From the Research
Yes, patients with inguinal hernia should avoid constipation to prevent increased intra-abdominal pressure, which can worsen the hernia or lead to complications like incarceration or strangulation. The most recent and highest quality study, 1, provides guidelines for groin hernia management, emphasizing the importance of patient- and hernia-related factors in treatment decisions. While these guidelines do not directly address constipation, they highlight the need for tailored treatment approaches to minimize complications and improve outcomes.
To prevent constipation, patients with inguinal hernia should:
- Maintain adequate hydration by drinking 6-8 glasses of water daily
- Consume a high-fiber diet (25-30 grams daily) including fruits, vegetables, and whole grains
- Engage in regular physical activity as tolerated
- Consider over-the-counter stool softeners like docusate sodium (100-300 mg daily) or gentle laxatives such as polyethylene glycol (17 grams in 8 ounces of water daily) if dietary measures are insufficient
- Avoid prolonged sitting on the toilet and respond promptly to the urge to defecate
These measures are crucial before and after hernia repair surgery, as constipation during recovery can strain the surgical site and potentially compromise healing or lead to recurrence of the hernia, as noted in 2. By prioritizing constipation prevention, patients with inguinal hernia can reduce their risk of complications and improve their overall quality of life.