The Complete Guide To What’s Causing Your Hernia

Hernias are bulges or tears in the abdominal muscle. They occur when the inside layer of the abdominal wall becomes weak. A small, balloon-like sack can form and a loop of intestine or abdominal tissue may push into the sac, causing pain. In some cases, hernias can be so serious, they require emergency surgery. No matter the degree, a hernia will usually not heal on its own and frequently results in some type of surgery.

Ventral Hernia

Ventral hernias occur when a section of the intestine protrudes through a weak spot in the abdominal wall. Weak spots can be the result of a tear, hole, or abnormality in the wall and can affect both men and women. If the weakness is due to an incision made during a prior surgery, the condition is referred to as an incisional herniation.

Incisional Hernia

After abdominal surgery, incision site(s) are indefinitely weakened, even after completely healed. That’s because the original muscle and tissue is replaced with scar tissue that can thin over time. Incisional hernias occur in these areas because the abdominal wall can be pushed through. Incisional hernias occur after 2 to 10 percent of all abdominal surgeries.

Umbilical Hernia

The point at which the umbilical cord connected to the abdomen is inherently weak and susceptible to herniation. Umbilical hernias most commonly occur in infants and babies under 6 months old, and are observed in about 15 to 20 percent of all babies born in the USA. They manifest near the belly button and (contrary to the above-mentioned) are the only type that may go away on their own. If the hernia doesn’t resolve itself by the time the child is two years old, surgery may be performed to correct the issue.

Adults may also develop umbilical hernias, usually because of injury or unusual weakness of the abdominal wall.

Hiatal Hernia

Hiatal hernias result when part of your stomach pushes up into your chest through your diaphragm (a wall of muscle that contracts to aid in breathing and separates organs in your chest from the rest of your body). More common in patients over the age of 50, hiatal hernias will likely cause acid reflux.

Inguinal Hernia

About 70 percent of all hernias are inguinal, which occur when the intestines breach a weak spot or tear in the lower abdominal wall (usually within the inguinal canal, located in the groin area). Inguinal hernias are more common in men because, shortly after birth, the testicles drop down through the inguinal canal. The canal should fully close behind them, but in some cases, it doesn’t. This creates a weak spot susceptible to herniation. About 25 percent of men and 2 percent of women will develop an inguinal hernia in their lifetime.

In most cases of childhood herniation, the culprit is congenital. Children are born predisposed to a hernia, and the condition may or may not resolve itself as the body grows. In adults, the cause is usually abdominal weakness paired with some degree of muscle straining. But several factors can contribute to the development of a hernia:

Smoking: Incisional, inguinal and recurrent inguinal hernias are more common in smokers than non-smokers for two reasons. First, smoking creates wound complications and prevents connective tissue from healing well. Second, smoking leads to laborious coughing, which can create excessive pressure on the lower abdomen.  A 2005 study revealed that smokers are 4x more at risk for developing an incisional hernia.

Obesity: Obesity can contribute to the development of abdominal wall hernias, including inguinal, ventral and incisional, because carrying excess weight places strain and pressure on the lower abdomen.

Poor Nutrition: Poor nutrition is often a contributor to the development or painful symptoms of a hiatal hernia, but it can also cause obesity or excessive weight loss and malnutrition, which causes weak muscles and can contribute to abdominal wall hernias. Individuals with a hiatal hernia should avoid large meals that cause a spike in the body’s production of acid, as well as foods rich in fat.

If you have a hiatal hernia, or suffer from acid reflux, steer clear of:

• Citrus
• Chocolate
• Fried foods
• Garlic/onion
• Spicy food
• Peppermint and spearmint
• Tomato
• Coffee/alcohol
• Carbonated drinks
• Dairy
• Oil/butter

To prevent the development of a hernia and maintain healthy weight, eat more:

• Fruits: especially bananas and apples
• Vegetables: especially green beans, peas, carrots and broccoli
• Whole grains
• Low-fat, fat free or skim dairy
• Lean meats
• Healthy fats in moderation, such as: nut butters, coconut oil, avocado

Respiratory Issues:

Respiratory issues such as pulmonary disease or cystic fibrosis can also contribute to the development of a hernia. Pulmonary disease is any condition that impacts the blood vessels between the lungs and heart. Cystic fibrosis is a hereditary disorder of the exocrine glands wherein, excessive mucus is produced. In both cases, chronic coughing, wheezing and shortness of breath can result, which creates unnecessary pressure on the abdomen.

Straining or Poor Lifting Technique:

Constipation, an enlarged prostate (that causes you to strain while urinating) poor lifting technique and/or sudden movement can cause any of the above hernia types to manifest. A high fiber diet will soften the stool and reduce straining during bowel movement. When lifting, you should always keep a wide base, squat down, lift with the legs and maintain good posture. Use a back brace to help take excessive pressure off your abdomen and hold the load close to your body to reduce strain.

Pregnancy may also contribute to the development of a hernia, as weight gain and fetal growth will place excess pressure on the abdomen.

Race:

Surprisingly, umbilical hernias are observed 8x more frequently in African American babies than in white or hispanic. While not considered genetic (meaning a parent will pass it on to their child) umbilical hernias do tend to also run in families.

Age:

As we age, the enzymes (which are proteins found in all living cells) that help control the natural building and repairing of our muscles and body tissue can become imbalanced. When this occurs, weak spots may develop, especially in the groin area. This can lead to a higher risk for developing an inguinal hernia. According to one study, inguinal hernias are most common in men between the age of 40 to 59 years old. In women, groin hernias tend to occur between 60 to 79 years of age.

Congenital herniations aside, there are many things you can do to prevent a hernia, beginning with your overall health. Quitting smoking is a big part of prevention, as is adjusting your diet. Whole foods like fruits, vegetables, grains and lean meats will help nourish muscles and tissues to promote better healing, greater stability and weight management. If you perform a lot of heavy lifting, wear a back brace and make sure you are implementing proper lifting technique. Lastly, whether it’s related to chronic constipation, respiratory issues, urinary problems, etc, refrain from straining and seek treatment for the underlying issue.

If you believe you may have a hernia, contact a specialist right away. There are several treatment options, including minimally invasive laparoscopic procedures that minimize pain and scarring.

Hernias 101 – What Is a Hernia and What Can Cause One?

Feb 22, 2018 12:00 AM

Author:
Office of Public Affairs

With plans for spring cleaning, remodeling, and other ambitious projects on the horizon, the possibility of heavy lifting being a part of those plans is certain. Along with the risk of back injury, many people may suffer from a hernia. Hernia? Isn’t that limited to athletes and old people? Hernias occur more often than you may think. Having a better understanding of this condition and the repercussions of a hernia will shed light on this sometimes painful and surprisingly prevalent condition. 

Types of Hernias

The most common type of hernia is abdominal, and the variations depend on its location: according to the American Hernia Society, umbilical hernias appear around the navel; inguinal hernias occur near the creases where the abdomen and the upper thighs meet; and incisional hernias occur after surgery at the site of the incision.

In other words, everyone is at risk of getting a hernia.

Experts estimate that over one million surgeries are performed each year to repair an abdominal wall hernia, which is described as a tear or a hole in the body’s tissue which allows another body part to protrude, causing a bulge. “Patients may have pain or discomfort from this condition, or it may not become painful until the patient coughs, sneezes, or lifts something,” says Daniel J. Vargo, MD, with University of Utah Health’s General Surgery Services. 

