caseman91
February 28th, 2009, 03:29 PM
ok so i had my annual sports physical just the other day... and the doctor got to the fun part of "pull ur pants down, turn ur head and cough"... What r they looking for when they do that? and r all doctors rough with ur goods coause mine kinda hurt after my physical... :what:
theOperaGhost
February 28th, 2009, 03:31 PM
They are checking for hernias.
caseman91
February 28th, 2009, 03:33 PM
Come again?
MidnightHorizon
February 28th, 2009, 03:35 PM
what are hernias ? or what is hernias? (if its a medical condition)
theOperaGhost
February 28th, 2009, 03:39 PM
If you have an inguinal hernia, you might be able to see a bulge where your thigh and your groin meet. In guys, the protruding piece of intestine may enter the scrotum, which can cause swelling and pain. Other symptoms of an inguinal hernia might include pain when you cough, lift something heavy, or bend over. These types of hernias require surgery to repair; in fact, inguinal hernia operations are the most common type of surgery performed on kids and teens.Taken from http://kidshealth.org/teen/sexual_health/guys/hernias.html
To conduct the hernia exam, insert the second or fifth finger at the inferior portion of the scrotum, gently sliding along the cord until reaching the inguinal ring. In a patient with a pendulous scrotum with loose skin, "start at the bottom and take that loose skin with you rather than starting at the top and trying to stretch the skin," he suggested.
"Some people are surprised to learn how far it is from the bottom of the scrotum up to the external inguinal ring, which is really where your finger has to be in order to perform an adequate hernia exam," Dr. Lynch said.
The patient should be asked to turn his head to the side and cough, or to "push down like you're going to have a bowel movement, but don't." Some hernias may be painless, and these are often ignored by adolescents.
Taken from http://findarticles.com/p/articles/mi_hb4384/is_9_36/ai_n28944812
What Are Hernias?
A hernia (pronounced: hur-nee-uh) is an opening or weakness in the wall of a muscle, tissue, or membrane that normally holds an organ in place. If the opening or weakness is large enough, a portion of the organ may be able to poke through the hole. Imagine an inner tube poking through a hole in an old tire — that's what a hernia is like.
Hernias happen more frequently in certain parts of the body, like the abdomen, groin and upper thigh area, and belly button area. They also can happen in any place where you may have had an incision from surgery.
How Do People Get Hernias?
It might take a long time for a hernia to develop or it might develop suddenly. Hernias are caused by a combination of muscle weakness and strain, although the cause of the weakness and the type of strain may vary. Hernias are actually more common in babies and toddlers. And most teens who are diagnosed with a hernia actually have had a weakness of the muscles or other abdominal tissues from birth (called a congenital defect). In these cases, straining your muscles doesn't cause the hernia; it only makes the hernia more apparent (and painful!).
Here are some types of strain on the body that may induce hernias:
obesity or sudden weight gain
lifting heavy objects
diarrhea or constipation
persistent coughing or sneezing
pregnancy
These types of strain on their own probably won't give you a hernia. But when they team up with a weak muscle, a hernia is more likely to result.
Many hernias are discovered during routine physical exams. If you're a guy, you may have had a physical exam where your doctor gave you a testicular exam (http://kidshealth.org/teen/sexual_health/guys/testicles.html) and checked your testicles for a hernia. By placing a finger at the top of your scrotum and asking you to cough, the doctor can feel if you have a hernia.
It's good for girls to know about hernias, too, because they can affect you, especially if you've been pregnant or are obese. A doctor can check for any possible hernias in girls by gently pressing on the organs or looking for possible signs during an examination.
Types of Hernias
Inguinal Hernias
Inguinal (pronounced: in-gwuh-nul) hernias are more likely to occur in guys than girls. More than 70% of all hernias that occur are inguinal hernias, which means that a part of the intestines protrudes through an opening in the lower part of the abdomen, near the groin, called the inguinal canal. In guys, the inguinal canal is a passageway between the abdomen and the scrotum through which a cord called the spermatic cord passes (the testicles hang from the spermatic cord). In girls, the inguinal canal is the passageway for a ligament that holds the uterus in place. Nearly all cases of inguinal hernias in teens are due to a congenital defect of the inguinal canal. Instead of closing tightly, the canal leaves a space for the intestines to slide into.
If you have an inguinal hernia, you might be able to see a bulge where your thigh and your groin meet. In guys, the protruding piece of intestine may enter the scrotum, which can cause swelling and pain. Other symptoms of an inguinal hernia might include pain when you cough, lift something heavy, or bend over. These types of hernias require surgery to repair; in fact, inguinal hernia operations are the most common type of surgery performed on kids and teens.
Umbilical Hernias
Umbilical hernias are common in newborns and infants younger than 6 months. They occur when part of the intestines bulge through the abdominal wall next to the belly button. In babies with umbilical hernias, parents may see bulging around the belly button area when the baby cries. Unlike other types of hernias, umbilical hernias may heal on their own, usually by the time a baby is 1 year old. If not, surgery can repair the hernia.
Epigastric Hernias
In an epigastric (pronounced: eh-pih-gas-trik) hernia, which is also called a ventral hernia, part of the intestines protrude through the abdominal muscles located between the belly button and the chest. It's mostly guys who have to worry about this type of hernia — about 75% of epigastric hernias occur in males. People with this type of hernia may notice a lump. Surgery is a common way to fix this problem.
Incisional Hernias
If you've had surgery in your abdominal area, you might experience this type of hernia. In incisional hernias, part of the intestines bulge through the abdomen around a surgical incision. In this case, surgery actually weakened the muscle tissue in the abdomen. This type of hernia requires another surgery to repair it.
Hiatal Hernias
This type of hernia occurs at the opening of the diaphragm where the esophagus (the pipe that food travels down) joins the stomach. If the muscle around the opening to the diaphragm becomes weak, the uppermost part of a person's stomach can bulge through the diaphragm. Hiatal (pronounced: high-a-tul) hernias are common, although small ones don't usually cause any symptoms. Unlike the other types of hernia, you won't be able to see a bulge on the outside of your body, but you might feel heartburn, indigestion, and chest pain. Hiatal hernias can be treated with medication and diet changes, but they do sometimes require surgery.
Once again, taken from http://kidshealth.org/teen/sexual_health/guys/hernias.html.
MidnightHorizon
February 28th, 2009, 03:47 PM
ohk, that helps :)
Oblivion
February 28th, 2009, 03:51 PM
(I didn't know they were looking for, but I know how the spot it :P)
The way they do it is by putting their finger into kind of 'tubes' that go up from your testicles.
When you turn your head and cough, any hernias around there would push against the finger, and they would be able to tell you have one.
caseman91
February 28th, 2009, 04:11 PM
so i take it the pain is just from havin a fingure shuved up ur... well... self
HeroForever
March 2nd, 2009, 10:52 PM
Man I hate physicals, but now I understand how their important.
Oblivion
March 2nd, 2009, 11:31 PM
OP Banned. Locked.
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