Data gathering
- Red flags – pain, vomiting, absolute constipation
- Others – cough, lifting, constipation
- Examine – abdomen, genitalia, cough impulse, BMI
Clinical management
- Investigations
- USS
- Explanation
- a weakness in the wall of the abdominal muscles leading to some of the contents protruding
- Treatment
- Lifestyle – avoid triggers, weight loss
- Surgical
- Conservative – if not fit for surgery – truss
- Followup / Safety-net
- see dr – if vomiting, unable to pass wind, more pain