Symptom 2: Visible Bulge or Lump
A physical manifestation of a Spigelian hernia is often the presence of a visible bulge or lump. This isn’t just a mere swelling; it’s a tangible indication of the abdominal tissue pushing out through the weakened muscle wall. Initially, this bulge might be small, almost negligible. It might even go unnoticed, masked by clothing or simply dismissed as weight gain or bloating.
However, the dynamics of this bulge are rather peculiar. During moments of physical exertion – say, lifting something heavy, doing sit-ups, or even during a bout of intense coughing – the bulge might become more pronounced. There’s a logical reason for this. As the internal pressure within the abdomen increases, it pushes against the weakest point, causing the hernia to protrude further.
On the flip side, when lying down or relaxing, the bulge might seem to recede or even disappear. This can create a cycle of confusion, with the affected individual questioning its very existence. But this disappearance is merely a play of gravity and positioning.
Beyond its appearance, this bulge can sometimes be tender to touch. It might even feel firmer than the surrounding tissue, giving a clear demarcation. As the hernia progresses, this lump might grow in size, becoming more apparent.(2)
