Suite C28b
Life Fourways Hospital
Cedar Ave West &, Cedar Rd, Fourways, Johannesburg,
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Inguinal Hernia in Children
What is an Inguinal Hernia?
An inguinal hernia is a small lump or bulge that appears in your child’s groin (near the crease of the thigh).
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It happens when a piece of intestine slips through a small opening in the tummy wall.
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You may notice it more when your child cries, coughs, or strains.
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In babies, it can sometimes go down into the scrotum (in boys).
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How Will I Know if My Child Has One?
You may notice:
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A soft swelling or bulge in the groin.
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The lump comes and goes.
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It doesn’t usually cause pain — but if it gets stuck, your child may cry a lot and the lump will look firm and red.
👉 If the swelling becomes hard, red, or painful and does not go away, go to the nearest emergency room immediately.
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Why Does It Happen?
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Some children are born with a small gap in the tummy wall that doesn’t close properly.
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It’s quite common, especially in babies born early (premature).
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Does It Need Surgery?
Yes. Unlike in adults, a child’s hernia will not close by itself.
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The risk is that a piece of bowel can get trapped (this is called incarceration).
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Surgery is a safe, short procedure that fixes the gap permanently.
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What Happens During Surgery?
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Your child will have a short general anaesthetic (they’ll be fully asleep).
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A small cut is made in the groin crease.
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The hernia is closed with dissolvable stitches.
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No mesh is needed in children.
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Recovery After Surgery
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Most children go home the same day.
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Mild groin discomfort is normal — pain medicine will help.
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Your child can usually walk and play the next day.
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The wound dissolves and does not need special care beyond keeping it clean and dry.
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Frequently Asked Questions (FAQs)
Will my child be in pain?
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Mild pain for 1–2 days, easily controlled with medicine.
Can I stay with my child in hospital?
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Yes, parents are encouraged to stay — it helps children feel safe.
When can my child go back to school/crèche?
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Usually within a week.
Will it come back?
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Recurrence is very rare.
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Parent Checklist ✅
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Nothing to eat or drink as per timing given to you
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Bring comfort items (dummy, blanket, favourite toy).
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Pack loose clothes for going home.
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Make sure transport home is arranged.
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📞 Need to speak with us?
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Call: (011) 875 1740
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WhatsApp: 068 162 6154
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Email: dr.theron.practice@gmail.com
