Inguinal Hernia in Children: Care Instructions

Overview

An inguinal hernia occurs when tissue bulges through a weak spot in the groin area. Your child may have a tender bulge in the groin or the scrotum. Your child may also have pain, pressure, or a burning feeling.

Hernias are caused by a weakness in the belly wall. The bulge or discomfort may occur after heavy lifting, straining, or coughing. Hernias do not heal on their own, and they tend to get worse over time.

In most cases, a child with an inguinal hernia will need surgery.

Infants 12 months of age and younger who have these hernias have a much higher risk of problems than older children and adults. For example, the intestines may become trapped in the hernia. When this happens, it cuts off blood supply. Because of that risk, hernia surgery is done right away for infants.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and contact your doctor if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

• Be safe with medicines. Read and follow all instructions on the label.
  • If your child is not taking a prescription pain medicine, ask your doctor if your child can take an over-the-counter medicine.
  • If the doctor gave your child a prescription medicine for pain, give it as prescribed.
  • Do not give aspirin to children and teens. It has been linked to Reye syndrome, a rare but serious illness.
  • Store your child’s prescription pain medicines where no one else can get to them. When you are done using them, dispose of them quickly and safely. Your local pharmacy or hospital may have a drop-off site.
• Help your child stay at a weight that is healthy for them.
• Include fruits, vegetables, legumes, and whole grains in your child's diet each day. These foods are high in fiber and will make it easier to avoid straining during bowel movements.
• Have your child avoid activities that cause increased pressure in the belly, such as lifting heavy things.
• Keep your child away from smoke. Do not smoke in your house or around your child, and avoid being around others who are smoking. Smoke can cause coughing, which can cause your child's hernia to bulge.

When should you call for help?

Contact your doctor now or seek immediate medical care if:

• Your child has new or worse belly pain.
• Your child is vomiting.
• Your child cannot pass stools or gas.
• You cannot push the hernia back into place with gentle pressure when your child is lying down.
• The area over the hernia turns red or becomes tender.

Watch closely for changes in your child's health, and be sure to contact your doctor if your child has any problems.