Despite hernia, what causes bowel movement issue?

Question

Hello doctor,

I was doing crunches (exercise) three years ago, something went wrong near my left side abdomen I mean the left side of belly button portion. I feel a kind of knot sensation. I cannot evacuate properly even if my stool is soft. I cannot pass gas and urine comes slowly unless gas is fully evacuated. I did an ultrasound scan and everything is fine no hernia nothing. While I sleep I do not notice this knot kind of sensation but while I am sitting I can feel it. Doctor said it was a muscle catch and gave some medications but it did not work. Can you help me?

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query in detail and it seems as if you might be suffering from a femoral hernia. Though less common in men than an Inguinal hernia, it does cause the kind of symptoms you seem to be facing. Long term solution is obviously surgery, but since we do not have enough information, I will try to alleviate your symptoms rather than diagnose. Wear scrotal support, this will lend strength to muscles in sitting and standing positions. You can try an abdominal binder if pain or strain or knot is more above rather than below the abdomen. Avoid standing for more than five minutes in one go, rest or sit as often as possible. Increase water intake to 10-12 glasses a day. Avoid eating high sugar foods to decrease gas or bloating. Follow up after 14 days with ultrasound abdomen and x-ray abdomen erect. Thank you and take care.