Dr. Balentine received his undergraduate degree from McDaniel College in Westminster, Maryland. He attended medical school at the Philadelphia College of Osteopathic Medicine graduating in1983. He completed his internship at St. Joseph's Hospital in Philadelphia and his Emergency Medicine residency at Lincoln Medical and Mental Health Center in the Bronx, where he served as chief resident.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
Can strengthening the muscles make a hernia go away?
Unfortunately, exercising to improve a hernia is likely to aggravate the condition. The hernia exists because of a
localized absence of muscle and supporting structure. Exercise can strengthen the surrounding muscles, thereby worsening the
localized weakness and increasing the pressures inside the abdomen. The result is that more tissue can be forced through
the defect and enlarge the hernia.
What can be done to prevent a hernia?
Most of the factors that lead to the development of hernias are beyond the control of the individual. Some of
those factors are inherited and develop as the individual grows. The arrangement of the local tissues and their
thickness and strength may greatly affect the relative risk of developing a hernia over a lifetime. However, that risk can be
increased by failure to use good body mechanics when lifting, poor abdominal support posture, and weight-control problems.
Are hernias inherited?
Since genetics dictate inherited features and structure, there is a significant risk of inheriting the anatomical features
that may predispose to a hernia. There may also be inherited factors that result in tissue weakness, which ultimately allows
the deterioration of the supporting structures and leads to the formation of a hernia. However, this does not necessarily imply
that the offspring of an individual with a hernia will ultimately develop the problem.
Do hernias usually develop on both sides of the body?
Groin hernias are somewhat more likely to develop on both sides. This is probably because the structural elements develop symmetrically, and the stresses on the body that occur over time are similar on both sides. When a patient becomes aware of a groin swelling on one side, examination by a doctor will often identify a small hernia on the opposite side.
Abdominal pain is pain in the belly and can be acute or chronic. Causes include inflammation, distention of an organ, and loss of the blood supply to an organ. Abdominal pain can reflect a major problem with one of the organs in the abdomen such as the appendix, gallbladder, large and small intestine, pancreas, liver, colon, duodenum, and spleen.
Marfan syndrome is hereditary condition affecting connective tissue. A person with Marfan syndrome may exhibit the following symptoms and characteristics: dislocation of one or both lenses of the eye; a protruding or indented breastbone; scoliosis; flat feet; aortic dilatation; dural ectasia; stretch marks; hernia; and lung collapse. Though there is no cure for Marfan syndrome, there are treatments that can minimize and sometimes prevent some complications.
Testicular pain, or pain in the testicle or testicles are caused by a variety of diseases or conditions such as testicular trauma, testicular torsion, testicular cancer, epididymitis, and orchitis. Common symptoms of pain in the testicle or testicles are abdominal pain, urinary pain or incontinence, fever, nausea, vomiting, and pain in the scrotum or testicle. Treatment depends on the cause of the testicular pain or pain in the testicles.
Testicular cancer symptoms include a painless lump or swelling in a testicle, testicle or scrotum pain, a dull ache in the abdomen, back, or groin, and a feeling of heaviness in the scrotum. Treatment for cancer of the testicles depends on the type of cancer (seminoma or nonseminoma), the stage of the cancer, and the patient's age and health.
Hydrocele is a collection of clear fluid in a thin walled sack that also contains the testicle. Hydroceles are more common in males than females. There are two types of hydroceles: 1) communicating and 2)non-communicating. Hydroceles present at birth may resolve on their own. Hydroceles that appear in the teen or adult years may require surgery.
Regular physical activity can reduce the risk of disease. Regular exercise can also reduce the symptoms of stress and anxiety. There are fitness programs that fit any age or lifestyle.
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