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Can hernia be cured without surgery?

No, a hernia cannot be permanently cured without surgery.
Non-surgical treatments can only control symptoms and slow progression, but they do not repair the muscle defect.
Surgery is currently the only proven curative treatment for hernia.

A hernia is a condition that occurs when an internal organ or tissue bulges through a weak spot in the surrounding muscle or tissue.

Hernias can develop in various parts of the body, including the abdominal wall, groin area, and upper thigh.

Surgery is considered the most common treatment option for hernias, as it effectively repairs the damaged tissue and prevents the hernia from recurring.

However, some patients may be unable to undergo surgery for various reasons, such as age or other medical conditions.

This article aims to explore alternative treatment options for hernias that do not involve surgery. While surgery may be the most effective treatment option, it is not always the most suitable for all patients.

Therefore, the article seeks to provide valuable information on alternative treatments that are safe, non-invasive, and can help alleviate the symptoms of a hernia.

These alternative treatments may include lifestyle changes, such as exercise and weight management, as well as specialized belts or trusses that can support the affected area.

It is worth noting that alternative treatments for hernias should only be pursued after consultation with a healthcare professional.

This is because hernias can become severe and require immediate surgical intervention if left untreated.

The article aims to inform readers of the different options available and to highlight the importance of seeking medical advice before deciding on a treatment method.

By exploring alternative treatments, patients may have a better understanding of their options and can make an informed decision about their treatment plan.

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What is Hernia?| Type of Hernia -Dr. Neeraj Rayate

Key Facts About Treating Hernia Without Surgery

  • Hernias do not heal on their own. Medical studies consistently show that once a hernia forms, the defect in the muscle wall does not close naturally without surgical repair.

  • Non-surgical methods only manage symptoms, not the hernia itself. Supports like hernia belts, trusses, or lifestyle changes may reduce discomfort temporarily, but they do not repair the muscle gap.

  • Watchful waiting is sometimes advised—but only in selected cases. Research indicates that in patients with small, minimally symptomatic inguinal hernias, careful observation can be safe short-term; however, about 60–70% eventually need surgery due to worsening symptoms.

  • The risk of complications remains without surgery. Untreated hernias carry a measurable risk of incarceration or strangulation, where blood supply to the trapped intestine is cut off—this can become a medical emergency.

  • Surgery is the only proven curative treatment. Large clinical trials and surgical guidelines confirm that mesh or tissue repair surgery is currently the only definitive way to permanently fix a hernia and prevent recurrence.

When Can a Hernia Be Managed Without Surgery?

In selected cases, a hernia may be managed without immediate surgery, but this approach is temporary and carefully monitored.

Doctors may recommend a non-surgical approach when the hernia is small, causes minimal or no pain, and can be pushed back easily, or when the patient has serious medical conditions that make surgery risky.

This approach is commonly known as watchful waiting, where the patient is regularly monitored for any change in symptoms.

However, it is important to understand that watchful waiting does not cure the hernia—it only delays surgery until it becomes necessary or safer.

Expert Opinion by Dr. Neeraj Rayate

A hernia cannot be completely cured without surgery.

But if it is very small and not causing pain or discomfort, we can delay surgery for some time and keep it under observation.

Types of Hernias

Hernias are classified based on their location in the body. Inguinal hernias occur in the groin area and are the most common type, accounting for around 70% of all hernias.

They are more common in men than women and can be either direct or indirect. Direct inguinal hernias occur when the intestine bulges through a weakened area in the abdominal wall.

while indirect inguinal hernias occur when the intestine protrudes through the inguinal canal, a passage in the lower abdominal wall.

Another type of hernia is the femoral hernia, which occurs in the upper thigh near the groin. This type of hernia is more common in women and is typically caused by a weak spot in the femoral canal.

Umbilical hernias occur when the intestine or fatty tissue protrudes through the abdominal muscles near the belly button. They are most common in infants, but can also occur in adults, particularly those who are overweight or who have had multiple pregnancies.

Incisional hernias are a type of hernia that occurs at the site of a previous surgical incision. These hernias can develop months or even years after the surgery has been performed and can be caused by factors such as physical activity, obesity, or chronic coughing.

Finally, Hiatal hernias occur when part of the stomach bulges through the diaphragm and into the chest cavity. These hernias can cause gastroesophageal reflux disease (GERD) and are more common in individuals over the age of 50.

It is important to note that each type of hernia requires a specific treatment plan and that surgery may not always be required. Consultation with a qualified surgeon is necessary to determine the best course of action for each individual case.

To learn more about hernias, their types, symptoms, and treatment options, you can read this detailed article: What is Hernia and Types of Hernia.

Non-Surgical Treatment Options For Hernia

While surgery is the most common treatment for hernias, there are non-surgical options available that can help alleviate symptoms and improve overall quality of life. 

These options may be particularly beneficial for patients who cannot undergo surgery due to age or other medical conditions.

Lifestyle Modifications:

Lifestyle Modifications
Lifestyle modifications such as weight loss, avoiding heavy lifting, and adopting proper posture can help reduce symptoms associated with hernias.

Weight loss can reduce pressure on the abdominal wall and decrease the risk of hernia development. 

Additionally, avoiding heavy lifting can prevent further damage to weakened abdominal muscles and tissue.

Proper posture can also help reduce pressure on the abdominal area and alleviate discomfort associated with hernias.

Supportive Garments:

Hernia belts
Hernia belts or trusses are specialized support garments that are designed to provide temporary relief and support for individuals with hernias. 

These garments work by applying pressure to the affected area, which can help keep the protruding organ or tissue in place and reduce symptoms.

Physical Therapy:

Physiotherapy session for hernia recoveryPhysical therapy is another non-surgical treatment option that may be helpful for individuals with hernias. Targeted exercises and physical therapy techniques can help strengthen the surrounding muscles and reduce hernia-related discomfort. 

This can help improve overall function and decrease the risk of further complications.

Medications:

Health and healing through medication
In some cases, medications may be prescribed to manage symptoms associated with hernias.Pain relievers can be helpful in reducing discomfort, while acid reflux medications may be recommended for individuals with hiatal hernias to reduce acid reflux symptoms.

It is important to note that while non-surgical treatment options may be effective in reducing symptoms associated with hernias, surgery may still be required in some cases.

 Also, Read- How to Prevent Hernia Problem?

How Long Can a Hernia Be Managed Without Surgery?

The duration for which a hernia can be managed without surgery varies from person to person.

Some patients may live months or even years with a small, minimally symptomatic hernia under medical supervision.

However, studies show that most patients eventually require surgery, as hernia symptoms tend to worsen over time.

Pain may increase, the bulge may grow larger, and daily activities may become difficult. Delaying surgery for too long can sometimes make the repair more complex later.

For this reason, long-term non-surgical management is not considered a permanent solution, but rather a short-term option in carefully selected cases.

Limitations of Non-Surgical Treatments for Hernia

While non-surgical treatment options are available for hernias, it is important to acknowledge their limitations. Non-surgical treatments may relieve symptoms, but they do not cure the hernia.

The effectiveness of non-surgical options depends on the type and severity of the hernia, and may not be effective for all patients.

Delaying or avoiding surgery when it is recommended can lead to potential risks and complications. For instance, hernias can become larger and more painful, and in severe cases can lead to bowel obstruction. 

Delaying surgery can also increase the risk of developing complications during surgery, such as infection or tissue damage.

It is essential to seek medical advice when considering treatment options for a hernia and to discuss the risks and benefits of each approach.

Surgery is generally considered the most effective treatment for hernias, while non-surgical options may provide relief in some cases.

 they may not be suitable for all patients. Ultimately, the best course of action for treating a hernia will depend on the individual case and the recommendation of a qualified doctor.

For expert care, consult Dr. Neeraj Rayate, a leading hernia specialist in Pune, known for his expertise in advanced hernia treatments.

When Surgery is Necessary For Hernia?

While non-surgical treatment options may be beneficial for some patients, surgery is typically required for hernia treatment. 

Surgery may be recommended in situations where the hernia is causing severe pain or discomfort, is growing in size, or is at risk of becoming strangulated or incarcerated, where the blood supply to the protruding tissue becomes compromised.

During surgery, the weakened area in the abdominal wall is repaired using a mesh or sutures to strengthen the tissue and prevent future hernias. 

Laparoscopic surgery, which involves making small incisions and using a camera to guide the repair, is a minimally invasive procedure that is associated with faster recovery times.

The potential risks and complications associated with untreated or unmanaged hernias can be serious.

Untreated hernias can lead to intestinal obstruction, a life-threatening condition where the intestine becomes blocked, and can also cause damage to surrounding tissue. 

While hernias may not always cause symptoms, it is important to seek medical attention if a bulge is present, as early intervention can prevent further complications.

Factors such as age, overall health, and the type and severity of the hernia will be considered when determining the best course of action.

In summary, while non-surgical treatment options may provide relief from symptoms, surgery is often necessary for hernia repair. Untreated hernias can lead to serious complications, and it is important to seek medical attention if symptoms are present.

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Get in touch with us

To learn more about hernia treatment and the available options. Our experienced team of doctors can provide information on the best course of action for each individual case, ensuring safe and effective treatment. 

