So, I got an umbilical hernia


(Cristian Lopez) #1

Hey guys!
This is not something I would look forward to ever typing but, I’ve fallen into a realm outside of nutrition. “injury” specifically "physical injury, I got an ultra sound this Thursday too find out I have a small hernia the size of a penny, I work out 6 times a week intensely and have been lifting heavy weight for the past 3 years with fairly not much cardio since Cross country in Junior high. So the run down is I cant have surgery till 3 months from now, and I am at my own discretion at how I want to work out. I wanted to know if anybody had any advice on what excersizes to avoid, physical treatment to reduce/prevent the hernia, and what type of excersizes to do?

Are seated rows machines, seated chest press machines, and bicep/tricep curl machines ok?
How about Stair master, Sprinting, running or jogging?

FYI- Dont dig into nutrition as “ive got all figured out” in a realm between keto and paleo (No dairy, fruits and squashes, organ meats, Omega 3 ratio 1:3 )


(Full Metal KETO AF) #2

That would depend if it’s abdominal or groin. I would say anything that’s uncomfortable stop immediately. And that should keep you safer. Maybe just try to maintain rather than gain until you’re through it.

There is a fairly lengthy post op time when they may suggest not working out until things knit well. That could be some time. I had a groin hernia about 15 years ago. They want the mesh to fuse with tissue without you accidentally damaging the process. :cowboy_hat_face:


(Cristian Lopez) #3

Oh, wow, glad you recovered! I was opting for not getting the mesh as it would be overkill for the size of the hernia to install a foreign object in me, Its an umbilical hernia btw.

Thanks a lot for the input David! appreciate it much man!


(Central Florida Bob ) #4

I got an umbilical hernia two years ago and I really haven’t figured out what I can do or not. As a result, I’ve let my abs get weaker and I think that makes it hurt more. I’m thinking about getting it fixed, but I’ve run into two doctors who said the surgery frequently leaves you with as much pain as before the surgery. A hernia belt seems to help - I suppose just more support to keep it from distending more.

I find that doing upper body work doesn’t aggravate it, but anything that causes me to tighten those ab muscles makes it hurt. I’d really agree with @David_Stilley to take it slow and really listen to your body.

Disclaimer: I’m an old guy. My experience may not transfer to you.


(You've tried everything else; why not try bacon?) #5

I had an umbilical hernia, and unless it’s painful you can probably work out pretty much as normal. Just go easy on the crunches. As long as what pokes through is what they call omentum, it shouldn’t be painful. However, the risk is that a bit of intestine will poke through and you won’t be able to poke it back in. That will be painful, and you should go to the hospital right away. An “incarcerated” bit of intestine can necrotize and cause peritonitis, is what they told me.

Get this taken care of as soon as you can, and don’t take any guff from your doctor about not dealing with it. I had to live with my hernia for about almost 15 years. First it was, “It’s so small, you don’t need to worry about it,” then “It’s so big, you don’t need to worry about it.” But it interfered with my life from the beginning. Keep complaining about how the hernia is interfering with your life until the doctor listens. The surgery for an umbilical hernia can usually be done in an out-patient clinic

Most surgeons will not want to use mesh to contain the hernia, because there is a significantly higher risk of infection just from having a bit of foreign material in your body. I thought the mesh was a great idea, but my surgeon explained why he didn’t think so, and in the end the gap between the muscles was so small that mesh wasn’t needed in any case. Having thought more about it in the years since, I am grateful not to have to worry about infection.


(Dirty Lazy Keto'er, Sucralose freak ;)) #6

Kid, I have experience with this ! I was born with a weak spot around my belly button, and always had a small lump there… usually buried with fat though, so it was not that noticeable. The interesting thing was, that after always stuffing my big fat belly full, for many years… decades in fact, I never had any serious issues. Then, after losing more than 100 lbs, 11 years ago, I had some really intense pains right in my belly button area… and I noticed the lump was bulging. As it turns out, my intestines were try to force there way through. It seemed weird to me that it waited until I lost a bunch of weight to do this, but the Dr. said this happens sometimes, after things start shifting around.
I ended up having to get an umbilical hernia surgery, where they put a mesh patch in the weak area to hold my intestines in. The Dr. told me in the pre op, it would feel about like I had been hit in the stomach with a baseball bat. I thought he must be kidding, but nope. That is exactly what it felt like the day after surgery ! Took about 3 weeks for most of the pain to go away. One thing that absolutely saved me, was using one of those neoprene and velcro waste straps, as when I stood up, it felt like my stomach was going to rip out ! That was fun :slight_smile: Not.