Although men are more likely to use a hernia as an excuse for spending all day on the couch, research shows that abdominal hernias occur equally, if not more often, in women.

Common Hernia Causes

1. Obesity—Those extra pounds increase the strain and weaken your abdominal muscles, making them more prone to developing a hernia.
2. Family History—Although family history may not guarantee a hernia, research shows it is a reliable predictor of one occurring.
3. Pregnancy—The risk is small, but studies show that pregnancy is associated with an increase in the risk of hernia recurrence.
4. Constipation—The constant strain may cause a portion of your intestine to get trapped in the abdominal wall. This can lead to some painful problems with the bowel. If bowel movements are a struggle, see a doctor.
5. Chronic Cough—Often associated with the effects of smoking, constant coughing weakens the abdominal wall.
6. Injury—Most sports-related hernias occur in the groin and don’t appear as a bulge. But if left untreated, it can evolve into an inguinal hernia.

Surgery is a common treatment, but Vargo says that he has seen many cases where surgery wasn’t required. “Not everyone with a hernia needs to have it fixed because it isn’t affecting daily activity,” says Vargo. “But if you have pain, surgery is recommended.”

Tips to Decrease the Risk of a Hernia

1. Maintain a healthy weight. Rapid weight loss and weight gain place pressure on the abdominal wall.
2. Don’t smoke.
3. Change lifting stance. Lift with the legs, not the back.
4. Change your diet to improve bowel movements.

It’s tempting to make light of the things that happen “down there. ” But the truth is that hernias are serious and often painful conditions. If you are suffering from discomfort or abdominal pain, talk with your doctor about the possibility of a hernia. The treatment is easy, and the result is a satisfying, pain-free life.

4 Medical Conditions That May Cause You To Gain Weight Fast

Usually a bad diet or a casual lifestyle are some of the most common culprits behind weight gain. However, there are instances when one is doing everything right, but they still continue to gain weight, that too at a very fast pace. If you are facing a similar issue and are unsure of the reasons behind the sudden weight gain, then here’s a checklist of medical problems that might be responsible for your weight gain worries. Let’s take a look.

Medical Conditions causes Weight Gain Fast –

1. Hypothyroidism

Hypothyroidism is a medical condition in which thyroid is unable to produce enough thyroid hormone. Sudden weight gain is one of the most common symptoms in people diagnosed with this medical condition. The cause of weight gain is the low basal metabolic rate in patients. Some other common signs and symptoms of hypothyroidism are fatigue, constipation, dry skin, hoarseness, muscle weakness and depression. So, if you have been gaining weight fast recently, then go see a doctor.

Useful read – All You Need to Know about Dumping Syndrome

2. Depression

In 2010, American Journal of Public Health published a study that people diagnosed with depression tend to gain weight fast. According to the study, one of the reasons they gave for it was that people with depression tend to eat more, and that too high-calorie, high-fat food. Depression also leads to the discharge of a stress hormone called Coritsol that in turn may lead to weight gain. Besides the discharge of Cortisol, taking anti-depressant pills is also one of the reasons patients gain weight.

3. Bacterial Overgrowth

A high fat diet can damage the gut bacteria, affecting the gut flora and promoting inflammation and weight gain. A bacterial overgrowth inside the gut throws a body and its hormones upside down, leading to poor digestion and slow bowel movement which in turn may result in sudden weight gain. Most of the bacterial overgrowth takes place because of the consumption of food that includes high levels of inflammatory, refined omega 6 vegetable oils.

Useful read – Understanding the Differences between Groin Strain and Sports Hernia

4. Cushing’s Syndrome

Cushing’s syndrome is a rare medical condition that affects 15 in a million adults. The condition, however, is a serious one and can be fatal. Cushing’s syndrome is caused due to high cortisol levels in patients. The cortisol is produced by a tumour on one of the adrenal glands of the patient. The condition leads to sudden weight loss and is accompanied by other symptoms such as osteoporosis and high blood pressure.

Should You Consider a Weight Loss Surgery?

If you have tried almost everything available be it diet, drugs or gym to lose weight, and even if you do not have any of the above mentioned medical conditions, consult one of the most renowned Bariatric Surgeon in Perth – Dr. Ravi Rao at Perth Surgical and Bariatrics to discuss if a SIPS weight loss procedure or any weight loss surgery would help. To learn more, fill out our contact form or give us a call at 08 6558 1901.

Ivermectin and COVID-19: a report in antiviral research, widespread interest, an FDA warning Ivermectin for sale Sydney, two letters to the editor and the authors’ responses.

Hernia Specialist – Denton, TX & Flower Mound, TX: Weight Loss Specialists of North Texas: Weight Loss Specialist

What causes a hernia?

A hernia occurs when an organ or other internal body part protrudes through the abdominal muscles. The most common types of abdominal hernias include:

• Inguinal hernia: fatty tissue or part of the intestine protrudes in the area of the inguinal canal in the lower abdomen
• Hiatal hernia: part of the stomach pushes up into the chest cavity through an opening in the diaphragm muscle
• Umbilical hernia: fatty tissue or intestine pushes through the abdomen near the navel

How does being overweight cause a hernia?

When you’re overweight or obese, the extra weight increases the strain and pressure on abdominal muscles. As a result, the muscles weaken and become susceptible to developing a hernia.

Obesity is the most common cause of hiatal hernias. Being overweight or obese may also cause multiple hernias in the abdominal muscles.

After you develop a hernia, extra weight causes it to get larger over time. That can lead to serious complications, such as the intestine becoming trapped in muscle tissue and strangulating due to loss of blood flow.

Why is weight loss important for alleviating a hernia?

Losing weight relieves excess pressure on the abdomen, which can prevent a hernia from developing, improve hernia symptoms, and avoid complications such as strangulation. Weight loss alone may be all you need to reduce the size of your hernia and eliminate pain.

Hernias never go away on their own, and the only way to treat a hernia is with surgery. You may need to lose weight before your doctor performs surgery to repair your hernia because being overweight increases your risk of complications such as infection, slow wound healing, and blood clots.

What types of bariatric surgery are available?

The team at Weight Loss Specialists of North Texas offer nonsurgical methods for weight loss, including individualized weight loss medications, diet plans, and ongoing support from their registered dietitian.

If you need hernia repair and you qualify for bariatric surgery, then weight loss surgery can help you lose a significant amount of weight in a shorter period. The types of bariatric surgery performed by the experts at Weight Loss Specialists of North Texas include:

• Duodenal switch: reduces stomach size so you eat less and bypasses a significant part of the small intestine to reduce calorie absorption
• Gastric bypass: reduces stomach size and bypasses a smaller segment of the small intestine
• Gastric sleeve bypass (sleeve gastrectomy): reduces stomach size and lowers the amount of hormones that make you hungry

Swelling, Constipation, Abdominal Pain & More

Signs and Symptoms of a Hernia

Symptoms depend on the type of hernia. In some cases, you may not have any symptoms.

For inguinal, femoral, umbilical, and incisional hernias, symptoms may include:

• An obvious swelling beneath the skin of the abdomen or the groin. It may be tender, and it may disappear when you lie down.
• A heavy feeling in the abdomen that sometimes comes with constipation or blood in the stool.
• Discomfort in the abdomen or groin when lifting or bending over.
• A burning or aching sensation at the bulge
• Weakness or pressure in your groin
• Heartburn
• A hard time swallowing
• Shooting pain
• Vomiting
• Constipation
• Pain and swelling around the testicles

Symptoms of a hiatal hernia may include heartburn and upper abdominal pain.