The bottom line is that non-surgical treatments may relieve symptoms associated with hernias, but they cannot cure a hernia.

FAQs

1.Can Hernia Be Treated Without Surgery in Babies?

In most cases, hernias in babies cannot be permanently treated without surgery. While some umbilical hernias in infants may close on their own by the age of 2–4 years, inguinal hernias in babies do not heal naturally and usually require surgical repair.

Non-surgical methods such as belts, taping, or home remedies are not recommended for babies, as they do not fix the underlying defect and may increase the risk of complications. Early surgical treatment is often advised for inguinal hernias in infants to prevent serious problems like incarceration or strangulation.

A pediatric surgeon should always evaluate a baby with a hernia to decide the safest and most appropriate treatment.

2.Can Hernia Be Treated Without Surgery in Ayurveda?

According to both modern medicine and Ayurvedic understanding, hernia cannot be permanently cured without surgery, even with Ayurvedic treatment.

In Ayurveda, hernia is described as “Antra Vriddhi”, where there is displacement or bulging of internal tissues due to weakness.

Ayurvedic treatments such as herbal medicines, dietary changes, abdominal strengthening practices, and lifestyle modifications may help reduce discomfort, improve digestion, relieve bloating, and slow symptom progression, but they do not repair the muscle defect responsible for the hernia.

Because of this, Ayurveda is best used as a supportive or complementary approach, especially for symptom management or for patients who are not fit for surgery.

However, definitive treatment of a hernia still requires surgical repair, particularly in cases of inguinal, femoral, or complicated hernias.

Patients considering Ayurvedic management should do so only under medical supervision and should seek immediate surgical care if pain, swelling, vomiting, or irreducibility occurs.

3.Can inguinal hernia be cured without surgery?

No. Inguinal hernias do not heal on their own and cannot be permanently cured without surgery. In some cases, small and painless hernias may be monitored temporarily, but surgery is eventually required for a permanent solution.

4.Can umbilical hernia be cured without surgery?

In babies and young children, small umbilical hernias may close naturally by the age of 2–4 years. However, in adults, umbilical hernias do not heal without surgery and usually require surgical repair.

5.Can hiatal hernia be treated without surgery?

Yes, many hiatal hernias can be managed without surgery using lifestyle changes, dietary modifications, weight loss, and medications. However, these treatments manage symptoms and do not permanently cure the hernia.

6.Can femoral hernia be cured without surgery?

No. Femoral hernias carry a high risk of strangulation and should be treated with surgery. Non-surgical treatment is not considered safe or effective.

7.Can incisional hernia be cured without surgery?

No. Incisional hernias occur at a previous surgical site and do not close naturally. Surgery is the only definitive treatment, although supportive measures may temporarily relieve symptoms.

December 10, 2025 by

Fundoplication Surgery Cost in India

The average cost of fundoplication surgery in India ranges from ₹20,000 to ₹1,25,000, depending on the hospital, surgeon’s expertise, and your overall health condition.

This cost generally includes surgeon fees, operation theatre charges, hospital stay, and basic medications, but may exclude pre-operative tests and post-surgery follow-ups.

If you’ve been advised to undergo this surgery for acid reflux, GERD, or hiatus hernia, understanding the financial details is the first step in planning your treatment.

In this guide, you’ll find a clear breakdown of the costs, the factors that influence them, and what’s typically included or excluded in hospital packages — helping you make an informed and confident healthcare decision.

Fundoplication Surgery Cost in India

What is Fundoplication Surgery?

Fundoplication is a surgical procedure designed to treat gastroesophageal reflux disease (GERD) and hiatus hernias.

During the surgery, the upper part of the stomach, known as the fundus, is wrapped around the lower end of the oesophagus. 

This action reinforces the lower oesophageal sphincter (LES), the valve that prevents stomach acid from flowing back into the oesophagus.

The procedure is most commonly performed using a minimally invasive technique called laparoscopy. 

Laparoscopic fundoplication involves making several small incisions in the abdomen, which typically leads to less pain, a shorter hospital stay, and a quicker recovery compared to traditional open surgery.

How Much Does Laparoscopic Fundoplication Cost in India?

The cost of laparoscopic fundoplication surgery in India generally ranges from ₹20,000 to ₹1,25,000. 

This is an estimated range, and the final cost can vary based on several factors.

This price typically covers the primary aspects of the procedure, but it’s important to confirm what is included with your chosen hospital.

An open fundoplication, which is less common, may have a different cost structure due to a longer hospital stay and recovery period.

What Factors Influence the Final Cost of Surgery?

The price you pay for fundoplication is not a single, fixed number. It is influenced by a combination of medical and non-medical factors. Understanding these variables will help you better navigate your financial planning.

Factor

Description

City & Hospital Choice

Costs are generally higher in major metropolitan cities (like Mumbai, Delhi, Bengaluru) compared to Tier-2 cities. Renowned private hospitals with advanced facilities also charge more than smaller nursing homes.

Surgeon’s Expertise

The fees for a highly experienced surgeon with a strong track record in gastrointestinal surgery will be higher. This expertise is a critical factor in the success of the procedure.

Type of Surgery

Laparoscopic (minimally invasive) surgery is the standard. However, in rare cases where open surgery is required, the cost may change due to the longer hospitalisation needed.

Patient’s Health

If you have other medical conditions (comorbidities) like diabetes or heart disease, you may require additional monitoring or specialised care, which can increase the overall cost.

Room Type

The choice between a private room, a semi-private room, or a general ward will significantly impact the cost of your hospital stay.

Pre-operative Tests

Before surgery, you will need diagnostic tests like an endoscopy, pH monitoring, and blood tests. These are often billed separately from the main surgery package.

Post-operative Care

The cost of medications, follow-up consultations, and any potential need for extended hospitalisation will add to the total expense.

What is Usually Included in a Surgery Package?

When a hospital provides a cost estimate for fundoplication surgery, it is often presented as a package. While a la carte billing is also possible, a package helps simplify the costs.

A standard fundoplication surgery package in India typically includes:

  • Surgeon’s and anaesthetist’s fees
  • Operation theatre charges
  • Standard medications and surgical consumables used during the procedure
  • Room rent for a specified number of days (e.g., 2-3 days for laparoscopic surgery)
  • Nursing care during the hospital stay

What is Often Excluded from the Package?

Be sure to ask about costs that are not part of the standard package. These can include:

  • Initial consultation fees
  • Pre-surgery diagnostic tests and investigations
  • Cost of specialised equipment or implants if needed
  • Extended hospital stay beyond the package days
  • Post-discharge medications and follow-up consultations
  • Treatment for any unforeseen complications

Does Health Insurance Cover Fundoplication Surgery?

Yes, fundoplication surgery is generally covered by health insurance in India. It is considered a medically necessary procedure for treating conditions like severe GERD and hiatus hernia. However, the extent of coverage depends entirely on your specific policy.

Here are some key points to consider:

  • Waiting Periods: Most policies have a waiting period for pre-existing diseases. If your GERD is classified as such, you may need to wait a certain period before you can claim the benefit.
  • Sub-limits: Some policies impose sub-limits on room rent or specific surgical procedures. Check if your policy has any caps on this type of surgery.
  • Network Hospitals: Opting for a hospital within your insurer’s network allows for a cashless transaction, which is much more convenient.
  • Pre-authorisation: You must get approval from your insurance provider before the surgery. Your hospital’s insurance desk can help you with this process.


Always contact your insurance provider to understand the exact terms and conditions of your policy before planning the surgery.

 

Key Takeaways

  • Estimated Cost: The average cost for laparoscopic fundoplication surgery in India is between ₹20,000 and ₹1,25,000.
  • Key Cost Factors: The city, hospital reputation, surgeon’s experience, and patient’s health condition are the primary drivers of the final cost.
  • Package Inclusions: Surgery packages usually cover the operation, surgeon’s fees, and a standard hospital stay. Pre-operative tests and post-operative care are often extra.
  • Insurance Coverage: The procedure is typically covered by health insurance, but you must check your policy for waiting periods, sub-limits, and the pre-authorisation process.
  • Clarity is Key: Always ask for a detailed cost breakdown from the hospital to avoid unexpected expenses.

Book your consultation for fundoplication surgery today with Doss India, Pune, and regain control of your health!

Frequently Asked Questions (FAQ)

Q1: How long is the hospital stay for fundoplication surgery?
For a laparoscopic fundoplication, the typical hospital stay is 2 to 3 days. If you undergo open surgery, the stay may be longer, around 5 to 7 days.

 

Q2: What is the recovery time after fundoplication?
Most patients can return to light activities and desk jobs within 1 to 2 weeks after laparoscopic surgery. Full recovery, including the ability to lift heavy objects, may take 4 to 6 weeks. Your fundoplication surgeon will provide specific guidelines based on your progress.

 

Q3: Are there non-surgical alternatives to fundoplication?
Yes. Before surgery is recommended, doctors usually prescribe lifestyle changes (diet modification, weight loss) and medications like proton pump inhibitors (PPIs). Surgery is typically reserved for cases where these methods fail to provide adequate relief or are not a suitable long-term solution.