Here’s the thing though, if your intestines ever do force their way through your stomach wall, they can be “strangled” and that portion of your intestines can die, which is obviously extremely serious, and can lead to death, or at the very least, a hard core surgery to remove that portion of your intestines.


(Susan) #7

Take care Cristian. I haven’t had this and I don’t know a lot about it; but I just want to wish you well in getting it all sorted, and having a successful surgery and recovery. Take care =).


(Doug) #8

Cristian, I think mesh would definitely be overkill. :smile: If it’s penny-sized then I’m guessing there isn’t much danger of stuff protruding through it, so totally agree with the idea that as long as you feel all right, exercise is fine.

I had an umbilical hernia in 2003 (due to working out, actually). From my belly button outward it was triangular in shape, at most a couple inches long on a side. At my first consulation with the doctor he said, “Oh, I can fix this with mesh,” as if it was the easiest thing in the world. After the surgery, I found out that he didn’t use it, and I’m just as glad.

The whole thing was not bad at all for me - I did take it easy in recovery for some weeks but very little suffering. The incision was itchy for a while’ that’s really all.


(You've tried everything else; why not try bacon?) #9

With my hernia, the mound outside my belly grew to nine inches in diameter, raised at the center about three inches from the surface. This was all material that came through a slit 3/4 of an inch long, tops. The surgeon merely poked all the omentum back inside, stitched up the gap, and that was it. No need for mesh. But I have a nine-inch scar across my abdomen, purely in the skin—the doctor felt obliged to deal with the resulting loose skin. If only I’d known about autophagy at that point! I might still have a belly button, . . . (sigh)


#10

Consider aiming to avoid the surgery if possible - there is increasing evidence that hernias can be improved in part or in whole through non-surgical means (though only the more elite and well-researched surgeons are aware of that fact at this point in time). Many traditional cultures used abdominal wraps/cumberbands to enhance core awareness/strength and heal weaknesses and actual hernias when needed. As you prob already know, any surgery that cuts through the body’s protective layers is major, and life-risking, and one must assess the real risks and advantages/disadvantages both short term and long term.

As others have mentioned, basic surgical recovery is… gruesome… and surgical complications are heinous… Plus, surgical errors/mishaps are another part of the equation (iatrogenia, etc). The fact is that abdominoplasty opens the sealed core of the body to chill along with risk of infection (at a rate of around 40% depending on various factors). Ironically, surgical abdominal repairs further weaken the connective tissues lifelong apart from the short term quick-fix stitching or patching etc. The rate of hernia re-injury and repeat abdominoplasty surgeries is also significant alas :frowning: (If I recall correctly, it’s something it’s between 40- 70% in males, with the higher rate in older males, but still not a small thing for younger males as there is still a frequent repeat surgery/complications - as is the case in many non-emergency interventions). So, you might want to consider giving yourself more time to explore your options and healing regimens and postpone the surgery date.

The umbilical area/core armor is the seat of personal power in the body - and many people who’ve grown up within chair-sitting and otherwise mind-body disconnecting industrial culture and malnourishing SAD diets have weak bellies/cores. The natural umbilical hernia that all babies have is supposed to go away by around age 2 - but in some children it never entirely closes or it remains somewhat vulnerable (due to poor nutrition and/or injury) - and often further injuries/accidents and/or training overexertions in later life play a role in separating the connective tissue/linea that comprise the abdominal support corset.