Strangulated hernia symptoms

Usually, you can push a hernia in. But sometimes, you can’t. It can get stuck in your abdomen. If the trapped part gets cut off, or strangulated, from blood flow, it’s a serious situation and can be life-threatening.

Call your doctor right away if you have any of the symptoms of a strangulated hernia, including:

• Nausea, vomiting, or both
• Fever
• Sudden pain that gets worse quickly
• A hernia bulge that turns red, purple, or dark
• Not being able to poop or pass gas

Hernia Signs and Symptoms in Children

Hernias are common in kids, especially babies. They can happen when part of their abdominal wall is weak at birth. If your child has one, you’ll usually notice a bulge in their groin area or around their bellybutton. Your baby may also cry a lot and refuse to eat. Hernias often bulge when your child cries, coughs, or strains to poop. You may also notice that their belly is tender to the touch.

When to See a Doctor

You should see a doctor if you:

• Suspect that you have a hernia
• Can’t get the hernia to go back in or it goes soft; seek medical care right away, as this is an incarcerated hernia and can lead to organ strangulation.
• Have a painful or noticeable bulge in your groin on either side of your pubic bone
• Know you have a hernia, and you have symptoms of a strangulated hernia. Seek medical care right away.

Hernia Repair Frequently Asked Questions

What is a hernia?

A hernia occurs when fatty tissue or an organ pushes through an opening the fascia (the layer of tissue overlying the muscle), the most common hernias occur in the abdomen, but they can also happen in the belly button, upper thigh and groin area.

The most common hernias are protrusions through the abdominal wall. Organs from the abdominal cavity, such as the intestines, push through the opening in the wall of the abdomen and create a bulge.

The abdominal wall is a sheet of tough muscle and tendon that runs from the ribs down to the legs. One of its primary functions is to hold the abdominal contents, primarily the intestines, in place.

What are Hernia symptoms?

The symptoms of a hernia can vary, and they often depend on the type or location of the hernia. In hernias located in the abdominal area, these are the most common hernia symptoms:

Protruding bulge

This is the most common symptom, and is often easily noticeable. Typically, a hernia bulge will appear at the site of an incision from a prior abdominal surgery, in the groin belly button, or between the belly button and the chest. The size of the bulge will vary from person to person. It may also change in size during the day, or after you rest at night.

Pain

Some people won’t notice pain connected to the hernia at all, while others have immediate or excruciating pain. You may experience a sharp, sudden pain when the muscle tears or strains, creating the hernia, but you may not feel it at all. Some patients describe a pain similar to a muscle ache or strain. Others just notice a funny feeling or tearing in the groin that wasn’t there before.

Pain from the creation of the hernia will usually lessen in a week or two, but your hernia will remain. Hernias do not self-repair.

Even if you did not experience pain when the hernia begins, you may experience localized hernia pain, as hernia enlarges. You may also experience pain in the hernia area when doing heavy lifting, during exercise, or while performing other strenuous work.

Sometimes patients experience referred pain from a hernia. This happens when the irritated nerves around the hernia share a nerve root with other parts of your body. The pain signals will travel on the same channel. Depending on the size and location of the hernia, pain could travel to the testicle, thigh, back or abdomen. This happens because the nerve roots originate from the back and the nerve to the testicle originates in the abdominal region.

Generalized abdominal pain could also be caused by a hernia. This happens when your intestines or other internal organs are trapped in the hernia sac, and become pinched. . Surgeons call this a strangulated hernia, and it is a serious and life-threatening condition.

The pain from a strangulated hernia is an abdominal pain which initially starts as a stomach ache and increases in severity, causing nausea and vomiting later. If the pinched tissues are not treated, they will die. The results could be fatal to the patient. A strangulated hernia requires immediate emergency surgery.

Nausea and vomiting

If you are experiencing nausea and vomiting with your hernia, you should seek immediate medical treatment. This could be a signal of intestinal obstruction, full or partial, and you may require emergency surgery.

Constipation

If the hernia is blocking your intestine, you may experience constipation, or possibly blood in your stool. If you have an intestinal obstruction, you may require emergency surgery.

Numbness

If the protrusion compresses a nerve, you could experience numbness or loss of feeling to the area of the hernia.

I had my hernia fixed once, why has it come back?

When we fix a hernia at the Hernia Center, we do everything in our power to make sure that your hernia stays fixed. As a result, we have a very low percentage rate of patients requiring hernia revision surgery after we have treated them. We also see many patients who have experienced hernia treatment elsewhere who are now coming to see us for a successive repair.

Hernia revision procedures are unfortunately common, with as many as 30% treated elsewhere experiencing a second hernia after their first repair. Here at the Hernia Center, we see patients who have had as many as seven prior hernia repairs at outside centers.

The key to fixing these hernias is to figure out why the hernia is recurring, and make sure that we fix the actual problem. Usually we will discover one of these causes for the recurrence:

Overlay mesh: In most cases, the initial surgeon used an overlay mesh to repair the hernia. This is simply placing a patch on the hole in the abdominal wall and is much more likely to fail than other techniques for repair.

Infection: In other cases, the patient may have had an infection that prevented the fascia (connective tissue) from closing and healing properly. In this cases, it is critical to make sure no infected mesh is still present in the field, and to ensure that the bacteria causing the infection has been eradicated.

Underlying fascia weakness: Another common reason for recurrence is that the repair was performed in an area where the fascia is not strong. In most cases involving a fascia weakness, the patient has an unrecognized rectus diastasis. This is a split in the two vertical “six-pack” abdominal muscles, so that there is a gap between them. The whole abdomen will bulge outward in these cases, especially towards the end of the day, and not just in the area of hernia. In this case, the entire muscle split must be repaired when the hernia is repaired, or the hernia repair will be unsuccessful.

How can I tell if I have rectus diastasis?

Rectus diastasis is a split between the two rectus muscles that are normally located vertically in the center of the abdomen, called the “six pack”. Over time, or with pregnancy, the muscle can become split, causing the abdomen to bulge.

You can tell if you have a rectus diastasis with a few simple tests. First, lie down. Then bring your head and shoulders a few inches off the floor. You can feel your muscle on either side of your belly button – they should be together. If you feel a gap there, then the muscle have split, and you have a rectus diastasis. IF the split is wide enough that your abdomen actually bulges as you do a small sit up, then the diastasis should be repaired as it will get worse over time and has become “non-functional”.

Second, at the end of the day, attempt to “pull in” your stomach. If the top near your ribs flexes, but the lower part continues to bulge, this may also be from a rectus diastasis.

How does rectus diastasis affect my hernia surgery?

Hernias down the center of the abdomen are often accompanied by an overall abdominal bulge. This bulge worsens toward the end of the day an cannot be pulled in, no matter how much you try. The bulging is caused from a muscle split which has occurred over time, called a rectus diastasis (see How can I tell if I have rectus diastasis?)

At the Hernia Center Los Angeles, we repair not only the hernia, but the entire rectus diastasis defect. It is our belief that the repair of the rectus diastasis is critical to a good outcome. Not only will it decrease the chance of a hernia recurrence, but will improve your core strength, stop post-pregnancy bulging due to abdominal wall laxity, and create a flatter, more functional muscular abdomen.

