5 Signs Your Hernia Might Be Getting Worse (And When to See a Surgeon)
What You Should Watch For — and Why Early Evaluation Matters
A hernia often starts small — a slight bulge, mild pressure, or occasional discomfort. It may not seem like a big deal at first. But over time, hernias rarely stay the same. They can worsen gradually or sometimes suddenly, increasing your risk for complications.
Understanding the warning signs of a worsening hernia can help you avoid unnecessary pain, protect your health, and seek treatment before it becomes an emergency.
Why Hernias Don’t Heal on Their Own
A hernia occurs when tissue or an organ pushes through a weak spot in the abdominal wall. Common locations include the groin (inguinal hernia), belly button (umbilical hernia), and prior surgical sites (incisional hernia).
Unlike other conditions, hernias never heal without surgery. The opening in the muscle can gradually stretch, causing the bulge to grow larger. While surgery isn’t always urgent, knowing when things are changing is essential.
1. The Bulge Is Growing
One of the clearest signs your hernia is getting worse is an increase in the size of the bulge.
- The lump appears larger than before
- It no longer disappears when you lie down
- It feels firmer or more noticeable with activity
A growing hernia is more likely to become uncomfortable and lead to complications.
2. Increased Pain or Discomfort
Many hernias begin as painless or mildly irritating. If you start experiencing:
- Sharp, sudden pain
- Persistent aching
- Discomfort that worsens with coughing, lifting, or activity
…it may indicate the hernia is progressing as more tissue pushes through the weakened opening.
3. Difficulty Pushing the Hernia Back In
Early hernias are often reducible, meaning you can gently push them back in. Over time, however, a hernia can become:
- Incarcerated — the tissue becomes stuck and won’t go back in
- Strangulated — blood flow is compromised, requiring emergency surgery
If the hernia suddenly becomes stuck, it requires prompt evaluation.
4. Nausea, Vomiting, or Digestive Symptoms
A hernia that traps part of the intestine can disrupt digestion. Seek immediate medical attention if you notice:
- Nausea or vomiting
- Bloating
- Abdominal pain
- Difficulty passing stool or gas
These symptoms may signal an obstruction or strangulation — both emergencies.
5. Skin Changes or Tenderness Over the Hernia
Changes in the skin over your hernia may indicate inflammation or compromised blood flow. Warning signs include:
- Redness
- Warmth
- Tenderness
- Darkening or discoloration
Even subtle changes or increasing tenderness deserve immediate attention.
When to See a Surgeon
If you notice any of the warning signs above, don’t wait. Early evaluation from a hernia specialist helps prevent complications and allows for planned — not emergency — surgery.
At Long Island Laparoscopic Doctors, Dr. Hesham Atwa specializes in minimally invasive hernia repair, offering:
- Smaller incisions and faster recovery
- Lower risk of complications
- Same-day outpatient procedures
- Personalized treatment plans
When to Seek Emergency Care
Call 911 or go to the emergency room immediately if:
- Your hernia becomes suddenly painful and firm
- The bulge cannot be pushed back in
- You develop nausea, vomiting, or fever
- The skin over the hernia changes color
These may be signs of strangulation, requiring urgent surgery.
Bottom Line
A hernia may start out small, but it will not improve on its own. Recognizing early signs of progression allows you to take action before it becomes serious.
If your hernia has changed — or you’re unsure what you’re experiencing — schedule a consultation with Dr. Hesham Atwa at Long Island Laparoscopic Doctors. Early evaluation leads to safer outcomes, less pain, and faster recovery.