 

Q4: Is fundoplication surgery painful?
You will experience some pain and discomfort after the surgery, particularly around the incision sites. However, this is well-managed with prescribed pain medication. Laparoscopic surgery involves significantly less pain compared to open surgery.

 

Q5: Can I eat normally after the surgery?
You will be on a special diet that progresses from liquids to soft foods over several weeks. This allows the oesophagus and stomach to heal. Your surgeon or a dietitian will provide a detailed diet plan to follow after you are discharged.

October 5, 2025 by

The Posture Problem: How Slouching Can Affect Your Hernia Risk?

Living with a hernia, or the fear of developing one, can bring a lot of questions about your daily habits. You might already know about the risks of heavy lifting or chronic coughing, but have you ever considered the impact of how you sit, stand, and move?

The connection between your posture and a hernia is a crucial, yet often overlooked, part of prevention and management.

Poor posture can place unnecessary strain on your abdominal and core muscles, the very structures that hold your organs in place.

Over time, this constant, subtle pressure can weaken the abdominal wall, potentially leading to a hernia or making an existing one worse. Understanding this link is the first step toward taking control of your health.

This guide will explore exactly how posture affects hernias. We will cover which types of hernias are most influenced by your alignment, how to identify postural problems, and provide practical exercises and lifestyle changes you can make.

By the end, you’ll have a clear roadmap to improve your posture and support your core health.

How Slouching Can Affect Your Hernia Risk?

What is the Direct Link Between Posture and Hernias?

Yes, there is a direct link between posture and hernias. Poor posture, especially slouching or hunching, increases intra-abdominal pressure.

This constant pressure pushes against the abdominal wall, which can lead to the weakening of muscle and connective tissue over time. A weakened area is more susceptible to a hernia, where an organ or tissue pushes through the weak spot.

Think of your abdomen as a container. When you stand or sit tall with good posture, the pressure inside is distributed evenly.

When you slouch, you compress the front of this container, forcing pressure outwards and downwards onto the vulnerable areas in your groin (inguinal) and upper abdomen (hiatal), increasing your risk.

 

Which Types of Hernias Are Most Affected by Poor Posture?

While any hernia can be aggravated by increased abdominal pressure, some hernia types are more directly influenced by poor posture than others.

    • Hiatal Hernia: This is perhaps the most directly linked hernia to posture. Slouching forward compresses the abdomen and can push the stomach upwards through the diaphragm, causing or worsening a hiatal hernia. Symptoms like acid reflux and heartburn are often aggravated by poor seated posture.
    • Inguinal Hernia: This common hernia occurs in the groin area. Chronic slouching weakens the entire core, including the lower abdominal muscles that support the inguinal canal. This weakness, combined with pressure from poor alignment, can contribute to the formation of an inguinal hernia.
    • Umbilical Hernia: Located near the navel, an umbilical hernia can also be affected. Poor posture leads to a less engaged core, placing more strain on the midline of your abdomen where these hernias occur.

How Can You Tell if Your Posture is Harming You?

Recognising poor posture is the first step towards correcting it. Many people don’t realise their alignment is off until they experience pain or other symptoms. Here are a few signs that your posture might be contributing to abdominal strain.

Common Signs of Poor Posture

  • Forward Head: Your head juts forward, out of alignment with your spine.
  • Rounded Shoulders: Your shoulders are hunched forward, closing off your chest.
  • Anterior Pelvic Tilt: Your lower back has an excessive curve, pushing your stomach forward.
  • Chronic Back Pain: Persistent aches, especially in the lower back or neck, are a classic sign.
  • Muscle Fatigue: Your muscles have to work harder to hold you up, leading to quick exhaustion.

You can perform a simple wall test to check your alignment. Stand with your back against a wall, with your heels a few inches away from it.

Your head, shoulder blades, and buttocks should touch the wall, with a small curve in your lower back. If your head doesn’t touch or if there’s a large gap behind your lower back, your posture may need improvement.

 

Can Improving Posture Prevent a Hernia?

Improving your posture can absolutely help prevent a hernia. By correcting your alignment, you reduce the chronic, excessive intra-abdominal pressure that weakens the abdominal wall.

Good posture engages your core muscles, creating a natural “corset” of support that protects vulnerable areas.

For individuals with a high risk of hernias—due to genetics, previous surgery, or lifestyle—adopting good postural habits is a key preventative strategy. It is a proactive way to strengthen your body’s natural defences against this condition.

5 Practical Ways to Improve Posture for Hernia Prevention

Correcting years of poor posture takes time and conscious effort, but small changes can make a big difference. Here are five actionable steps you can start today.

  1. Practice Mindful Sitting: When at a desk, sit with your back straight and your shoulders back. Your buttocks should touch the back of your chair. Keep your knees bent at a 90-degree angle, with your feet flat on the floor. Use lumbar support if needed.
  2. Strengthen Your Core: Focus on exercises that strengthen the entire core, not just the “six-pack” muscles. Planks, bird-dog, and pelvic tilts help build deep stabilising muscles without putting high pressure on the abdomen.
  3. Stretch Your Chest and Hips: Poor posture often comes from tight muscles. Regularly stretch your chest muscles (pectoralis) and hip flexors to allow your body to return to a more neutral alignment. A simple doorway stretch is great for the chest.
  4. Be Aware When Standing: Stand with your weight evenly distributed on both feet. Keep your shoulders back, your head up, and engage your abdominal muscles slightly to support your spine. Avoid locking your knees.
  5. Adjust Your Sleeping Position: Sleeping on your back with a small pillow under your knees is often best for spinal alignment. If you are a side sleeper, place a pillow between your knees to keep your hips aligned. Avoid sleeping on your stomach, as it can strain your neck and spine.

Can Exercise for Posture Make a Hernia Worse?

This is a valid concern. The wrong kind of exercise can indeed make a hernia worse by significantly increasing intra-abdominal pressure. High-impact exercises, heavy weightlifting (especially with improper form), and exercises like traditional crunches or sit-ups should be avoided if you have a hernia or are at high risk.

However, gentle, controlled exercises designed to improve posture are generally safe and beneficial. The key is to focus on stabilisation and endurance rather than heavy straining.

Always listen to your body and stop if you feel any pain or pressure in the hernia area. Consulting with a physiotherapist is the safest way to get a personalised exercise plan.

 

Safe vs. Unsafe Exercises for Hernia and Posture

Safe Exercises (Focus on these)

Unsafe Exercises (Avoid or Modify)

Pelvic Tilts

Heavy Squats / Deadlifts

Planks (modified on knees if needed)

Traditional Abdominal Crunches

Bird-Dog

Leg Press Machine

Glute Bridges

High-Intensity Interval Training (HIIT)

Gentle Yoga / Pilates

Contact Sports

Key Takeaways

1.Direct Link: Poor posture, especially slouching, directly increases pressure on your abdomen, weakening the muscular wall and increasing hernia risk.

2.Most Affected Hernias: Hiatal and inguinal hernias are particularly influenced by poor postural habits.

3.Prevention is Key: Improving your posture can reduce chronic strain and is a powerful tool for preventing a hernia or managing an existing one.

4.Safe Exercise is Crucial: Focus on gentle core strengthening and stretching. Avoid high-impact activities and heavy lifting that could worsen a hernia.

5.Be Mindful Daily: Small adjustments to how you sit, stand, and sleep can lead to significant improvements in your core health and overall well-being.

Protect your core health with expert hernia care. Consult DOSS India today for guidance, prevention, and lasting relief.

Frequently Asked Questions (FAQ)

Q1: Can sitting all day cause a hernia?
A: Sitting all day, especially with poor posture, can contribute to the development of a hernia. Prolonged slouching weakens core muscles and increases pressure on the abdominal and groin areas, creating conditions that are favourable for a hernia to form.

Q2: What is the best sitting posture for a hiatal hernia?
A: The best sitting posture for a hiatal hernia is to sit upright with your shoulders back and your spine straight. This elongates the torso and reduces upward pressure on the stomach, which can help alleviate symptoms like acid reflux. Avoid slouching at all costs.

Q3: Can wearing a posture corrector help with hernia risk?
A: A posture corrector can be a useful tool to remind you to maintain good alignment, but it should not be relied upon as a long-term solution. The goal should be to strengthen your own muscles to hold a healthy posture naturally. Over-reliance on a brace can weaken your postural muscles.

Q4: Can poor posture cause pain that feels like a hernia?
A: Yes, poor posture can cause muscle strain and nerve compression in the abdomen or groin that might mimic hernia pain. However, it’s essential to get a proper diagnosis from a healthcare professional to rule out or confirm a hernia.

Q5: How long does it take to see benefits from improving posture?
A: While you might feel some immediate relief from pain by correcting your posture, it can take several weeks to months of consistent effort to retrain your muscles and make good posture your default habit. Consistency is more important than intensity.

Wrapping It Up: What’s the Best Choice for You?

September 28, 2025 by

Lifting Heavy, Staying Safe: A Pro’s Guide to Hernia Risks

For professional weightlifters, pushing the body to its absolute limit is part of the job. Every training session is a calculated effort to build strength, power, and muscle.