Abdominal wall hernia  symptoms, types, causes andprevention

Abdominal wall hernia, also known as stomach hernia, can result from an abdominal organ pushing its way through a tear in the muscles of the abdomen. It is a fairly common condition, and as many as 10 percent of people can develop a hernia in their lifetime and more than 500,000 hernia operations occur yearly in the U.S. It is actually the most common procedure in the U.S. and can be easily performed using laparoscopy.

A hernia can be painful and result in a lump – or outpouching – that sticks up from your abdomen, or it can be smaller, soft and without pain. The lump is caused by the organ that has pushed its way through a weak or thin spot in the abdomen – the bowel, the intestine, the bladder or even fatty tissues. People often attempt to push the hernia back in, unfortunately it only ends up recurring at a later date. If proper treatment is not pursued, the hernia can lose its blood supply and become strangulated, thus resulting in a medical emergency.

You may already know someone who had a hernia, or have experienced one yourself. They can be quite painful if pressure to the abdomen increases from coughing or lifting, which can actually be the cause of the hernia as well. If you find a lump in your abdomen (or anywhere on your body) you should always consult your physician.

Types of abdominal wall hernia

There are many types of hernia, some more common than others. The most common types are in the diaphragm and the groin. Hernias can develop over time or be present right from birth. Here are the different types of abdominal wall hernia:

• Inguinal hernia – most common abdominal hernia. The inguinal canal is a small opening where the testicle descends during fetal development. Sometimes the opening does not properly close or leave a weak area where the hernia can develop later on.
• Femoral hernia – more common in women. Femoral hernias happen where the femoral vein and artery pass through the floor of the abdomen into the leg.
• Obturator hernia – least common pelvic floor hernia, most commonly in women. Obturator hernias happen in the obturator canal, where the obturator vein, artery and nerve connect the leg to the abdominal.
• Epigastric hernia – occur in infants. Epigastric hernias happen when the abdominal wall becomes weak between the belly button and breastbone – where the rectus muscles link together.
• Umbilical hernia – common in newborns. Happens in the belly button, where the umbilical cord was attached to the mother.
• Spigelian hernia – very rare. Spigelian hernias happen on the outer edges of rectus abdominal muscles.
• Incisional hernia – occur after abdominal surgery. Incisional hernias happen when the abdominal muscles have been cut open during surgery, creating a weak area where the hernia can push through.
• Hiatal hernias – These happen when the stomach pushes through the diaphragm opening where the esophagus goes from the chest to the abdomen.
• Sliding hiatal hernia – most common type of diaphragm hernia. Sliding hiatal hernias happen when the lower part of the esophagus and part of the stomach push through to the chest.
• Paraesophageal hernia – Happens when the stomach pushes into the chest with the esophagus and can result in a serious complication.
• Traumatic diaphragmatic hernia – occurs after major injury. Traumatic diaphragmatic hernias happen after a trauma, such as a gunshot or stab wound, tears or weakens the muscles, allowing abdominal muscles to slide into the chest cavity.
• Congenital diaphragmatic hernias – are very rare. Congenital diaphragmatic hernias happen when the diaphragm fails to form and close and can prevent the lungs from developing as well, especially if the organs move into the chest.

Common causes of abdominal wall hernias

Hernias can be caused by a variety of factors, including muscle weakness, strain or a combination of both. Depending on the type of hernia, a person can be born with it, it can develop over time or it can suddenly develop. Here are the common causes of abdominal wall hernias:

• Surgery – can damage or weaken the muscles
• Injury – can damage or weaken the muscles
• Age – wear and tear
• Coughing or sneezing – chronic or intense coughing and sneezing can weaken muscles
• Congenital defect – the abdominal wall fails to close properly during fetal development
• Pregnancy – adds pressure on the abdomen
• Constipation – adds strain
• Lifting – especially heavy weight lifting and constant lifting
• Ascites – having fluid in the abdomen
• Weight gain – especially if it’s sudden
• Family history – can increase your odds
• Exercise – especially strenuous physical activity

Common symptoms of abdominal wall hernias

Hernias are fairly common and can be caused by the list of factors mentioned above. Some do not display any symptoms, however, aside from the more common lump or bulge, hernias can also present with a number of symptoms. Here is a list of the common symptoms of abdominal wall hernias.

• Burning, tearing or sharp pain
• Nausea
• Vomiting
• Fever
• Bowel obstructions
• Abdominal pressure and/or discomfort

More serious or complicated hernias can present additional symptoms that are more severe, such as chest pain.

Risk and complications associated with abdominal wall hernias

There is one main risk associated with abdominal wall hernias: strangulation. Strangulation is when the organ is cut off and loses blood. The severity of the strangulation depends on how long ago has the hernia developed and the size and location of the hernia. Some types of hernias, such as inguinal and femoral, are more prone to strangulation. Larger hernias that manage to push their way through small openings are also more likely to result in strangulation.

There is also only one main complication associated with abdominal wall hernias: operative complications. Operative complications are the result of complications that arise during or after having the hernia removed. Generally, the complications are treatable and not long lasting. However, if a second hernia develops and is operated on, it increases the chances of further recurring hernias. Added complications from surgery are the urinary difficulties, infection, bruising of the scrotum (scrotal hematoma), fluid build-up in the scrotum (hydrocele formation) and, in very rare cases, testicular damage.

Treating abdominal wall hernias

While all hernias should be treated surgically, there are some patients who will not be able to have surgery. In that case, it is recommended that you lay on your back, gently push the hernia back in and then wear a truss – like spanks or other tight-fitting underwear – or surgical belt to help hold the hernia in. It is not a cure, but it can help. If you are unable to push the hernia in, that means it is caught in the abdominal wall and can result in strangulation, so you should seek medical attention immediately.

If a hernia is small and isn’t growing or causing pain, your doctor might opt out of surgery. Surgery may also not be an option for those with certain medical conditions or if the hernia has a large opening and thus no risk of strangulation.

If you wish to treat your hernia at home (with permission from your doctor, of course), there are a few techniques to keep in mind, such as:

• Reduce strain – if you are constipated, be sure to add more fiber to your diet to prevent straining your abdominal muscles.
• Treat coughs – if you experience chronic coughing or sneezing, be sure to see your doctor about a treatment to keep you from coughing, which in turn makes your hernia bulge or swell.
• Avoid lifting – if you wish to remain active (which you absolutely should to avoid weight gain that also affects hernias), be sure to avoid any strenuous activity, especially the lifting of heavy objects.

Can hernias be prevented?

There is not much that can be done to prevent a hernia. When the abdominal wall becomes damaged or develops weak spots, a hernia commonly occurs. However, if you wish to lower the chances of developing hernia by reducing strain on your abdominal wall, there are a few lifestyle changes and techniques that can be helpful.

• Exercise regularly
• Lose weight if you’re overweight
• Stop smoking or never start smoking.
• Control allergies
• Eat a high-fiber diet
• Stay hydrated
• Refrain from lifting heavy weights or at least without proper form

Now that you understand the symptoms and causes for abdominal wall hernias, you can better prevent or treat them should they occur. There are many different types , so be sure to speak with your doctor if you suspect one has developed. Hernias can be easy to cure and, as long as there are no complications, do not affect quality of life.

90,000 Can you get fat from polluted air?

• David Robson
• BBC Future

December 25, 2015

Photo Credit, Thinkstock

Several studies have shown that tiny particles in the atmosphere can contribute to obesity, diabetes and heart disease. Correspondent

BBC Future decided to investigate: do we have any real cause for concern?

