A strangulated hernia is one in which the blood supply to trapped tissue — often a loop of bowel — is cut off. Without urgent surgical treatment, the tissue can die, leading to severe infection, bowel resection, or death.
Warning signs
- Sudden, severe pain at the hernia site that does not improve
- A bulge that has become firm, tender, red, or dark in color
- A hernia that previously could be pushed back in but now cannot
- Nausea and vomiting
- Fever and chills
- Inability to pass gas or stool
- Abdominal distension
What to do
If you suspect a strangulated hernia, do not wait. Go to the nearest emergency department immediately. Earlier surgery has better outcomes than waiting until the patient is severely ill or the bowel has been damaged.
Who is at higher risk
- Patients with femoral hernias
- Patients with a history of incarceration
- Patients with rapidly enlarging hernias
If you have any of these risk factors and have not had your hernia evaluated, schedule a consultation with a qualified surgeon to discuss whether elective repair is appropriate before an emergency develops.
Related reading
- Can a Hernia Heal Without Surgery?
- What Happens If a Hernia Is Left Untreated?
- Hernia Mesh Explained
- Open vs Laparoscopic vs Robotic Hernia Repair
Educational disclaimer: This page is for educational purposes only and is not medical advice, diagnosis, or treatment. Individual recommendations require consultation with a qualified healthcare professional.