But with great force comes great risk, and one of the most common concerns for any serious lifter is the potential for a hernia. That sudden twinge or persistent bulge can be more than just a setback; it can be a career-threatening injury.

Understanding this risk is the first step towards preventing it. The immense intra-abdominal pressure generated during heavy lifts like squats and deadlifts puts significant strain on the abdominal wall.

While this pressure is necessary for stabilising the spine, it can also force tissue through a weak spot, leading to a hernia.

This guide will provide a comprehensive overview of hernia risks for professional weightlifters.

We will explore what causes them, the specific types lifters are prone to, crucial prevention strategies, and what to do if you suspect you have one.

Our goal is to equip you with the knowledge to train smarter, lift heavier, and protect your body for the long haul.

hernia risks in weightlifters

What is a Hernia and Why Are Weightlifters at High Risk?

A hernia occurs when an internal organ or fatty tissue pushes through a weak spot in the surrounding muscle or connective tissue, called fascia.

For weightlifters, this risk is significantly elevated due to the nature of their sport. The core of the issue is intra-abdominal pressure (IAP).

When you perform a heavy lift, you instinctively perform the Valsalva manoeuvre—bracing your core and holding your breath to create a rigid torso.

This action dramatically increases IAP, which helps protect your spine but also exerts immense force on your abdominal wall, particularly in the groin and navel areas. If there is a pre-existing weakness, this pressure can be the final push that causes a hernia.

 

What are the main types of hernias that affect weightlifters?

While several types of hernias exist, weightlifters are most susceptible to specific kinds due to the mechanics of lifting.

  • Inguinal Hernias: These are the most common type, especially in men. They occur when part of the intestine or abdominal fat protrudes through the inguinal canal in the groin. The constant, high-pressure strain from lifting makes this a particularly vulnerable area.
  • Umbilical Hernias: An umbilical hernia happens when tissue bulges through the abdominal wall near the navel (belly button). This area can be a natural weak point from birth, and the intense pressure from lifting can cause it to tear or stretch, leading to a hernia.
  • Incisional Hernias: If you have had previous abdominal surgery, you are at risk for an incisional hernia. The surgical scar tissue is never as strong as the original muscle wall, and the strain of lifting can cause it to give way.
  • Sports Hernias (Athletic Pubalgia): A sports hernia is not a true hernia but a strain or tear of any soft tissue (muscle, tendon, or ligament) in the lower abdomen or groin area. It causes chronic pain and is often the result of repetitive, forceful twisting or turning motions, which can be part of a dynamic lifting regimen.

    Dig deep:Types of Hernia

How to Identify the Symptoms of a Hernia?

Recognising the early signs of a hernia is critical for preventing further damage. Ignoring these symptoms can lead to more severe complications, such as strangulation, where the blood supply to the herniated tissue is cut off. This is a medical emergency.

Common Signs and Symptoms

  • A Noticeable Lump or Bulge: This is the most classic sign. You might feel or see a bulge in your groin or abdomen, which may become more prominent when you are standing, coughing, or straining. It might disappear when you lie down.
  • Pain or Discomfort: You may experience pain or a dull ache in the affected area, especially when lifting, bending over, or coughing. The pain can range from mild to severe.
  • A Feeling of Fullness or Pressure: Many athletes report a feeling of heaviness, weakness, or pressure in their groin or abdomen.
  • Pain Radiating to Other Areas: For inguinal hernias, pain can sometimes radiate into the testicles or inner thigh.

If you notice a bulge accompanied by sudden, severe pain, nausea, or vomiting, you must seek immediate medical attention as it could be a sign of a strangulated hernia.

Dig Deep: How to Identify Hernia at Home?

Can Proper Lifting Technique Prevent a Hernia?

Yes, proper lifting technique is your single most important defence against hernias. While some individuals may have a genetic predisposition to weaker connective tissue, poor form significantly multiplies the risk. It places uneven and excessive stress on the abdominal wall.

 

Key Technical Elements for Hernia Prevention:

1.Master Core Bracing: Learn to brace your core effectively without creating excessive, uncontrolled pressure. This involves contracting your entire abdominal wall, obliques, and lower back to create a “natural weightlifting belt.” The goal is stability, not just sucking in your stomach.

2.Control Your Breathing: Avoid holding your breath for too long or with excessive force (an extreme Valsalva manoeuvre). A controlled exhale during the most strenuous part of the lift can help manage intra-abdominal pressure. Work with a coach to perfect the timing of your breath with each specific lift.

3.Ensure Neutral Spine Alignment: Maintain a neutral spine throughout the entire range of motion. Allowing your lower back to round during a deadlift or squat shifts the load and can create dangerous pressure spikes in the lower abdomen.

4.Avoid Ego Lifting: Progress gradually. Lifting weight that is too heavy for you forces a breakdown in form, which is a direct path to injury. Listen to your body and prioritise perfect execution over the number on the bar.

Read: Can Heavy Lifting Cause Hernia ?

Do Weightlifting Belts Cause or Prevent Hernias?

This is a common and controversial question. A weightlifting belt does not directly prevent a hernia, but when used correctly, it can help reduce the risk.

A belt works by providing external pressure against your abdomen. This gives your core muscles a surface to push against, helping you increase intra-abdominal pressure more effectively and safely.

This enhanced stability can lead to better form and a more protected spine.

However, improper use can be detrimental. Relying on a belt too much can prevent your core muscles from developing their own strength.

Furthermore, wearing a belt excessively tight can create extreme pressure, potentially increasing the risk of a hernia if your bracing technique is poor.

Belt Usage

Potential Outcome

Correct Use

Used on maximal or near-maximal lifts; encourages proper bracing, helps maintain neutral spine, reduces injury risk.

Incorrect Use

Worn too tight, used for all lifts, relied upon as a crutch; can lead to a weak core and potentially increase hernia risk.

The takeaway is that a belt is a tool, not a solution. It should supplement strong technique, not replace it.

Returning to Lifting After Hernia Surgery

A hernia diagnosis doesn’t have to be the end of your lifting career. With proper surgical repair and a carefully managed recovery, many athletes return to their previous strength levels.

Recovery is a gradual process that must not be rushed.

  1. Immediate Post-Op (Weeks 1-2): Focus on rest. The only activity should be light walking to promote blood flow. Avoid any lifting, straining, or core engagement.
  2. Early Recovery (Weeks 3-6): Your surgeon will guide you on when to begin. Typically, you can introduce light bodyweight exercises and focus on re-engaging your deep core muscles. No lifting or straining is permitted.
  3. Progressive Loading (Weeks 6-12+): This is the crucial phase. Under medical guidance, you can begin slowly reintroducing light weights. The focus must be on flawless form and listening to your body. Start with machines before moving to free weights, and begin with weights that are 50% or less of your pre-injury lifts.
  4. Full Return: A full return to professional-level lifting can take anywhere from 3 to 6 months, and sometimes longer. It is vital to remain patient and prioritise long-term health over short-term gains.

Key Takeaways

  • Weightlifters are at high risk for inguinal and umbilical hernias due to the high intra-abdominal pressure created during heavy lifts.
  • Symptoms include a visible bulge, pain or aching in the groin or abdomen, and a feeling of pressure, especially when straining.
  • Proper lifting technique, including core bracing, controlled breathing, and neutral spine alignment, is the most effective prevention strategy.
  • A weightlifting belt can be a helpful tool for managing pressure on heavy lifts but does not replace the need for a strong core and good form.
  • Recovery from hernia surgery requires patience. A gradual, medically supervised return to lifting over 3-6 months is essential for a safe and successful outcome.

Frequently Asked Questions (FAQ)

Q: Can you feel a hernia developing?
A: Sometimes. You might feel a dull ache, a sense of pressure, or a slight twinge in your abdomen or groin before a noticeable bulge appears. Any new or persistent pain in these areas during or after lifting should be monitored closely.

Q: Will a hernia go away on its own?
A: No, a true hernia will not heal on its own. While symptoms may come and go, the underlying weakness in the muscle wall remains. Surgical repair is typically required to fix a hernia permanently.

Q: Can I continue to lift weights if I have a small hernia?
A: This is strongly discouraged. Lifting with an existing hernia can cause it to enlarge and significantly increases the risk of a dangerous complication like strangulation, where blood flow to the trapped tissue is cut off. You should always consult a doctor for diagnosis and guidance.

Q: Are some exercises more likely to cause a hernia than others?
A: Yes, exercises that generate maximum intra-abdominal pressure, such as heavy squats, deadlifts, and overhead presses, carry the highest risk. However, any lift performed with poor form or excessive weight can contribute to a hernia.

Wrapping It Up: What’s the Best Choice for You?

September 25, 2025 by

Your Guide to Natural Hernia Discomfort Remedies

Living with a hernia can be a daily challenge. The persistent ache, the bulge that serves as a constant reminder, and the worry about making it worse can significantly impact your quality of life.

While medical advice is paramount for treating the hernia itself, you may be wondering what you can do at home to manage the discomfort.

This guide is designed to walk you through practical, natural remedies that can help ease hernia-related symptoms. 

We will explore gentle exercises, dietary adjustments, and lifestyle changes that may offer relief. 

It is crucial to understand that these methods are for managing discomfort and are not a cure for the underlying hernia, which often requires medical intervention.

Here, we will cover which exercises are safe, what foods to eat (and avoid), and how simple lifestyle tweaks can make a difference.

Let’s explore how you can take an active role in managing your comfort while you navigate your hernia treatment journey.

Natural hernia remedies

What Exactly Is a Hernia?

A hernia occurs when an internal organ or fatty tissue pushes through a weak spot in the surrounding muscle or connective tissue.

This often results in a noticeable bulge or lump, most commonly in the abdomen or groin area. Common types include inguinal (inner groin), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach) hernias.

The primary cause is a combination of muscle weakness and strain. This strain can come from various sources, such as heavy lifting, chronic coughing, straining during bowel movements, or even pregnancy.

While some hernias are asymptomatic, many cause discomfort, aching, or a feeling of pressure, especially when standing, straining, or lifting.

Can Natural Remedies Actually Help with Hernia Discomfort?

Yes, natural remedies can play a significant role in managing the symptoms associated with a hernia.

While they cannot cure the hernia or make the bulge disappear, they can help reduce pain, pressure, and discomfort. The goal of these remedies is to minimise strain on the weakened area and support your body’s overall wellness.

Think of it as managing the environment around the hernia. By strengthening core muscles, avoiding activities that increase abdominal pressure, and maintaining a healthy digestive system, you can decrease the day-to-day irritation.

These strategies are supportive measures to be used alongside your doctor’s recommended treatment plan.

Safe Exercises for Hernia Discomfort Management

Gentle Exercises

Certain exercises can help strengthen the muscles around the hernia, providing better support and potentially reducing discomfort. The key is to choose gentle, low-impact activities that do not increase intra-abdominal pressure.

Always get approval from your hernia doctor or a physical therapist before starting any new exercise routine.

Recommended Gentle Exercises:

  • Walking: A simple yet effective low-impact cardiovascular exercise that improves overall fitness without straining the abdomen.
  • Swimming or Water Aerobics: The buoyancy of water supports your body, allowing you to strengthen muscles with minimal strain on your core.
  • Gentle Yoga or Pilates: Focus on poses that strengthen the pelvic floor and deep core muscles. Poses like the Bridge Pose and Pelvic Tilts can be beneficial. Be sure to inform your instructor about your condition.

What Exercises Should You Avoid with a Hernia?

You should avoid any activity that involves heavy lifting, straining, or intense core work that crunches the abdomen. These actions increase pressure and can worsen the hernia or cause significant pain.

Exercises to Avoid:

  • Heavy weightlifting (especially squats and deadlifts)
  • Traditional crunches and sit-ups
  • High-impact sports that involve jumping or sudden twisting
  • Any exercise that causes you to hold your breath and bear down (the Valsalva manoeuvre)

The Role of Diet in Managing Hernia Symptoms

Diet

Your diet has a direct impact on your digestive system and, consequently, the pressure within your abdomen. A well-managed diet can prevent constipation and bloating, two major contributors to hernia discomfort.

 

What Foods Should You Eat to Reduce Hernia Discomfort?

Focus on a high-fibre diet to promote regular, easy bowel movements. This reduces the need to strain, which is critical for managing a hernia.

  • High-Fibre Foods: Include plenty of fruits (berries, apples, pears), vegetables (broccoli, carrots, leafy greens), whole grains (oats, brown rice, quinoa), and legumes (beans, lentils).
  • Lean Protein: Choose chicken, fish, and tofu to support muscle health without the high fat content that can slow digestion.
  • Hydration: Drink plenty of water throughout the day to help fibre do its job and keep stools soft.

     

What Foods Should You Avoid with a Hernia?

Certain foods can cause gas, bloating, or acid reflux, all of which increase abdominal pressure and can aggravate hernia symptoms, especially a hiatal hernia.

  • Gas-Inducing Foods: Limit your intake of carbonated drinks, beans (if they cause you gas), and certain vegetables like cabbage and Brussels sprouts.
  • Spicy and Acidic Foods: Tomatoes, citrus fruits, and spicy meals can trigger acid reflux, worsening hiatal hernia symptoms.
  • Fried and Fatty Foods: These can slow down digestion and contribute to discomfort and bloating.

Food Category

Recommended Choices

Foods to Limit or Avoid

Fruits

Berries, melons, bananas, pears

Citrus fruits (oranges, grapefruit)

Vegetables

Carrots, green beans, cucumbers, spinach

Cabbage, onions, broccoli (if they cause gas)

Grains

Oats, brown rice, whole-wheat bread

Refined white bread, pastries

Proteins

Grilled chicken, fish, tofu, eggs

Fried meats, fatty cuts of red meat

Beverages

Water, herbal tea (non-caffeinated)

Carbonated drinks, coffee, alcohol

Lifestyle Changes to Minimise Hernia Strain

Lifestyle Changes to Minimise Hernia Strain

Beyond diet and exercise, simple adjustments to your daily habits can make a substantial difference in managing hernia discomfort.

 

Maintain a Healthy Weight

Excess body weight, particularly around the abdomen, puts constant pressure on the abdominal wall. Losing weight through a healthy diet and gentle exercise can significantly reduce this strain and alleviate symptoms.

 

How Should You Lift Objects to Avoid Hernia Pain?

Proper lifting technique is essential. Never lift with your back. Instead, bend at your knees, keep your back straight, and lift with your powerful leg muscles. Avoid lifting objects that are too heavy for you to manage comfortably.

 

Can a Hernia Support Belt Help?

Yes, a hernia truss or support belt can provide temporary relief by applying gentle compression to the hernia, keeping it in place and reducing discomfort during physical activity.

However, this is a temporary fix and not a long-term solution. Consult your doctor to see if a support belt is appropriate for you and to ensure proper fitting.

Key Takeaways

  • Natural remedies do not cure hernias but can effectively manage symptoms like pain and discomfort.
  • Always consult a healthcare professional before trying any new remedy, diet, or exercise.
  • Focus on gentle exercises like walking and swimming, and avoid heavy lifting or intense abdominal workouts.
  • Adopt a high-fibre, low-acid diet to prevent constipation and bloating, which worsen hernia symptoms.
  • Lifestyle adjustments, such as maintaining a healthy weight and using proper lifting techniques, are crucial for minimising strain.

Frequently Asked Questions (FAQ)

Q: Can you heal a hernia naturally without surgery?
A: No, you cannot heal a hernia naturally. A hernia is a physical tear in the muscle wall, and natural remedies cannot repair this tear. Surgery is typically the only way to permanently fix a hernia, although not all hernias require immediate surgery.

Q: Is it safe to massage a hernia?
A: You should not massage a hernia directly without guidance from a medical professional. While a doctor might show you how to gently reduce (push back in) a reducible hernia, improper massage could cause pain or complications.

Q: Can stress make hernia pain worse?
A: Yes, stress can indirectly make hernia pain worse. Stress often causes muscle tension, including in the abdominal area, which can increase discomfort. Stress-reducing techniques like deep breathing and meditation may help manage pain levels.

Q: Does lying down help hernia pain?
A: Yes, lying down often provides temporary relief from hernia pain. This position takes the pressure of gravity off the abdominal wall, allowing the hernia to retract and easing the feeling of pressure or aching.

Q: When should I see a doctor for my hernia?
A: You should see a doctor as soon as you suspect you have a hernia. Seek immediate medical attention if you experience sudden, severe pain, nausea, vomiting, or if the hernia bulge becomes firm, tender, and cannot be pushed back in, as these are signs of a medical emergency (strangulation).

Wrapping It Up: What’s the Best Choice for You?

September 10, 2025 by

Finding Comfort: Your Guide to Hernia Support Garments

Living with a hernia can be uncomfortable and sometimes restrictive. Whether you’re waiting for surgery, recovering post-op, or managing a hernia that doesn’t require immediate surgical intervention, finding ways to manage discomfort and maintain your daily activities is crucial.

This is where hernia support garments come into play, offering gentle compression and stability to help you move with more confidence.

This guide will walk you through everything you need to know about using hernia support garments for daily wear. 

We’ll explore the different types available, how to choose the right one for your specific needs, and answer common questions about their use.

Our goal is to provide clear, trustworthy information to help you make an informed decision and find the comfort you deserve.

hernia support garments

What Are Hernia Support Garments?

Hernia support garments are specialised undergarments or belts designed to provide external support to a hernia. They work by applying gentle, consistent pressure over the herniated area.

This pressure helps to keep the protruding tissue or organ in place, which can alleviate pain, reduce the feeling of bulging, and prevent the hernia from worsening during physical activity.

These garments are not a cure for a hernia, which often requires medical or surgical treatment. Instead, they are a management tool used to improve quality of life.

Think of them as a supportive aid that allows you to continue with your day-to-day life with less discomfort and a greater sense of security.

 

How Do Hernia Supports Work?

The primary mechanism of a hernia support is compression. By gently pushing the bulge back, the garment provides several key benefits:

  • Pain Relief: The pressure can significantly reduce the aching or sharp pains associated with a hernia.
  • Symptom Management: It helps control the noticeable bulge, making it less prominent under clothing.
  • Support During Activity: It provides stability during activities like walking, lifting, or exercising, reducing the risk of strain.
  • Post-Surgical Healing: After an operation, a support garment can help reduce swelling and protect the incision site as it heals.