Take a deep breath and then exhale.If you are unlucky with the place of residence, then it is possible that every breath of air is actually slowly pushing you towards diabetes and obesity.

The idea that air can make a person get fat seems ridiculous at first glance, but there are studies, the results of which speak about this.

Differences in the composition of the surrounding atmosphere can lead to the fact that out of two people who eat the same and do sports in the same way, over the course of several years one can gain more weight than the other, and at the same time develop metabolic disorders.

This is mainly due to car exhaust and tobacco smoke – their tiny particles cause inflammation and prevent the body from using energy normally.

Nothing bad happens in the short term, but serious illness can develop over the years, in addition to the respiratory problems commonly associated with smog.

“We are beginning to realize that the absorption of pollutants and their circulation in the body affects more than just the lungs,” admits Hong Chen of the University of Toronto in Canada.

But how convincing are the findings from the research, and should we worry?

Photo author, Getty

Photo caption,

If you do not change your lifestyle and diet, but move to an area with more polluted air, then this can make you fat

Some of the first real evidence that the harmful effects of polluted air are not limited lungs, were obtained during experiments on mice.

Tsinghua Sun of Ohio State University tried to find out why urban dwellers are much more prone to heart disease than rural dwellers.

Of course, one of the reasons may be the way of life: most cities, for example, are littered with fast food eateries, which does not promote healthy eating.

Nevertheless, the scientist wondered if the answer to his question was literally hanging in the air.

To understand this, he began to grow laboratory mice in conditions that correspond to the environment of different cities around the world.

Some breathed filtered clean air, others were pumped into the boxes with gas cocktails, usually found near a busy highway or in the center of a large city.

During the experiment, scientists weighed the mice and performed various tests to find out how their metabolism works.

The first results were visible after just 10 weeks. Mice breathing dirty air had more fat, both in the stomach and around the internal organs; and at a microscopic level, their fat cells were 20% larger than normal.

In addition, they seem to have become less sensitive to insulin, a hormone that triggers the cells to release energy from dissolved sugar in the blood.This is the first step to diabetes.

Photo author, SPL

Photo caption,

Once in the lungs, tiny irritant particles can trigger a chain reaction in the body, suppressing appetite-controlling hormones

Scientists have not yet fully agreed on how exactly this mechanism works. but subsequent experiments on animals suggest that dirty air causes a whole chain of unfavorable processes in the body.

The researchers believe that microscopic particles with a diameter of less than 2.5 micrometers are the main culprits – it is because of them that the city air twitches with a cloudy haze.

When inhaled, pollutants irritate the alveoli, the tiny bubbles in the lungs that allow oxygen to enter the bloodstream.

This provokes a stress response from the lung mucosa and an active response from the nervous system.

Specifically, hormones that weaken the effects of insulin are released, and blood is drained from insulin-sensitive muscle tissues, which makes it difficult for the body to accurately regulate blood sugar levels.

Microparticles can also cause the body to release signaling molecules called cytokines into the bloodstream, which trigger an inflammatory response and instruct immune cells to attack healthy tissue.

Not only does this decrease the ability of tissues to respond to insulin, says Michael Gerrett of the University of California, Berkeley, the subsequent inflammation can affect hormones and brain processes that control appetite.

As a result, the energy balance of the body is disrupted, which leads to a whole bunch of metabolic disorders, from diabetes to obesity, as well as problems in the cardiovascular system, for example, high blood pressure.

Photo author, Getty

Photo caption,

Dirty air reduces the sensitivity of tissues to insulin, which can contribute to diabetes and other serious diseases

Research carried out in large cities around the world suggests that not only laboratory mice suffer from dirty air, but also people.

Chen, for example, analyzed the medical records of 62,000 people in Ontario, Canada over a 14-year period.

He calculated that the risk of diabetes increases by about 11% for every additional 10 micrograms of pollutants per cubic meter of air.

This is a very alarming figure considering that, for example, in some Asian metropolitan areas, the content of such particles in a cubic meter of air reaches 500 micrograms.

Meanwhile, Swiss scientists studied 4,000 people living in polluted conditions – and found that they have increased insulin resistance, high blood pressure and increased average waist circumference.

Scientists are particularly concerned about the potential effects of pollution on young children, with fears that exposure to pollutants on a mother’s body could affect her infant’s metabolism, making the child prone to obesity.

For example, Andrew Rundle of Columbia University in the United States studied children living in the New York Bronx.

During pregnancy, their mothers wore special backpacks that constantly assessed air quality, and their babies were regularly examined for seven years after birth.

Photo author, Getty

Photo caption,

According to one study, living in a polluted city doubles the chances of developing obesity in children

After adjusting for other factors (such as family income or food), the researchers found that children raised in the dirtiest neighborhoods were 2.3 times more likely to be overweight than their peers in cleaner neighborhoods.

Jerret, meanwhile, discovered that the air not only outside the home, but also inside it can be a risk factor: using the example of California residents, the scientist showed that children who smoke parents gain more weight.

“Smoking synergistically interacts with the effect of dirty air,” says the scientist. In other words, the simultaneous impact of these two factors is much more dangerous than just the sum of their risks.

However, while these findings are rather disturbing, we need to treat them with some caution.

“They trace the link between living in pollution and some consequences, but they do not prove that one necessarily follows from the other,” notes Abby Fleisch of Harvard Medical School.

But at the same time, her own conclusions fit well with the general trend – she found that children from mothers living in contaminated areas during the first six months of life gain weight faster than babies from a cleaner environment.

However, she emphasizes, we cannot be completely sure that some other factor, besides pollution, was not overlooked, which would explain this phenomenon.

Fortunately, several teams of scientists are currently searching for these missing pieces of the puzzle.

For example, Robert Brook of the University of Michigan and his Chinese colleagues recently performed an experiment on a small control group of Beijing residents who were followed for two years.

It turned out that during periods of particularly heavy smog, the signs of future health problems – an increase in insulin resistance and blood pressure – become more pronounced.

Thus, new evidence has been obtained that the quality of the atmosphere does affect metabolism.

If this causal relationship is still conclusively proven, will we have real cause for concern?

Photo author, Getty

Photo caption,

Reducing harmful emissions can save millions of people from disease

Scientists emphasize that in the short term, the risks for an individual are quite small and certainly do not explain obesity by itself, without taking into account other factors.

But considering how many people live in cities with high levels of pollution, the number of victims of dirty air can be enormous over the years.

“All of us are affected to one degree or another by pollution,” says Brook. “Billions of people reluctantly live in these conditions all the time – so the net effect is much stronger.”

Potential solutions to this problem are already well known, although implementing them can be difficult: for example, reducing vehicle emissions by switching to electric and hybrid vehicles.

Jerret believes that urban infrastructure could also be redesigned so that pedestrians and cyclists breathe less exhaust emissions.

As a quick fix, he suggests equipping more homes, schools and offices with air purifiers to filter out the most harmful microparticles.

Brook also agrees that appropriate measures need to be taken on a global scale – both in developing countries and in cities such as London or Paris, where it would seem that pollution is taken under control.

“In North America and Europe, air pollution levels are changing in the right direction, but we cannot afford to rest on our laurels,” he says. “This factor is one of the ten most important in improving the health of the world’s population.”

