A hernia is essentially a small hole or a weak spot in the muscles of the belly (the abdominal wall). This weak spot allows things inside the body—usually a bit of fat or a piece of the intestine—to push through, which creates a lump or bulge that you can see and feel under the skin.
Are hernias common in children?
Yes, they are. While we often think of hernias as an adult problem, many children are born with them. In fact, about 1 to 5 out of every 100 children will develop a groin hernia (called an inguinal hernia) during their childhood.
What are the most common types of hernias in kids?
There are two main types that doctors see in children:
Inguinal hernias: These appear in the groin area.
Umbilical hernias: These appear right at the belly button.
What is the difference between an indirect and adult-style inguinal hernia?
Indirect Inguinal Hernia: These happen because of a small opening that was present before the baby was even born. Almost every child with a groin hernia has this type.
Direct Inguinal Hernia: these are very rare in children. They usually happen to adults because of aging, lifting heavy objects, or straining the muscles over a long period.
What are some of the rarer types of pediatric hernias?
While less common, some children may develop other types:
Hiatal hernias: These happen high up where the stomach meets the chest.
Incisional hernias: These are bulges that pop up at the site of a scar from a previous surgery.
Epigastric hernias: These are small lumps located between the belly button and the chest bone. Unlike belly button hernias, these will not go away or close up by themselves.
Which children are at the highest risk?
A child might be more likely to have a hernia if they fall into these categories:
Birth Weight: Babies who are born early (premature) or have a low birth weight.
Family History: If a parent or sibling had a hernia, the child is more likely to have one too.
Other Health Issues: Children with conditions like cystic fibrosis, undescended testicles, or certain genetic conditions (like Down syndrome) have a higher risk.
Does gender play a role?
Yes. Boys are much more likely to get groin hernias than girls. However, hernias at the belly button happen to boys and girls at about the same rate.
How can I tell if my baby has a hernia?
Because babies cannot tell you if they feel pressure or discomfort, you have to look for physical signs:
A visible lump near the groin or the belly button.
A bulge that gets bigger or pops out when the child cries, coughs, or strains to go to the bathroom.
A child who is unusually fussy or seems to have a tender belly.
When is a hernia a medical emergency?
A hernia becomes very dangerous if the tissue gets "stuck" in the hole. This is called an incarcerated or strangulated hernia, and it can cut off blood flow to the intestines. You must see a doctor immediately if you notice:
The child has a fever, starts throwing up, or feels nauseous.
The bulge suddenly gets bigger, looks red or purple, or is very painful to touch.
The child has sudden, severe pain or a very bloated stomach.
Do all hernias require surgery?
It depends on where the hernia is located:
Umbilical Hernias: Many of these close on their own as the child grows and the muscles get stronger. Small ones have a very high chance (about 85%) of disappearing without any help. A doctor will usually only suggest surgery if the hole hasn't closed by the time the child is 5 years old.
Inguinal Hernias: These will never close on their own. Because of the risk of the intestine getting stuck, a doctor will always recommend surgery to fix these.
What are the surgical options?
If your child needs a repair, doctors usually use one of two methods:
Open Surgery: The doctor makes a small cut in the skin (usually in a natural fold of the groin or belly button) and stitches the hole closed.
Laparoscopic Surgery: The doctor uses a tiny camera and very small tools through small "keyhole" cuts to fix the weakness from the inside.
Why choose Tender Palm Super-Speciality Hospital for Hernia treatment for children in Lucknow, India?
Tender Palm Super-Speciality Hospital offers advanced Hernia treatment for children in Lucknow, India, at an affordable cost. We have a team of experienced general surgeons and laparoscopic specialists who provide accurate diagnosis with advanced imaging, personalized medical care, and minimally invasive surgical treatment tailored to each patient's specific condition. Our Surgery team has decades of experience in successfully treating Hernia in Lucknow, India.
To seek an Expert Consultation for Hernia treatment for children in Lucknow, India: