What to do for hernia in children

The examination of hernia in children mainly includes physical examination, B-ultrasound examination and abdominal stereoscopic imaging examination (such as CT or MRI) when the diagnosis is difficult. Choosing the appropriate examination method according to the child's symptoms is the key to a clear diagnosis.

1. Physical examination

The doctor will first perform a physical examination to see if there is a raised mass in the child's groin area or around the navel, with a focus on whether the mass becomes more obvious when the child coughs, cries loudly, or stands up. This is the most basic and most commonly used examination method, and for most children, it can already preliminarily determine the presence of a hernia. The doctor may feel the elasticity of the mass by palpation, and sometimes may try to gently reduce the contents of the hernia to determine the type and severity of the hernia.

2. Ultrasound examination

B-ultrasound is a safe, non-invasive and child-friendly imaging method. For situations that cannot be clearly identified by physical examination, B-ultrasound can quickly help find the location of the hernia and clearly present the specific structure of the hernia contents, such as whether it is intestinal tract, adipose tissue or other abdominal organs. B-ultrasound is more sensitive in evaluating sliding hernias and occult hernias, especially for children with atypical early symptoms, as B-ultrasound can provide more accurate information.

3. Abdominal CT or MRI

In some complex cases, especially if the hernia is suspected to be incarcerated or another medical condition is suspected, your doctor may recommend a CT or MRI of the abdomen. These tests can provide detailed images of specific structures in the abdomen and groin area and help rule out other conditions, such as tumors. CT or MRI may also be part of the preoperative evaluation before surgery is needed. Although these tests are not the first line of diagnosis, they are essential in difficult cases.

The diagnosis of pediatric hernia mostly relies on scientific examinations and doctors' evaluations. If parents find that their children have symptoms similar to hernia, they should seek medical attention in time to avoid delays. Through comprehensive clinical examinations, a reasonable treatment plan can be formulated to ensure the healthy growth of children. It is recommended to follow the doctor's advice after diagnosis and take scientific intervention measures, such as observation and follow-up or timely surgical repair.