I’d def recommend getting second and third opinions on healing options from people who aren’t surgeons - as well as surgical prep options (in case surgery is actually required). You have a relatively small hernia (some are 2 inches, some post-childbirth ab muscle separations are more than that, etc), though certainly all hernias are critical to attend to - and you are young. These factors bode very well for self-healing using splinting/bellybelt and the specific, intense, connective tissue restorative exercises - plus incorporating daily collagen intake + Vit C for tissue repair nutrition. :sunflower:

Check out senior abdominal healing specialist Judith Tupler RN PT’s non-surgical program for hernia healing - it’s evidence-based, medically-blessed - and is an 18 week program that involves basically nearly 24/7 splinting (with comfortable patented gortex ab support for muscle/tissue bringing together - NOT compression) + rigorous daily belly/transverse seated exercises/contractions that are phenomenal for neurological/electrical recovery in the area of injury, and the general connective tissue/faschia in the belly. It involves taking a break from other training for the first 6 weeks in order to get established in the program - and then incorporating the belly-protecting awareness and splint while proceeding with one’s normal workouts. The entire program takes dedication - but is actually time-saving compared to surgery’s post-op realities plus the fact that no one is ever guaranteed to return from general anesthesia/the underworld to actual worldly time again (even though it may seem like just an adventure of sorts … which it did to me as I myself had a tonsillectomy at age 4 and a broken finger surgery at age 15, both of which I later found out were actually unnecessary, and the some others regularly didn’t survive or had post-op complications from - and which I wasn’t prepared for in terms of the excrutiating and awful post-surgical realities for weeks on end - some 200-300+ hours of nonstop pain, serious meds that were harsh on the liver, and other new incapacities before “recovered” with scars, etc).

These things aren’t much discussed in industrial culture - but are real. She also has book called Together Tummy, which contains her program, and many youtube training vids - and hasa video just for dudes that takes you through her program and doesn’t include all the female/pregnancy-related stuff.

Also beneficial is the work of biomechanical physical therapist Katy Bowman - she has a book Diastasis Recti: The Whole Body Approach To Abdominal Weakness And Separation is all about core/umbilical strength restorations for both injury and lifelong self-care. It educates on the connective tissue, and on postural recovery of proper rib placement/anchoring for daily belly protection and other movements to relieve pressure on the connective tissues and expand the capacities of the intercostal rib muscles, etc. Her language is very accessible, and she has a great sense of humor as well!

Plus, in the event that one still needs surgery, transverse strengthening and biomechanical movement adjustments for months beforehand and optimize the belly for surgery and vastly speed recovery - and if practiced as maintenance lifelong (without a splint and with only a once a day brief exercise session) help prevent future injuries! According to Nurse Tupler, about 90% of folks have connective tissue issues and injuries in the belly area due to past or recent injuries, chair-sitting culture, and/or developmental nourishment issues - and most can be repaired without surgery. Interestingly, her program has rave reviews by notable surgeons who’ve lived the saga of patients’ post-surgical issues and who highly recommend her program.

I’ve learned a ton from both Tupler and Bowman about nutritious movement and connective tissue healing.

Also, in general - consider a max of 2 times a week resistance/strength training to align with the body’s critical recovery processes. Ideally, in the super slow/slow burn style which optimizes metabolic response, muscle development, and recovery optimizations. As many of us know, the LCHF physician Doug McGuff MD’s book Body By Science goes into how recovery is critical for muscle gain, and health!

Give yourself some time to consider your options and the lifelong impacts - and try to take the time to make a truly informed choice that respects your body’s inherent ability to heal. From what I’ve read from you Cristian over the last year on the forum here and there, you seem like a very good candidate for natural healing of your abdominal wall based on your diligence, critical thinking skills, and self-cultivation. :muscle:

Hope this helps!:sparkles:


(Cristian Lopez) #11

Thanks so much @SlowBurnMary! This was exactly what I was looking for! I totally agree that I am uncomfortable with someone tearing through my abdominal. I will explore into what you recommended me! You know it’s really hard to find good information regarding alternative medicine regarding hernia repair, almost as if they lobby google not to show you and doctors to distance themselves from the non surgical route. All in all though, if surgery is necessary (no mesh) than it may be the inevitable option based off what my parents decide.


