Hi Anthony
Wow. Australia. I'm terrible about long-haul flights....and I'm also concerned about the hernia (or hernias -- mine might be bilateral, the doc's are not 100% certain) enlarging due to increased air pressure. I've seen a few things about this. Anything that causes increased intra-abdominal pressure can apparently be somewhat risky for hernias.....
I will definitely look into horsetail and Q10. I've seen one or two posts elsewhere about these. Thanks. No....the right-side hernia hasn't popped out since June 2007, but there is a slight bulge. There's no bulge on the left, however one doc said he felt a tiny one on that side as well. Two subsequent examinations, one by a surgeon, were "iffy" about that (?).
I had decided to have ultrasound, however I wasn't aware that it meant having to "push" so hard. Hmmmm......I don't really like the sound of that, in case intestine is involved. It could provoke something. I'll go over it with the doctor and get his opinion.
The reason for having ultrasound is to determine both the extent & the contents of the hernia, also the condition of the surrounding tissues. You're really lucky if the contents are just fat. That means you're probably quite safe with "watchful waiting", for now at the very least.
You may have heard of the Munich Hernia Centre, run by Dr Ulriche Muschaweck. This place has a top reputation. They do a unique ultra-minimal procedure -- without using mesh in most cases -- and they always do a complete ultrasound and dynamic ultrasound (?) before proceeding, to determine the precise nature of the hernia. This is why I had wanted to have ultrasound -- to see exactly what's what.
You're probably aware that the latest thinking leans toward no surgery for small, painless hernias -- particularly if they're "direct" rather than "indirect". You might want to google the Munich clinic. I recently emailed Dr Muschaweck and received two very courteous, personal replies. Although I'm beyond terrified of having surgery, I did find her attitude & approach reassuring.
My two doc's have advised against a truss as they feel it may cause more harm than good by acting like a "crutch", thereby weakening the surrounding muscles & tissues. So far my hernia(s) are virtually painless, except the occasionally twinge if I overdo the Pilates. I've seen the truss issue debated ad infinitum. I'm not convinced either way, but for now, personally, I'm not using one.
My doc's had advised mild Pilates as it strengthens the core abs, and I've been doing that, along with taking Hawthornia. However this product is quite expensive, and it has to be sent over from people in the States, which is awkward.
I've also now taken it for the recommended time. I can't say with absolute certainty whether or not it's had an effect, however the right-side hernia has never popped out since and is less "bulgy" than it was at the beginning (the left side hasn't ever been visible) and I have virtually no discomfort, apart from the odd very slight twinge now & again.
My hernia(s) suddenly appeared after serious weight loss due to depression/anxiety. A recent study in Sweden reported that obese/overweight men were actually 2/3 LESS likely to have hernias. This actually makes sense --- both the muscle bulk/mass and the layer of fat in the groin must be greater in heavier people. Nearly everyone I've known with hernias, with one exception, has either been thin or very thin.
I've seen countless websites, etc, advising against putting on the pounds as being risky for developing hernias -- however it sounds like the reverse may be true (?). Still, it's probably not a great idea to have too much pressure down there, of any kind. Mildly exercising the area is meant to be helpful, as long as it doesn't apply pressure to the hernia. I've been advised not to overdo it -- and to only do exercises on my back, as doing face-down positions exerts more downward (gravitational) pressure into the hernia. Makes sense.
What your GP told you is, unfortunately, very accurate. The ab muscles invariably slacken and lose bulk & tone with age....which is what really worries me (I'm now nearly 56). If you've seen some of the clinical charts, the risk of incarceration & strangulation definitely increases with age. Most "emergency" hospital admissions for hernia involve people in their 70s and beyond. As Father Time is utterly relentless and there's no way to hold back the ageing process, it's very scary.
I've also decided to try & keep any problems at bay by exercising and keeping the lower abs as toned as possible. I've never had a weight problem (I've had the reverse, which my doc's say probably allowed the hernias to appear) -- I suppose it's best to be neither over or underweight.
I'm looking for ways to keep this thing under control for as long as humanly possible. Hopefully at least until surgical methods improve, alleviating the endless litany of very serious complications associated with the current mesh methods.
As another (pencil thin) friend of 42 with a hernia recently put it, "it's like walking around with a time-bomb inside your body...." Which is how I feel about it -- it's definitely scary and causes me a ton of serious worry. Therefore I'm constantly on the lookout for advice as regards nutrition, etc. I've seen many sites linking Vitamin C with promoting good collagen formation -- some recent studies link hernias with poor collagen development and that makes real sense as collagen forms connective tissue.
You might want to look at the "Hernia Bible" website. It's a very comprehensive site covering the gamut of "alternative" (non-surgical) approaches, issues, remedies, etc --- as well as providing links to many medical articles & reports, clinical trials, studies, etc. The site is based in Hastings & they're planning to hold training sessions (workshops) starting in the new year. I'm hoping to go along...it sounds like it could provide some valuable info & insights. The guy who runs the site has had his hernia for something like 20 years, with no problems. Do have a look.
Meanwhile I'll check out horsetail and Q10. Hope you enjoy Australia (perhaps you might come across some valuable info while you're there!), have a good, safe journey home ..... and peace.