You may still feel like you’re 25, until your body reminds you that you’re definitely not. If you’re a man in your 40s or beyond who’s still lifting heavy at the gym, carrying the kids, or hauling boxes around like it’s nothing, it might be time to talk about something not often discussed: hernias.
They’re more common than you think, especially in men over 40. Here’s why, and what you can do about it.
First Things First, What Exactly Is a Hernia?
A hernia happens when an internal part of the body pushes through a weak spot in the muscle or surrounding tissue wall. The most common types in men include inguinal hernias (in the groin) and umbilical hernias (around the belly button).
You might notice a bulge, discomfort when lifting, or a dull ache that worsens by the end of the day.
Why Men Over 40 Are More at Risk
Let’s be real, by our 40s, our bodies start changing in ways we don’t always see.
Here’s what contributes to hernias in midlife:
- Muscle weakening: Natural ageing causes a slow loss in muscle tone, even if you’re active.
- Old injuries: Previous strains or undiagnosed tears can turn into weak points over time.
- Straining: Think lifting heavy weights with poor form, coughing fits, or even pushing too hard during bowel movements.
- Work and lifestyle habits: Manual labour, long hours standing, or a sedentary desk job with sudden weekend-warrior gym sessions can all play a role.
Common Signs You Shouldn’t Ignore
Not all hernias are dramatic, but here are a few red flags:
- A bulge near your groin or belly button that appears when standing or straining
- A pulling or aching sensation, especially when lifting or coughing
- A feeling of pressure or heaviness
- In more serious cases: pain, redness, or nausea, which could mean the hernia is trapped and needs urgent medical attention
Prevention and Small Changes That Go a Long Way
You can’t control everything, but a few tweaks in your routine can help reduce your risk:
- Lift smarter: Always bend your knees and brace your core.
- Strengthen your core: Include exercises that build deep abdominal strength, not just crunches.
- Watch your weight: Excess abdominal pressure can contribute to hernias.
- Stay regular: A high-fibre diet and hydration help prevent straining during bowel movements.
- Don’t “push through” pain: It’s not a badge of honour, it’s a red flag.
When Surgery Is the Safer Option
Not all hernias need surgery right away, but if it’s growing, painful, or interfering with your life, it’s time to consider it.
There are two main types of hernia repair: open surgery and keyhole (laparoscopic) surgery. Both aim to push the tissue back in place and reinforce the weakened area, often using a mesh.
The good news? Hernia surgery is straightforward and recovery can be relatively quick, especially if you address it early.
Don’t Wait Until It Gets Worse
If you’re noticing a lump, discomfort, or just something that feels “off” when you’re lifting or moving, don’t shrug it off.
At LS Lee Surgery, Dr Lee Lip Seng, Senior Consultant Hepatopancreatobiliary (HPB) Surgeon, offers personalised care for men dealing with hernias.
Book a consultation today to take care of that hernia before it takes over your routine.
You’re not 25 anymore, and that’s fine. But your health deserves the same energy you give your reps at the gym.