How to help a cat gain weight – how to gain weight for a cat after surgery

Cat food during weight gain

It is not worth gaining weight simply by increasing the amount of feed that she consumes. The cat’s body may not be able to handle large portions, and its appetite is likely to be insufficient, so food may not be eaten. In addition, extra meals may not provide a balanced supply of nutrients needed to gain weight or recover from an illness.Instead, you can switch your cat to a special diet that contains prebiotics to help balance the microflora of the gastrointestinal tract and restore the health of the digestive system.

To gain weight, your cat must have a high-calorie diet. This will allow the animal to consume a small amount of food from the feed. In addition, the diet should be palatable to stimulate the pet’s appetite, and the use of a croquettes of suitable size or softer food texture will make the cat want to eat the food on offer.

How to help your cat gain weight

It is important that the cat feels calm and comfortable while feeding. In this case, she will start eating regularly and gain weight. Here are some tips to help your cat gain weight.

• Divide the daily amount into smaller portions.
• Warm the food slightly – the aroma will be stronger, which will increase the palatability of the food for the cat.
• Do not supervise the cat while feeding, as this can stress the animal.
• Observe what utensil your pet prefers to eat from (for example, what bowl) and set it up in an easily accessible place.
• Place the food bowl, tray, water bowl, and area where the cat can play, away from each other, creating an environment similar to that of animals in the wild.
• Discuss medications with your veterinarian that may stimulate your cat’s appetite.

Your veterinarian can provide you with recommendations to help you achieve the necessary weight gain and maintain a healthy lifestyle for your cat. Be sure to make an appointment with your veterinarian to know exactly how best to act in such a situation.

Why flat feet are dangerous and how to protect yourself from it

A third of the world’s population suffers from flat feet. How it arises, what is dangerous and how to protect yourself from it, Gazeta.Ru figured out.

The human foot is a complex organ designed for support and shock absorption when walking. It is customary to distinguish two arches of the foot – longitudinal and transverse. The longitudinal arch is much more pronounced than the transverse one and acts as a spring, softening shocks when walking and running.

The most common type of foot deformity is flat feet. It is expressed in the flattening of one or all of the arches of the foot. Depending on which arch of the foot is changed, flat feet are longitudinal, transverse or longitudinal-transverse.

The main danger of flat feet is impairment of the damping function. Intense body vibrations during running or walking are not damped by the foot, but are transmitted to the hip joints and spine. Changes in the skeletal system over time affect the state of the body as a whole.They cause scoliosis, arthrosis, aching pain in the legs and fatigue.

In total, up to a third of the world’s population suffers from flat feet.

“About 30% of people have flat feet, – notes orthopedist Victor Prisk. “One in ten has symptoms.”

A 2017 study from Spain, confirms these data: among the 835 examined volunteers, flat feet were observed in 27%. Mostly they were overweight elderly people.

All young children have flat feet to one degree or another. It is not connected with deviations, but with the fact that the child’s leg is still growing and forming. Therefore, this diagnosis is not made until the age of five to six.

Congenital flat feet are rare and account for only about 3% of cases. Almost always, the disease is acquired throughout life.

Sometimes flat feet arise as a result of injuries and diseases, but in more than 80% of cases it is due to other reasons – an increase in body weight associated with the profession, overloading of the feet (prolonged standing in a standing position during work contributes to the development of the disease), wearing unsuitable shoes (narrow, uncomfortable, high heels), muscle weakening caused by aging.

Other associated risk factors for flat feet – hypertension and diabetes .

Also, flat feet often occur during pregnancy due to the increased extensibility of the woman’s ligaments and muscles.

Diagnosis is primarily based on radiographic findings. Also, for preliminary diagnostics, a podoscope can be used – a device for visual assessment of the condition of the feet. The most effective are digital podoscopes, which estimate a variety of geometric parameters.

Depending on the condition of the foot, there are three degrees of flat feet. With flat feet of the first degree, the height of the arch of the foot is up to 35 mm, deformities of the foot are not observed. With the second degree of flat feet, signs of deforming arthrosis may appear. In the third, they are almost always present, and the height of the arch of the foot does not exceed 17 mm.

When the foot is unable to spring and normally distribute the load when walking and running, it falls on other joints: knee, hip. They hurt, the person’s gait changes. The spine also suffers. Flat feet can lead to serious problems, including herniated intervertebral discs.

Flat feet, even at an early stage, are fraught with pain and heaviness in the legs, fatigue.

At the next stages, edema is added, the plasticity of the gait decreases, the arches of the foot are gradually smoothed out. Further, the knee joints are involved in the process, and then the whole leg, the spine. Symptoms of varicose veins of the lower extremities join: swelling, pain, burning sensation, heaviness, itching, visually protruding, blue veins, as well as back pain, especially in the lumbar region.The foot is noticeably deformed, the thumb deviates significantly outward.

Changes are completely reversible only at the very beginning of the disease or in childhood, when the foot is not yet fully formed. Usually, special exercises for the feet are used for this – in particular, rolling objects or drawing with feet. In more advanced cases, however, it is still possible to improve the patient’s well-being and prevent the disease from developing further. In addition to exercises, medicines are used to relieve pain and tension, massage courses, special shoes and insoles.

In severe cases of the course of the disease, with serious deformities of the fingers, severe pain, patients are shown surgical treatment of flat feet.

Prevention of flat feet is simple – it is enough not to overload the legs (do not gain too much weight, play sports in special shoes, refuse to regularly wear high-heeled shoes), regularly walk barefoot on sand, grass, pebbles (in city conditions, you can use special mats) and, if possible, massage the feet and perform exercises aimed at strengthening the muscles of the foot.

“Hernia of the esophageal opening of the diaphragm” – Yandex.Q

What is a diaphragmatic hernia

A hiatal hernia (diaphragmatic hernia) is a disease that occurs when part of the stomach or intestines penetrate from the abdominal cavity (where they should be normal) into the chest cavity. The thoracic and abdominal cavities are separated by a dome of the diaphragm like 2 floors in a house. The diaphragm normally has an opening through which the esophagus passes (the esophageal opening of the diaphragm).The esophagus is a tube that starts from the mouth and ends in the stomach, its function is to carry the food we eat and the liquid we drink into the stomach. With a diaphragmatic hernia, this esophageal opening is too wide and passes into itself not only the esophagus, but also the upper part of the stomach or even the loops of the small intestine.

In most cases, a small hiatus hernia does not cause problems, and you may never know about your diagnosis unless the doctor accidentally detects it during a routine examination.However, a large diaphragmatic hernia is manifested by gastroesophageal reflux and heartburn, and in severe cases, more striking symptoms.

Although these symptoms can be temporarily relieved by taking medications, only surgery can completely cure the patient.

Symptoms of hiatal hernia

Most small diaphragmatic hernias show no symptoms. A large diaphragmatic hernia can have a number of symptoms:

• Heartburn
• Belching
• Obstruction of the passage of food through the esophagus (which is felt by the patient himself)
• Shortness of breath
• Fatigue-associated weight loss

Make an appointment with your doctor if you have any of the above symptoms that bother you for a long time.

The causes of diaphragmatic hernias

The main reason for the development of diaphragmatic hernia is the weakening of muscle tissue and the expansion of the esophageal opening of the diaphragm. Part of the stomach or small intestine can enter this enlarged opening.