Types of Hernia Support Garments

Hernia supports come in various shapes and styles, each designed for different types of hernias and levels of support. Choosing the right type is essential for both comfort and effectiveness.

Hernia Belts (Trusses)

A hernia belt, often called a truss, is one of the most common types of support. It typically consists of an elastic band that wraps around the waist or pelvis, with a specialised pad that applies direct pressure to the hernia.

  • Best for: Inguinal (groin) hernias.
  • Features: They are often adjustable and can have pads for single or double hernias. They are designed to be worn discreetly under clothing.
  • Use Case: Ideal for daily wear to manage symptoms and provide support during light activities.

Hernia Support Briefs & Boxers

These look and feel much like regular underwear but have built-in support panels. They offer a more integrated and often more comfortable solution than a separate belt.

  • Best for: Inguinal hernias, post-surgical support, and general abdominal weakness.
  • Features: They provide anatomically correct compression and are made from breathable, skin-friendly fabrics.
  • Use Case: Excellent for all-day wear, providing seamless support that moves with your body. Many people find them more comfortable for sleeping or extended wear.

Abdominal Binders (Belly Binders)

An abdominal binder is a wide, elasticated band that wraps around the torso. It provides broad compression across the entire abdominal area.

  • Best for: Umbilical (navel), incisional (at a surgical scar), or ventral hernias. They are also widely used for post-operative recovery.
  • Features: Highly adjustable with Velcro or hook-and-loop closures. Their width can vary depending on the area needing support.
  • Use Case: Provides firm support after abdominal surgery to reduce swelling and help muscles heal. It can also manage the symptoms of an umbilical hernia.


Comparing Hernia Support Types

Garment Type

Primary Use

Level of Support

Discretion

Hernia Belt (Truss)

Inguinal Hernia

Moderate to Firm

Good

Support Briefs/Boxers

Inguinal, Post-Op

Light to Moderate

Excellent

Abdominal Binder

Umbilical, Incisional

Firm to Extra Firm

Fair

How to Choose the Right Hernia Support for You?

Selecting the best garment depends on several factors. Always consult your doctor or a physiotherapist before purchasing a hernia support to ensure it is appropriate for your condition.

1. Identify Your Hernia Type

The location of your hernia is the most important factor. An inguinal hernia requires a different type of support than an umbilical one. Your doctor will diagnose the type of hernia you have.

2. Consider Your Lifestyle and Activity Level

Think about when you will wear the support. If you need all-day comfort for office work and light walking, a support brief might be ideal. If you require extra stability for more strenuous activities or have a physically demanding job, a firmer hernia belt or binder may be more suitable.

3. Get the Right Size

Proper sizing is critical for both comfort and effectiveness. A garment that is too tight can restrict circulation and cause more pain, while one that is too loose will not provide adequate support.

  • How to Measure: Most manufacturers provide a sizing guide. You will typically need to measure your waist or hip circumference. For hernia belts, you measure around the hips, not the waist.
  • Check the Fit: The support should be snug but not painfully tight. You should be able to breathe comfortably and move without significant restriction. The pressure pad on a truss should sit directly over the hernia.

4. Check the Material

Since the garment will be in direct contact with your skin, choose one made from breathable, hypoallergenic materials to prevent irritation and sweating. Cotton blends and modern microfibres are excellent choices.

Daily Wear and Care Tips

To get the most out of your hernia support garment, it’s important to wear and care for it correctly.

  • Putting It On: It is often recommended to lie down when putting on your hernia support, especially a truss. This allows gravity to help the hernia retract, so you can position the pad correctly before securing the belt.
  • Wearing Schedule: Your doctor will advise you on how long to wear the garment each day. Many people wear it during their waking hours and remove it at night, but post-surgical patients may need to wear it 24/7 for a period.
  • Skin Care: Check your skin daily for any signs of redness, rash, or pressure sores. Keep your skin clean and dry. Avoid applying lotions or creams under the support pad.
  • Cleaning: Follow the manufacturer’s washing instructions. Most hernia supports should be hand-washed in cool water with mild soap and then air-dried. Machine washing can damage the elastic fibres and reduce the garment’s effectiveness.

Frequently Asked Questions (FAQ)

Q: Can I wear a hernia support garment all day?
A: Yes, most hernia supports are designed for all-day wear. However, it is generally recommended to remove them at night unless your doctor has advised otherwise, such as during post-operative recovery.

Q: Will a hernia belt cure my hernia?
A: No, a hernia support garment does not cure a hernia. It is a tool for managing symptoms like pain and bulging. A definitive cure for most hernias requires surgical repair.

Q: Can I exercise while wearing a hernia support?
A: Yes, wearing a support garment can provide the stability needed to perform light to moderate exercise safely. It is particularly helpful for activities like walking, yoga, or light weightlifting. Always consult your doctor about which exercises are safe for you.

Q: How do I know if my hernia belt is too tight?
A: A hernia belt is too tight if it causes pain, numbness, tingling, or leaves deep red marks on your skin. It should feel snug and supportive, but never constricting. You should be able to slip a finger between the belt and your skin.

Q: Should I wear my hernia support over or under my underwear?
A: Hernia belts and binders are typically worn over your underwear to keep them cleaner and reduce skin irritation. Hernia support briefs and boxers are worn in place of your regular underwear.

Key Takeaways

    • Hernia support garments manage symptoms by providing gentle compression to the herniated area.
    • They do not cure hernias but can significantly improve comfort and quality of life.
    • The main types are hernia belts (trusses), support briefs, and abdominal binders.
    • Choosing the right type depends on your hernia location, activity level, and proper sizing.
    • Always consult a hernia specialist before using a hernia support to ensure it is right for your condition.
    • Proper wear and care, including hygiene and following washing instructions, are essential for effectiveness and longevity.

Wrapping It Up: What’s the Best Choice for You?

September 5, 2025 by

Do Diet Trends Like Keto and Intermittent Fasting Help or Harm in the Long Run?

If you’ve tried keto, intermittent fasting, or both, you’re not alone. Many people come to me saying, “I felt great for a while, but is this safe long term?” It’s a fair question. Diet trends can deliver quick results, but your health is a marathon, not a sprint.

In this guide, I’ll walk you through what the evidence shows about keto and intermittent fasting: the benefits, the risks, who they suit, who should avoid them, and how to do them more safely if you decide to try. By the end, you’ll have a clear, practical plan to decide what’s right for you.

Key takeaways:

  • Both keto and intermittent fasting can help with weight loss and metabolic health for some people.
  • Long-term safety depends on the person, the version of the diet, and consistency in getting enough nutrients.
  • Side effects and risks are real—especially for people with certain medical conditions or those taking specific medications.
  • You don’t have to go “all in” to get benefits. A balanced, sustainable approach often works best.

Do Diet Trends Like Keto and Intermittent Fasting Help?

What Do We Mean by “Keto” and “Intermittent Fasting”?

Keto, in brief

  • Very low carbohydrate (often under 50 g/day)
  • High fat, moderate protein
  • Goal: switch your body’s fuel to ketones from fat

People choose keto for weight loss, blood sugar control, and sometimes to manage neurological conditions like epilepsy (under medical supervision).

Intermittent fasting (IF), in brief

  • Eating pattern that cycles between periods of eating and fasting
  • Common types:
    • 16:8 time-restricted eating (16 hours fast, 8-hour eating window)
    • 5:2 (two low-calorie days per week)
    • Alternate-day fasting (fasting every other day)

Goals vary: weight loss, improved insulin sensitivity, and simplicity (fewer meals to plan).

The Potential Benefits: What the Research Suggests?

Weight loss and body composition

  • Keto: Often produces faster short-term weight loss than low-fat diets. Early weight loss is partly water, but fat loss can follow if you maintain a calorie deficit. Some people feel fewer cravings and more fullness.
  • IF: Can be as effective as standard calorie restriction for weight loss. Time-restricted eating (e.g., 8–10-hour window) helps some people naturally reduce intake without counting calories.

What tends to work long term is the approach you can stick with. If keto or IF helps you control appetite and eat fewer calories consistently, you’ll likely lose weight.

Blood sugar and insulin sensitivity

  • Keto: Can lower HbA1c and reduce blood glucose swings in people with type 2 diabetes. Some reduce or stop medications under medical supervision.
  • IF: May improve fasting glucose and insulin sensitivity, especially in people with insulin resistance. Early time-restricted eating (e.g., finishing dinner earlier) may be especially helpful for glucose control.

Important: If you’re on insulin or sulfonylureas, these approaches can cause hypoglycaemia without medication adjustments. Don’t change your diet without talking to your clinician.

Cholesterol and triglycerides

  • Keto: Often lowers triglycerides and can raise HDL (“good” cholesterol). LDL (“bad” cholesterol) varies: most see little change, but a subset experience a marked rise, especially with very high saturated fat intake. If LDL rises, cardiovascular risk may increase.
  • IF: Typically reduces triglycerides modestly and may improve LDL particle size, though effects vary.

