Lupus is a systemic autoimmune disease that occurs when your body's immune system attacks your own tissues and organs. Inflammation caused by lupus can affect many different body systems — including your joints, skin, kidneys, blood cells, brain, heart and lungs. Signs and Symptoms. Upon straining, coughing, sneezing or laughing, or lifting a heavy object, a person with a hernia will notice a tender bulge in the groin. This is most likely protruding. Symptoms that can develop include: A bulge on one or both sides of the groin that disappears when lying down. Pain in the groin, especially when lifting, coughing or exercising. A feeling of weakness, heaviness or burning in the groin. See full list on mayoclinic.org.

Question

I had posted this question earlier, however, I cannot find it posted on the forum. Possibly I did it incorrectly or this forum is not active. Anyways, here goes: My 21-yr old son had went to the doctor with a concern of his left index finger going cold and numb. After ultrasound and arteriogram, it was discovered he has one vessel instead of two in that finger. He was than referred to a hematologist who did a thorough workup which sent him to a GI specialist with a diagnosis Gilbert’s syndrome because of an elevated bilirubin. The GI also found an enlarged spleen. He also had a Positive ANA which brought him to a rheumatologist. After repeated blood work, he feels he has enough to diagnose him with lupus. He notes an antiphospholipid antibody, positive ANA, low platelet (but not critical) Non-Smiths test that alternated positive, negative and a DNA test. He originally stated he probably has an antiphospholipid problem that is sometimes diagnosed with lupus, but since he had no symptoms, can be a condition in itself. He is currently on an aspirin a day for this. His theory about the finger was he may have traumatized it being a goalkeeper in soccer and because he has thicker blood, it may have clotted the vessel. I had attempted to seek a second opinion to a teaching hospital, but my insurance (First Priority HMO) has denied it; since, their are rheumatologists in my Scranton Area. I am very frustrated and need some guidance on this. Can this be a correct diagnosis without symptoms? The doctor tells my son to stay out of the sun because it can cause a flareup, but he has spent 2 summers in the direct sun 8-10 hours a day doing landscaping, with no flareups or symptoms, rashes, etc? Does this make sense? I would appreciate any advise in what direction I should take with this problem. A Mom from PA

Answer

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This is very complicated problem. One the surface it does sound like your son fits into the lupus category but all the information needs to be reviewed carefully. Your son may indeed have symptoms– remember the finger? I would seek a second rheumatologic opinion and if things still are unclear, have the local rheumatologists help with the fight with the insurance company.

What is a hernia?

A hernia is a common condition that occurs when part of an internal organ or tissue bulges through a muscle. Hernias can occur around the belly button, through a surgical scar, in the diaphragm, or in the groin (the area between the abdomen and the thigh on both sides of the body).

What is an inguinal hernia?

An inguinal hernia occurs when the intestines or fat from the abdomen bulge through the lower abdominal wall into the inguinal, or groin, area.

There are 2 types of inguinal hernias:

• Indirect inguinal hernias: This type of hernia is caused by a birth defect in the abdominal wall that is congenital (present at birth).
• Direct inguinal hernias: This type of hernia usually occurs in adult males. These are most often caused by a weakness in the muscles of the abdominal wall that develops over time, or are due to straining or heavy lifting.

Hernias can be on one or both sides of the abdomen. Direct inguinal hernias are more common later in life because the abdominal wall weakens with age.

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An inguinal hernia is usually not dangerous. However, it can be painful, especially when lifting, bending, straining with a bowel movement, or coughing. Direct inguinal hernias usually occur in adult males whose abdominal muscles have weakened.

Who gets an inguinal hernia?

Adult males over age 40 are much more likely to develop direct inguinal hernias than females. About 25% of males, and only about 2% of females, will develop an inguinal hernia in their lifetime.

A family history of having an inguinal hernia, smoking, and men who have had previous abdominal surgery are at greater risk for developing an inguinal hernia.

What is an incarcerated or strangulated inguinal hernia?

Incarceration or strangulation of inguinal hernias is rare, but serious complications can develop if a hernia is left untreated.

• Incarcerated hernia: Incarceration occurs when part of the fat or intestine from inside the abdomen gets stuck in the groin or scrotum and cannot go back into the abdomen.
• Strangulated hernia: Strangulation can occur when an incarcerated hernia is not treated. The blood supply to the intestine can be cut off, causing “strangulation” of the intestine. This is a very serious condition. You should seek immediate medical attention if you suspect you have an incarcerated or strangulated inguinal hernia.

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What are the symptoms of an inguinal hernia?

Inguinal hernias may be painless or cause no symptoms, especially when they first appear. Symptoms that can develop include:

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• A bulge on one or both sides of the groin that disappears when lying down.
• Pain in the groin, especially when lifting, coughing or exercising.
• A feeling of weakness, heaviness or burning in the groin.
• A swollen scrotum (the sac-like a part of the male genitalia underneath the penis).