Why in some people the esophageal opening of the diaphragm is too wide is still unclear, but it is known that increased pressure in the abdominal cavity undoubtedly contributes to the formation of a diaphragmatic hernia.
Possible causes of diaphragmatic hernia:

• Traumatic rupture
• Congenital defect
• Constant intense pressure on this area of ​​surrounding tissue, for example, during chronic coughing, vomiting, excessive exertion during bowel movements or when lifting heavy objects

Risk Factors Hiatus hernia is most common in people over 50 years of age who are highly obese.
Make an appointment with your doctor if you have any of the above symptoms that bother you.
If you already have a diagnosis of diaphragmatic hernia, you have tried conservative treatment and have not received relief of your symptoms, ask your family doctor for a referral to a gastroenterologist

How to prepare before visiting a doctor Since a doctor may have a very limited appointment time, and this topic can cause a lot of questions, you should thoroughly prepare before visiting a doctor.

• Know all previously prescribed drugs and dietary restrictions. List them on a piece of paper and note if there has been any change in the severity of your symptoms while taking these drugs or following restrictions.
• Write down any symptoms that you had from the very beginning of the illness, including those that you are not inclined to associate with this diagnosis. Try to mark the dates or times when these symptoms appear.
• Write down the key changes in your personal life, especially stress, changes in physical activity and any changes in life that occurred before and during the onset of the illness.
• List all medicines, vitamins, and supplements you are taking.
• Consider bringing a family member or friend with you to your doctor’s appointments. Sometimes from excitement it is difficult for you to perceive all the information said by the doctor, and your companion will help you not to forget important details.
• Write down questions in advance that you want to ask your doctor.

Diagnostics of the hiatal hernia

A hiatal hernia is often detected during examination of the causes of heartburn or pain in the upper abdomen.Diagnostic methods that can detect it include:

• Radiography of the upper digestive tract with swallowing contrast (barium suspension). The patient drinks a glass of barium suspension, after which a picture of the chest and upper abdomen is immediately taken. Barium flows around and “colors” the contours of the upper gastrointestinal tract, due to which the doctor clearly sees the silhouette of the esophagus, stomach and upper small intestine on the x-ray on the x-ray.If part of the stomach is visible in the chest cavity, this reliably proves the presence of a diaphragmatic hernia.

• Endoscopy of the esophagus and stomach. Using a fibrogastroscope (a long, flexible tube with a video camera at the end), your doctor can examine the inside of your digestive tract, all the way down to your duodenum. To do this, your doctor will insert this tube through your mouth, into your throat, then your esophagus and stomach. The procedure is not painful, although sometimes it causes discomfort at the moment of swallowing the tip of the fiberscope.With this method, the doctor can detect inflammation, ulcers and other structural lesions of the upper gastrointestinal tract.

Treatment

Most people with hiatal hernia do not experience any symptoms and do not need treatment. If you, nevertheless, experience symptoms such as repeated heartburn or sour belching, you may need to carry out first conservative therapy (drugs), and then, possibly, surgery.
Medicines for heartburn
If you experience heartburn and sour belching, your doctor may recommend medicines such as:

• Antacids, which neutralize the acid in the stomach by converting it into water. Gastal, Maalox, Gaviscon, Almagel, Rennie and many others are available over the counter at any pharmacy. These medications can help relieve the symptoms of heartburn when it has already started.
• Blockers of h3 histamine receptors, which reduce the production of hydrochloric acid in the stomach.These include cimetidine, famotidine, nizatidine, and ranitidine.
• Proton pump inhibitors, which not only block acid production but also treat esophageal lesions. These include lansoprazole and omeprazole.

In some cases, a hiatal hernia may require surgery. The surgical approach is usually indicated only in emergency situations (acute abdomen), or for patients who have failed to relieve symptoms with conservative methods.Usually, surgery for a diaphragmatic hernia is combined with an operation to eliminate gastroesophageal reflux disease.
During this operation, the surgeon will pull your stomach back into your abdomen and then shrink and strengthen the opening in your diaphragm by reconstructing the weak esophageal sphincter and / or removing the hernial sac. Sometimes the operation is performed in an open way, through an incision in the chest wall (thoracotomy) or abdominal cavity (laparotomy). An alternative to this method is laparoscopic surgery, in which a surgeon inserts a small camera and special surgical instruments through several small incisions in the abdominal cavity.The operation is performed by the surgeon through these small incisions, under the control of a video image that is displayed on the video screen of the operating room.

Changes in lifestyle and eating habits Changes in lifestyle can help you relieve the symptoms of heartburn caused by a hiatal hernia. Follow these simple tips:

• Eat small meals more often, avoid heavy meals and overeating.
• Avoid foods that cause heartburn, such as chocolate, onions, spicy foods, citrus fruits, and tomatoes (including ketchup).
• Avoid alcohol intake.
• Eat no later than two hours before bed.
• If you are overweight – try to reduce it.
• Quit smoking.
• Raise the head end of your bed 15 centimeters.

Alternative Medicine Some alternative medicine practitioners claim to have found a way to treat hiatal hernia by pressing on the abdomen away from the rib cage.These people put pressure on the stomach, and claim that this is how a diaphragmatic hernia can be repaired.
There is no scientific evidence that this method temporarily or permanently relieves symptoms of diaphragmatic hernia. No research has been done on this topic.

News archive – Svobodnenskaya city polyclinic GBUZ AO

Doctors invite freelings to be vaccinated against tick-borne encephalitis

Every year in April, our city holds events within the framework of the European Immunization Week, in 2013, held from 20 to 27 April under the slogan “Protect your world – get vaccinated”.

In our city, special attention is paid to immunization against tick-borne viral encephalitis (TVE). This is due to the fact that Svobodny, as well as 16 other territories of the Amur Region, is classified as endemic, that is, to territories with a very high probability of infection with tick-borne encephalitis when bitten (sucked) by a tick. Every year, many cases of tick bites are registered in the city, no one can guarantee that the tick will not be infected with the encephalitis virus. In 2012, the number of people with tick bites increased by 3%.In the region, 2 cases of tick-borne viral encephalitis were registered in 2012 (in persons not vaccinated against this infection), 2 cases of borreliosis and 7 cases of tick-borne rickettsiosis. As a rule, the course of tick-borne encephalitis is very difficult, the outcome of the disease in the unvaccinated is either severe disability or death.

Currently, the city’s medical and prophylactic organizations have a sufficient amount of vaccine for immunization against TVE. Dear residents of the city, protect yourself from infections that are regulated by vaccines and are dangerous in their consequences! At the same time, you can be vaccinated against three infections included in the national calendar.

Anyone who refuses vaccinations, having no contraindications for this, think about whether it is worth leaving yourself unprotected. It is not for nothing that the entire civilized world allocates huge funds in order to protect people from terrible diseases with the help of vaccinations (vaccines)! All the studies that have been carried out prove that it is easier to prevent a disease with the help of vaccinations than to treat those infections, the bulk of which is very difficult and with various complications.

Vaccinations are carried out in the departments of local general practitioners.An examination by a general practitioner is required before vaccinations.

Branch addresses: st. Lenin, 69, from 8.15 to 18.00; in the therapeutic department No. 1 on the street. Ordzhonikidze, 78, from 8.15 to 15.00.

9000 free workers will be vaccinated against influenza

Svobodny has received a vaccine for immunization at the expense of the federal budget – this was told to Zeya Lights by the head of the 2nd therapeutic department of the Svobodnenskaya city polyclinic N.P. Dudenko.