Blood pressure and inflammation

  • Both approaches can reduce blood pressure and inflammatory markers, especially when weight loss occurs and ultra-processed foods are cut back.

Neurological and metabolic health

  • Keto was developed for epilepsy control and still helps some patients with seizures. Research is ongoing for migraines and certain neurological conditions.
  • IF may support cellular repair processes like autophagy and improve metabolic flexibility. Evidence in humans is promising but not definitive.

The Potential Risks: What You Should Watch For

Nutrient gaps

  • Keto can be low in fibre, vitamins (folate, vitamin C), and minerals (magnesium, potassium) if vegetables, nuts, seeds, and low-carb fruit aren’t prioritised.
  • IF can lead to inadequate protein or micronutrients if eating windows are too short or meals are poorly planned.

Solution: Plan your meals. Include plenty of non-starchy veg, adequate protein, and varied whole foods. Consider blood work and, if needed, supplements like vitamin D, omega-3, and magnesium.

Digestive issues

  • Keto constipation is common due to low fibre and dehydration.
  • IF may trigger reflux if large meals are crammed into short windows.

Solution: Hydrate, add fibre (leafy greens, chia, flax, psyllium), and space meals sensibly within your eating window.

Lipids and heart health on keto

  • A subset of people—often lean, active individuals—develop significant LDL elevations on high-saturated-fat keto. If your LDL jumps, adjust fat sources (more olive oil, avocado, nuts; less butter, coconut, fatty processed meats) or reconsider the diet.

Hormones and menstrual health

  • Aggressive fasting or chronic low energy can disrupt menstrual cycles and hormones, particularly in people with lower body fat or high training loads.

Relationship with food

  • Strict rules can encourage binge–restrict cycles or anxiety around eating. If you have a history of disordered eating, approach with caution and seek support.

Medical considerations

Avoid or get medical guidance if:

    • You have type 1 diabetes, are pregnant or breastfeeding, have a history of eating disorders, advanced kidney disease, liver disease, gallbladder disease, or take glucose-lowering medications. Adolescents and older adults may also need tailored supervision.

Long-Term Safety: What We Know and Don’t Know

1.Keto: We have good short- to medium-term data (months to a couple of years) showing benefits for weight and glucose control. Long-term data beyond two years are limited, and risks like persistent LDL elevation or nutrient deficiencies need monitoring.

2.IF: Several trials show weight and metabolic benefits up to a year. Long-term outcomes beyond that are less clear, but moderate time-restricted eating appears safe for most healthy adults when nutrient intake is adequate.

How to Do Keto More Safely (If You Choose It)?

  • Prioritise food quality:
    • Non-starchy vegetables: leafy greens, broccoli, courgette, peppers, mushrooms
    • Healthy fats: extra virgin olive oil, avocado, nuts, seeds
    • Protein: eggs, fish (especially oily fish), poultry, tofu/tempeh, lean meats
    • Low-carb fruit: berries in moderation
  • Limit: processed meats, butter-heavy recipes, coconut oil excess, sweeteners that drive cravings
  • Aim for fibre: target at least 20–25 g/day with veg, seeds, and fibre supplements if needed
  • Stay hydrated and add electrolytes (sodium, potassium, magnesium), especially early on
  • Monitor labs:
    • Lipids (LDL-C, HDL-C, triglycerides, consider apoB)
    • HbA1c/fasting glucose
    • Kidney function and electrolytes if you have risk factors
  • Make it flexible: cyclical or targeted carbs around exercise may suit active people

How to Do Intermittent Fasting More Safely (If You Choose It)?

  • Choose a gentle schedule first: 12:12 or 14:10, then build to 16:8 if it suits you
  • Keep an early eating window when possible (e.g., 8 am–6 pm) to align with circadian rhythms
  • Don’t skimp on protein: aim for roughly 1.0–1.6 g per kg of body weight daily, spread across 2–3 meals
  • Focus on whole foods: vegetables, fruit, whole grains (if tolerated), legumes, fish, lean meats, nuts, seeds, olive oil
  • Avoid “compensatory junk”: fasting doesn’t offset poor-quality food
  • Watch training and recovery: fuel before/after workouts; don’t force fasted high-intensity sessions if you feel weak or dizzy
  • Check in with your body: persistent fatigue, hair loss, menstrual changes, or mood swings are signs to adjust

Keto vs Intermittent Fasting: Which Is Better?

It depends on your goals, health status, and preferences.

    • If you struggle with sugar cravings or high blood sugars: keto can stabilise appetite and glucose, but monitor lipids and nutrients.
    • If you like structure without strict food lists: IF may be simpler, especially as 12:12 or 14:10.
    • If you’re highly active or building muscle: strict keto may hinder performance; IF with adequate protein and carbs around training often works better.
    • If you have elevated LDL or a family history of early heart disease: be cautious with high-saturated-fat keto; IF or a Mediterranean-style plan may be safer.
    • If you need something sustainable: choose the pattern you can enjoy for years, not weeks.

Practical Alternatives That Deliver Results

Many people get similar benefits from approaches that are easier to live with:

    • Mediterranean-style eating: high in vegetables, legumes, whole grains (if tolerated), fish, olive oil, nuts, and modest dairy; strong evidence for heart and metabolic health
    • Lower-carb, not no-carb: 90–130 g carbs/day with an emphasis on fibre-rich sources
    • Gentle time restriction: finish dinner earlier and avoid late-night snacking
    • Protein-forward plate: include protein at each meal to support fullness and muscle
    • Ultra-processed food minimisation: cook more at home; this alone improves weight control and metabolic health

Red Flags: When to Pause or Pivot?

Stop and reassess if you notice:

  • Dizziness, fainting, or frequent hypoglycaemia
  • Persistent constipation, diarrhoea, or reflux
  • Marked LDL increase or worsening blood markers
  • Mood changes, sleep problems, menstrual irregularity
  • Obsession with food rules or anxiety about eating

These are signs the plan needs adjusting—or that a different approach would be safer.

A Simple 7-Day Framework to Try (Doctor-Approved)

If you’re curious and medically suitable, here’s a balanced starting point that blends the best of both without extremes:

  • Eating window: 12:12 for week one (e.g., 7 am–7 pm). If you feel good, shift to 14:10.
  • Plate model (each meal):
    • Half veg and fruit
    • Quarter protein (fish, poultry, tofu, eggs, beans)
    • Quarter smart carbs (beans, lentils, quinoa, potatoes, whole grains) or skip if going lower-carb
    • Add healthy fats (olive oil, nuts, seeds)
  • Snacks if needed: Greek yoghurt, nuts, a piece of fruit, carrots with hummus
  • Hydration: water, unsweetened tea/coffee; add a pinch of salt in hot weather or after intense exercise
  • Movement: a 10–20 minute walk after meals to improve glucose control
  • Sleep: target 7–9 hours; poor sleep undermines any diet

From here, you can move toward lower-carb or a longer fasting window if you feel well and labs look good.

Final Thoughts: Help or Harm?

Keto and intermittent fasting can both help—when they fit your life, your medical profile, and your preferences. They can also harm—when pushed to extremes, done without planning, or used despite medical contraindications. The safest path is personalised, flexible, and built on whole foods.

If you take medications, have a chronic condition, or have a history of disordered eating, speak with your doctor before starting. Get baseline blood tests, set realistic goals, and review progress at 8–12 weeks. Your long-term health is the goal, not short-term numbers.

Actionable Next Steps

  • Decide your goal: weight, glucose control, energy, or lipid improvement
  • Pick a gentle starting point: 12:12 fasting or a lower-carb Mediterranean plan
  • Plan meals for the week; shop once; cook twice; eat leftovers
  • Track simple metrics: weight, waist circumference, energy, mood, and a few key labs
  • Review and adjust: if you’re not seeing benefits by 8–12 weeks—or if side effects show up—pivot

Wrapping It Up: What’s the Best Choice for You?

August 22, 2025 by

Weight regain after bariatric surgery

If you’ve noticed the scales creeping up after bariatric surgery, you’re not alone—and you haven’t failed.

As a doctor, I want to reassure you that weight regain is common and complex. It’s not just about what you eat or how much you move.

Your brain, mood, stress levels and daily habits play a big role. In this guide, we’ll unpack the psychological and emotional factors behind weight regain after bariatric surgery and, more importantly, what you can do about them.

What you’ll learn:

  • How stress, emotional eating and mental health affect weight after surgery
  • Why brain changes and reward pathways matter
  • Practical steps: therapy options, coping skills, routines and social support
  • How to spot early warning signs and get back on track

Weight regain after bariatric surgery

Summary

  • Many people lose weight quickly after bariatric surgery, but some regain weight later because the body adapts and hunger can return.

  • Emotional factors like stress, boredom and comfort eating can make weight regain more likely.

  • Old habits such as snacking, grazing, sugary drinks or eating without hunger can slowly increase weight again.

  • Lack of routine, missing follow-ups and poor meal planning often lead to gradual weight drift.

  • Weight regain is common and happens due to biology, behaviour and environment — not because of personal failure.

  • With the right support, structured eating, healthy habits and regular check-ins, it’s possible to get back on track and maintain long-term results.

