Constipation is a common issue, often attributed to poor diet, lack of physical activity, or inadequate water intake. However, did you know that constipation could also signal something more severe, like a hernia? Understanding the connection between constipation and hernia is essential for diagnosing and treating this condition effectively. Colouring the
The Link Between Constipation and Hernia
A hernia occurs when an internal organ or tissue pushes through a weak spot in the abdominal wall or groyne. While most people associate hernias with visible bulges or pain, constipation can also be a key symptom, particularly when the hernia affects the intestines.
To understand how constipation can be a sign of hernia, OnlyMyHealth interacted with Dr Roohi Pirzada, MBBS, Consultant Physician, Mumbai.
Dr Roohi Pirzada explains, “Yes, constipation can be a sign of hernia, but it can also be caused by a hernia. Hernias can affect the intestines, which can lead to constipation or thin stools. They can also cause pain, making it difficult to use your abdominal muscles during bowel movements, contributing to constipation.”
Furthermore, she adds that chronic constipation might indicate a partial intestinal obstruction or blockage due to pressure or compression from a hernia. In severe cases, the obstruction may be so significant that the individual cannot pass gas, a medical emergency.
Also read: Dealing With Hernia? Expert Lists 6 Tips To Manage It
In some cases, constipation doesn't just signal the presence of a hernia—it could also be a cause. Straining excessively during bowel movements increases intra-abdominal pressure, which may cause a hernia in individuals with a weak abdominal wall. Dr Pirzada highlights this by stating, “On the flip side, constipation, which makes a person strain excessively during bowel movements, may cause hernia as the abdominal wall is weak. Due to increased intra-abdominal pressure while straining, the hernial contents bulge out from the weak abdominal wall.”
This connection between constipation and hernia is critical because ignoring constipation for prolonged periods can increase the risk of developing a hernia, even in individuals who do not initially have one.
Also read: How To Know If Your Abdominal Pain Is A Sign Of Hernia
Other Symptoms of Hernia
Besides constipation, hernias present with a range of other symptoms depending on their location and severity. Here are some common signs:
Visible Bulging: A noticeable lump or bulge under the skin, particularly in the abdominal area or groyne, is often the most common symptom of a hernia. The bulge might disappear when lying down but becomes more pronounced when standing, coughing, or straining.
Pain or Discomfort: Hernias typically cause pain, especially when lifting heavy objects, coughing, or straining during bowel movements. The pain may range from mild discomfort to severe and sharp pain.
Nausea and Vomiting: In cases of strangulated hernias, where the blood supply to the tissue is cut off, nausea, vomiting, and severe pain occur. This is a medical emergency.
Difficulty Passing Gas: As Dr Pirzada mentions, “Constipation that occurs concurrently with hernia may be a sign of intestinal obstruction and should be medically checked. Sometimes the obstruction is so large that a person may not be able to pass gas as well.”
Managing Constipation to Prevent Hernia
Constipation is not only a symptom of hernia but also a potential cause, particularly if left untreated. Here are a few tips to manage constipation and reduce the risk of hernia:
High-Fibre Diet: Incorporating more fibre-rich foods like fruits, vegetables, and whole grains can promote healthy bowel movements and reduce straining.
Stay Hydrated: Drinking plenty of water softens stools, making them easier to pass.
Exercise Regularly: Physical activity stimulates intestinal activity, preventing constipation.
Avoid Straining: Don’t force bowel movements, as this can increase intra-abdominal pressure, leading to hernia formation.
By recognising the signs and taking preventive measures, you can avoid the complications associated with hernias and chronic constipation. If you suspect you may have a hernia, consult with a healthcare provider for an accurate diagnosis and treatment plan.