#12

You’re very welcome!!! Yes, it is hard to find good info - the corporate medical model in the US tends to drown out new research and ancient wisdom. I hope your parents are also encouraged by the resources - and postponing the surgery in order to complete a good 4-5 months of core healing will put you in the best state for it, should you need it. :muscle: :avocado: :hot_pepper: :bacon: :steakcake: :surfing_man:


(You've tried everything else; why not try bacon?) #13

Not only did that fail to prevent my hernia from getting larger, it inhibited my exercise and actually helped to weaken my lower back muscles. Losing weight would have helped a lot, but I was a sugar-burner in those days, so there was no hope of that.

While I am no advocate of leaping immediately to surgery, I must say they have it down these days, at least where umbilical hernias are concerned. The surgery for my hernia was very simple, since the gap between the muscles was just under 2 cm. With such a small hole, the only necessary work was to stitch the muscles back together. The challenge to the surgeon was to deal with all the loose skin left over after all the omentum was pushed back into the abdominal cavity. If only I’d known about autophagy in those days!

The operation was done as outpatient surgery, and it wasn’t particularly painful. I’ve experienced far worse post-surgical pain, believe me. I was back to mostly normal within a day, It was such a relief to be able to bend over, to wash dishes without straining my back, to be able to tie my shoes without getting into a yoga posture first, to be able to lie on my belly, even, that whatever problems may eventually arise from this surgery (so far so good, for nearly three years) will still be worth it.


#14

Good for you that your surgical & post-op experience worked for you and you’re happy about it! That’s often not the case for plenty of folks unfortunately, in a SAD context where frequently full spectrum informed choice and integrative non-surgical training approaches are deprioritized in many settings in a culture where 90% of folks having abdominal weaknesses means a huge profit-bearing stream of abdominoplasties of various kinds. But even just post-surgical physical rehab of the kind mentioned above can be extremely beneficial for preventing re-injury over the decades etc.

Impt sidenote: traditional cultures not only use external wraps, but also internal healing practices and postural foundations (not being chair-sitters and squatting to sit) - it’s a huge realm and knowledge base which those of us in industrial cultures are generally unaware of. The Integrative Medicine & Functional Medicine programs in some medical schools do encourage study of body-based solutions though.


(Dirty Lazy Keto'er, Sucralose freak ;)) #15

Well, as I explained, my post surgery pain and healing was no fun at all, and yet I still think it was the best thing to do. No regrets, and no problems for the 10 years since I had it done.


#16

I have one too. Just above my naval, and I’ve fought it for probably 6 or 8 years. (I’m 65 currently.)

I’ve been scheduled to have it repaired with mesh, on Jan 3rd since about May of this year. Despite the warning above, I believe I’m going to go through with it. It did give me pause, and I certainly appreciate the carefully worded post.

Thank you!

Sometimes I suffer with what I used to think was an ‘incarceration’ … however… during the first pre-op meeting with my surgeon, he called it a bit of a misnomer in my case.

I’ve really no idea why, because I can tell you without hesitation, that I have experienced what is CLEARLY intestinal contents of some sort (wink wink) trapped in the opening, right where it doesn’t belong. It can take me quite a few minutes of panicked and VIGOROUS…umm… massaging to work it all back into place. Sometimes the end of a water bottle is required.

IT IS UTTERLY frightening when it happens, and I have NOOOO choice in the matter. As my surgeon glibly stated, “You’ll end up in the Emergency Room someday” I presume he meant with a GENUINE incarceration. The only reason I’ve put it off so long, is $$$ and now, I’ve got Medicare. I’m paying for this with the money The Gubermint has been stealing from me for 5 or so decades. :flushed:


(Kay) #17

I had a small umbilical hernia fixed (mine was due having had 2 babies and the muscles not knitting back properly) mine healed up fantastic. I didn’t have any mesh. No complications and just went back to my fitness stuff gradually taking care on ab things until it felt 100%. My dr said they are easier and simpler to fix when small. I hope it goes as well for you.