through observation. However, they do not heal on their own, and planned surgery is generally safer when you are in good health before the hernia grows larger or more complex.
Deciding on surgery is a clinical partnership. We look at your symptoms and overall physical health to choose the most appropriate timeline.
When may hernia repair be considered?
- When a hernia causes persistent pain or discomfort.
If the bulge is progressively getting larger.
When it limits your ability to work or exercise.
If physical exams or imaging suggest an increased medical risk.
When is it urgent?
Seek immediate medical attention if you suspect a hernia is trapped or strangulated. Look for these emergency warning signs:
- Sudden, intense pain at the hernia site.
A bulge that is hard, tender, or cannot be pushed back in.
Nausea, vomiting, or a bloated belly.
Inability to pass gas or have a bowel movement.
If you experience severe pain or symptoms of obstruction, go to the nearest emergency room.
Ultrasound & Second Opinion Evaluation
If you already have an ultrasound, CT scan, or lab results, you may bring your official reports from any hospital or laboratory. During your visit, we will review your findings carefully and discuss them with you in an unhurried, objective way before any decision about surgery is made.
• Correlating your symptoms and physical exam with what appears on your ultrasound or scan
• Assessing whether surgery is truly indicated now, or if your condition can be safely monitored
• Explaining your options and next steps in clear language, so you can decide with confidence
Hernia FAQs
Can a hernia heal by itself?
In adults, hernias do not close or resolve on their own. Because of constant abdominal pressure, the weak spot in the muscle usually stays the same or grows.
Does every hernia need surgery?
No. Not everyone needs an operation right away. For many, 'watchful waiting' is a safe option, provided the hernia is small and not causing significant issues or risks.
Can I keep exercising if I have a hernia?
You can stay active, but it is important to avoid heavy straining that forces the bulge out. Listen to your body and adjust your workouts to prevent discomfort or worsening.
What happens if I ignore it?
A luslos may get larger and more uncomfortable over time. While not all hernias become emergencies, leaving them unaddressed can lead to more difficult repairs or risks in the future.
How do you decide when repair is needed?
We review your medical history, perform a physical exam, and check imaging. We then discuss the safest and most effective plan tailored specifically to your health and lifestyle.