A hernia occurs when tissue or part of an organ pushes through a weakness in the abdominal wall or groin. Common types include inguinal (groin), umbilical (belly button), femoral and ventral hernias.
One of the most common questions patients ask is whether a hernia can simply be left alone. While some small hernias may cause minimal symptoms initially, hernias do not heal on their own and often become larger over time. In some cases, delaying treatment can increase the risk of complications.
Can A Hernia Heal Without Surgery?
No.
Unlike a muscle strain or soft tissue injury, a hernia does not repair itself. Once a weakness develops in the abdominal wall, it generally remains present.
Some patients with very small or minimally symptomatic hernias may be suitable for a period of observation. However, the hernia itself will not disappear without surgical repair.
Do Hernias Get Bigger Over Time?
Many do.
Over time, the weakness in the abdominal wall or groin may enlarge, allowing more tissue to push through the defect. As this occurs, patients may notice:
An enlarging lump or bulge
Increasing discomfort or pain
Symptoms during exercise, lifting or prolonged standing
Difficulty performing normal daily activities
Larger hernias can also become more complex to repair than smaller hernias treated earlier.
Can A Hernia Become Painful?
Yes.
Some hernias cause little discomfort initially, while others gradually become more symptomatic.
Patients commonly describe:
A dragging or heavy sensation
Discomfort after physical activity
Pain when coughing, lifting or straining
Groin or abdominal discomfort that worsens throughout the day
Persistent or worsening symptoms are often a sign that specialist assessment should be considered.
What Complications Can Occur?
Most hernias do not become emergencies. However, complications can occur if a loop of bowel or fatty tissue becomes trapped within the hernia.
Incarcerated Hernia
An incarcerated hernia occurs when tissue becomes trapped and cannot be pushed back into the abdomen.
This may cause:
Persistent pain
Tenderness
Nausea
Increasing swelling
Incarcerated hernias often require urgent surgical assessment.
Strangulated Hernia
A strangulated hernia is a medical emergency.
This occurs when the blood supply to trapped tissue becomes compromised.
Symptoms may include:
Sudden severe pain
A firm, tender lump
Redness or discolouration of the skin
Nausea and vomiting
Abdominal distension
Emergency medical attention should be sought immediately if these symptoms occur.
Does Every Hernia Require Surgery?
Not necessarily.
The decision to proceed with hernia surgery depends on several factors, including:
The type of hernia
Its size
Your symptoms
Your overall health
The risk of future complications
Some patients with very small, asymptomatic hernias may be monitored. However, surgery is commonly recommended when symptoms are present or the hernia is enlarging.
Benefits Of Early Assessment
Seeking specialist advice before symptoms become severe can provide several advantages:
Confirmation of the diagnosis
Discussion of treatment options
Planning surgery at a convenient time
Reduced risk of emergency complications
Earlier return to normal activities
Many patients are referred by their GP after an ultrasound confirms the presence of a hernia. Early assessment allows treatment options to be discussed before symptoms become more severe or complications develop.
Hernia Assessment & Treatment In Sydney
If you have noticed a lump in your groin or abdominal wall, or are experiencing discomfort that may be related to a hernia, specialist assessment can help confirm the diagnosis and determine whether hernia repair is recommended.
Your GP can arrange an ultrasound and provide a referral for specialist review. Bringing any imaging results to your appointment can assist with assessment and treatment planning.
Dr David Joseph is a specialist Upper GI and General Surgeon with extensive experience in inguinal, umbilical, femoral, ventral and complex hernia repair.
To arrange an appointment, ask your GP for a referral and call 02 9565 5514 or book online.