Doctors plan to vaccinate about 9000 townspeople. Medical workers, educators, persons over the age of 60, and other risk groups (workers in transport, utilities, students) are subject to free immunization. All other categories of working citizens must be vaccinated against influenza at the expense of employers.

Doctors remind: newborns, the elderly, patients with diseases of the cardiovascular system, diabetes mellitus and other chronic diseases are most at risk of developing the disease and complications after influenza.

Has immunization and its contraindications: for example, you cannot be vaccinated during a cold (ARVI). Therefore, before the vaccination, an examination by a general practitioner is necessary to exclude possible contraindications.

The symptoms of influenza and respiratory viral infection are known to everyone: they are nasal congestion, sore throat, high body temperature, general weakness and weakness. Influenza proceeds with varying degrees of severity, significantly reduces the body’s defenses, which can lead to various complications from many organs (lungs, heart, kidneys), and can also exacerbate chronic diseases.

Vaccination rooms in Svobodny operate at the following addresses:

st. Lenin, 69, from 8.00 to 16.00;

st. Ordzhonikidze, 78, from 8.00 to 16.00.

Publication in the newspaper “Zeyskiye Ogni” dated October 7, 2012

(Photo: newspaper “Zeyskiye Ogni”)

High-class specialists work in the Svobodnenskaya polyclinic

The staff of the department of general practitioners of the district.

Since January 2012, the Svobodnenskaya city polyclinic has become a State budgetary institution of the Amur Region.Our team is about and calls for outpatient care for the adult population of the city. The clinic employs 75 doctors h , 132 paramedical workers, more than 40 junior medical personnel. Et about competent, responsible specialists, true enthusiasts of their business, passionately in love with their profession.

The leading role in the provision of primary health care belongs to the district service. The well-coordinated work of district therapists under the leadership of the heads of departments T.A. and Kravtsova N.V. provides the provision of therapeutic assistance both in the clinic and at home. Local general practitioners Mikhedova N.I., Gorshenina V.M., Kozlova T.V., Borshch O.N., Lukashevich A.E., Zinchenko N.A., Melnikova L.S. enjoy well-deserved respect among the residents of the city.

Highly qualified specialists work in the clinic. Endocrinologist T.B. Pershikova – a doctor by vocation, with his attention and warmth, helps patients to gain confidence and strength for recovery, gives each patient a particle of his soul.Cardiologist Semyonenko O.V. – a competent, very responsible specialist, widely uses the latest techniques in his practice. Diligence, dedication to their profession, kindness and sensitivity distinguish obstetrician-gynecologist T.L. Pidan. The occupational pathologist V.P. Plygun performs his medical duty with a high degree of professionalism. For more than 40 years, surgeon Cherepanov Yu.P. has been faithful to his profession.

The administration of the polyclinic pays great attention to the staffing of the institution with medical personnel. Doctors underwent professional retraining: in the specialty of pulmonology – S. Dolidova.N., gastroenterology – Shulga E.V., pediatric endocrinology – Kazakevich O.G., rheumatology – Fleisner G.G., and now doctors’ appointments in these specialties are open in the polyclinic.

Nurses Svininnikova O.A., Roshchina T.V., Legusova M.A., Pronina V.M., Voronina L.A., Lavrova I.V., Kulikova E.A., Nagornaya T.S. other.

Hospital-substituting types of medical care have become widespread in the city. The doctors of the day hospital Fleisner G.G., Smorodnikov A.N., Neganov P.A. The day hospital employs wonderful nurses Durandikova G.K., Dudareva O.A., Sovetnikova G.I., who have become a “medicine” for many residents of the city.

The timeliness and quality of the treatment process depends on the professionalism of the specialists of the diagnostic department, headed by EG Gulevich. The department is constantly expanding the range of research conducted, new techniques are being introduced. The laboratory of the polyclinic constantly participates in the Federal System for External Quality Assessment of Clinical Laboratory Research (FSVOK) and performs a wide range of hematological, biochemical, and enzyme immunoassays.At present, a PCR laboratory has been opened on the basis of the polyclinic, which made it possible to improve the laboratory service, improve the diagnosis of infectious diseases.

Radiologists Alferova ON, Gavrilov SA, doctor of laboratory diagnostics Chulkova MA – true professionals in their field, attentive and responsive. The doctor of functional diagnostics Grudinova A.V., doctor of ultrasound diagnostics Fadeeva A.N., laboratory doctor Dzhioeva O.A. Reliable assistants of doctors are medical nurses of functional diagnostics Argunova N.E., Kolosova E.V., Barinova N.D., laboratory assistants Gerasimova N.E., Shvedova S.V.

Physical therapy methods are an integral part of treatment. The polyclinic has a wide range of physiotherapy treatments. A new modern software-controlled device for magnetic therapy “ALMAG-02”, new nebulizer inhalers were purchased. The team of the physiotherapy department is headed by the doctor of the highest category L. Shelenok.V. The department employs literate, qualified nurses Argunova E.V., Bulgakova O.V., Shibaeva O.N. Separate words of gratitude for many years of conscientious work were deserved by the nurses Pavlikova V.I., Myasoedova T.A., instructor in physiotherapy exercises Yakovchuk G.M.

The chief nurse V.Yu. Kipets supervises the activities of the middle personnel of the polyclinic. Valentina Yurievna is not only an excellent organizer, highly qualified specialist, but also a sincere person who knows how to win over people.She is always where there is an application of her inexhaustible energy. Her reliable assistants are the senior nurses of the polyclinic Akifyeva T.A., Kobzeva G.V., Matveeva T.T., Urazova N.N., Bukina S.V., Nazarova A.G.

Taking part in the implementation of the national project “Health”, the medical workers of the polyclinic are actively engaged in preventive work: they carry out immunization of the population, additional medical examination of working citizens, and educate patients in health schools. The head of the department is Pavlenko R.Q. He is a responsible and principled doctor. The department employs experienced and responsible medical workers – paramedic T.F. Shutova, midwives N.V. Gubar, N.V. Rukman, S.G. Shkuratova.

The Health Center has been operating on the basis of the polyclinic for the third year under the supervision of A.V. Kharchevnikova. In 2011, more than 20,000 residents of the city and district became clients of the center. Health fairs dedicated to World Diabetes Day, Heart Day, European Immunization Week, and World Smoking Cessation Day were held at a high level.The health center regularly conducts visits to settlements in the Svobodnensky district, and visits to the Shimanovsky district.

An important role in organizing the work of the polyclinic is played by the registry and its employees: Fisher L.V., Kulishkina E.E., Aleksandrova T.I., Zadorozhina O.A.

Nurses Khomenko M.M., Ivanilova L.D., Korneeva T.A., Granina V.A., Kondratyeva T.K.

On the eve of the Day of the Medical Worker, I would like to thank the entire team of the clinic and veterans who are on well-deserved rest for your conscientious, hard work.I wish you good health, happiness, prosperity and confidence in the future! Let our friendly and close-knit team have an atmosphere of mutual understanding, patience and sincere attitude towards each patient.

I.V. YUDINA, Chief Physician, Svobodnenskaya City Polyclinic JSC.

Publication in the newspaper “Zeyskiye Ogni” dated June 17, 2012

The nurses of the Svobodnenskaya polyclinic flashed their talents and demonstrated their professional skills

On May 12, in the Svobodnenskaya city polyclinic, a competition for nurses in physiotherapy was held, dedicated to their professional holiday – International Nurses Day.Three contestants in white coats competed for the title of the best.

Clinic Nurse’s Day.