Why weight regain happens after bariatric surgery?

Bariatric surgery changes your anatomy and hormones that influence appetite and fullness.

Early on, it’s easier to lose weight because ghrelin (a hunger hormone) falls and you feel full sooner.

Over time, the body adapts. Hunger may return, the stomach can accommodate a bit more, and the brain’s reward system still remembers the comfort food once gave.

Studies suggest that some degree of weight regain occurs for many patients two to five years after surgery. That doesn’t cancel out your earlier progress.

It means the journey has phases, and the mental side needs attention just as much as food choices and physical activity.

The mental and emotional drivers of weight regain


1.Stress and the cortisol connection


Stress isn’t just a feeling; it’s biochemical. When you’re under chronic stress, cortisol levels rise. Cortisol can increase cravings for calorie-dense foods and make fat storage more likely, especially around the abdomen.

If you notice you reach for snacks after a tough day, that’s your nervous system seeking relief, not a lack of willpower.


What helps:

  • Short “micro-resets”: 60–90 seconds of slow breathing (inhale 4, exhale 6) before meals or during cravings.
  • Boundaries around work and sleep: consistent bedtimes and protected downtime reduce baseline cortisol.
  • Move to regulate mood, not burn calories: a 10-minute walk after meals improves glucose control and eases stress.

2.Emotional eating and comfort-seeking


Food can soothe sadness, anger, boredom or loneliness. After surgery, if food was your main coping tool, the urge can return—sometimes in subtler forms like grazing. You might not eat large portions, but frequent small bites add up.

Signs to look for:

  • Eating when you’re not physically hungry
  • “All-or-nothing” thoughts: “I blew it at lunch, so today is ruined”
  • Hiding snacks or feeling shame after eating

What helps:

  • HALT check-in: pause and ask, “Am I Hungry, Angry, Lonely, or Tired?” If it’s not hunger, choose a non-food fix (call a friend, take a brisk walk, have a glass of water, step outside).
  • Delay, don’t deny: set a 10-minute timer when a craving hits. Most urges peak and pass within that window.
  • Pleasure replacement: build a menu of quick comforts—music, a hot shower, stretching, a cosy book. Put this list on your phone home screen.


3.Depression and low mood


Depression can reduce motivation, disturb sleep and increase emotional eating. After initial post-op excitement fades, some people feel flat or disappointed if life didn’t change in all the ways they expected.

What helps:

  • Screening matters: tools like PHQ-9 (used by clinicians) can guide whether therapy, medication or both are appropriate.
  • Routine anchors: wake time, first meal, activity block and lights-out set your circadian rhythm and stabilise mood.
  • Gentle activity: aim for “some, not perfect”—even 5–10 minutes of movement counts.

4.Anxiety and worry


Anxiety often leads to scanning for danger, including “What if I regain?” Ironically, that fear can trigger comfort eating or avoidance of follow-ups.


What helps:

  • Name it to tame it: say, “This is anxiety talking.” Labelling the emotion reduces its intensity.
  • Thought reframes: swap “I’m failing” for “I’m noticing early drift and taking action.”
  • Exposure in small steps: schedule and attend one follow-up or group session. Action eases worry.

5.Body image and identity shifts


Rapid physical changes can stir up old wounds or create new pressures. Compliments, attention or loose skin can trigger mixed emotions. If you feel unrecognised in your own body, eating can feel grounding.

What helps:

  • Values focus: list three non-scale wins you want (e.g., walk with your kids, hike, dance). Tie habits to those, not only to weight.
  • Clothing that fits now: comfortable, well-fitting clothes reduce body-checking and negative self-talk.
  • Consider body image-focused therapy: CBT or Acceptance and Commitment Therapy (ACT) can help.

6.Loneliness and social dynamics

If your social life revolved around meals or alcohol, you may feel left out. Loved ones might offer “treats” to show care, or feel threatened by your changes.

What helps:

  • Scripts for social pressure: “I appreciate it, but my plan’s different now. Let’s catch up over tea.”
  • New rituals: board games, walks, coffee dates, craft nights—connection without food at the centre.
  • Support groups: peers who’ve had bariatric surgery understand the unique challenges.

7.Habit drift and decision fatigue


After year one, follow-up visits may space out and habits loosen. Tiny changes—skipping protein, grazing while cooking, late-night nibbling—can add 200–400 kcal daily over time.

What helps:

  • Bright lines: simple rules that reduce choices, like “Protein first,” “No food from the packet—plate it,” and “Kitchen closed after 8 pm.”
  • Pre-commitment: plan tomorrow’s meals and movement in 5 minutes each night.
  • Environment design: keep protein-forward snacks visible (Greek yoghurt, cheese portions, boiled eggs), and move trigger foods out of sight or out of the house.

Specific eating patterns to watch

  • Grazing: frequent nibbling that bypasses fullness signals. Use set eating times and plate your food.
  • Binge eating or loss-of-control eating: if you feel unable to stop, that’s a sign to seek professional help; effective treatments exist.
  • Alcohol: it absorbs faster after surgery, carries empty calories and lowers inhibitions around food.
  • Liquid calories: smoothies, juices and milky coffees can add up quickly and won’t fill you.

Therapy options that work

  • Cognitive Behavioural Therapy (CBT): helps identify unhelpful thoughts and build new patterns. For example, replacing “I’ve blown it” with “One choice doesn’t define my week.”
  • Dialectical Behaviour Therapy (DBT): teaches skills for emotion regulation, distress tolerance and mindfulness—very helpful for urges and emotional eating.
  • Acceptance and Commitment Therapy (ACT): focuses on values-based action, reducing the struggle with cravings while still choosing helpful behaviours.
  • Trauma-informed therapy: if past trauma drives food-related coping, specialised support is key.
  • Family or couples therapy: aligns home routines and reduces sabotage (intentional or not).


How to get started:

  • Ask your bariatric team for a referral to a psychologist or counsellor with metabolic or eating disorder expertise.
  • If you take medications for mood or anxiety, check in with your GP or psychiatrist. Doses and absorption can change after surgery; adjustments can help symptoms and weight stability.

Building a support system you can lean on

  • Clinical team: schedule routine follow-ups with your surgeon, GP and dietitian—think of them as maintenance visits, not emergencies.
  • Peer support: vetted bariatric support groups (in-person or online) offer accountability and practical tips.
  • Accountability buddy: share weekly check-ins (habits, not weight) with a friend or family member.
  • Boundaries: kindly decline food pushes; suggest non-food ways others can support you, like joining a walk.

Healthy coping mechanisms you can practice today

  • The 5–5–5 craving drill: pause 5 breaths; drink 5 sips of water; wait 5 minutes. Then decide.
  • Urge surfing: picture the craving like a wave—rising, peaking, falling. Ride it with slow breathing.
  • Protein-and-produce rhythm: build meals around lean protein and veg/fruit to stabilise appetite.
  • Structured snacks: plan two protein-rich snacks to prevent grazing.
  • Sleep first: 7–9 hours helps appetite hormones (ghrelin and leptin) stay balanced and reduces cravings.
  • Morning light and movement: 5–10 minutes of daylight and a short walk anchor your body clock.
  • Track two things: mood and routines. Many apps pair quick mood check-ins with habit tracking.

Red flags that signal you need extra support

  • Frequent loss-of-control eating or purging
  • Drinking to cope
  • Rapid weight regain (for example, more than 5% of body weight in 3 months)
  • Persistent low mood, anxiety, or thoughts of self-harm

If any of these apply, please contact your bariatric team  promptly. You deserve skilled help.

How to reset if you’ve regained some weight?

  • Step 1: Book follow-ups with your bariatric clinician and dietitian. Get labs checked (iron, B12, vitamin D, folate, calcium, PTH, thiamine), review medications and assess for complications like reflux.
  • Step 2: Rebuild your routine: three structured meals, planned snacks if needed, fluids between meals, protein first.
  • Step 3: Pick two keystone habits for 2 weeks: for example, “20 g protein at breakfast” and “no eating after 8 pm.”
  • Step 4: Add mental health support: start CBT/DBT skills, schedule sessions, join a support group.
  • Step 5: Review tools: some patients benefit from anti-obesity medications alongside behavioural work. Discuss this with your clinician; it’s a medical decision, not a moral one.

Frequently asked questions

  • Is weight regain my fault?

 No. Biology, psychology and environment all play a part. Blame doesn’t help; support and strategies do.

  • Do I need another surgery? 

Not usually. Many people stabilise or re-lose with behavioural support, therapy and, when appropriate, medication.

  • How long until I see progress?

 Often within 2–4 weeks of consistent routines and coping strategies, even before the scale moves, you’ll notice better energy, fewer cravings and improved mood.

The bottom line

Weight regain after bariatric surgery is common and influenced by powerful mental factors—stress, emotional eating, mood, anxiety and social dynamics. None of these are character flaws.

With the right mix of therapy, structured habits, a supportive environment and routine medical follow-up, you can regain control and protect your long-term health.

You’ve already done something courageous by having surgery. Continuing to ask for help is part of that same courage.

Take one small step today: book a follow-up, text a friend to walk with you, or write down tomorrow’s meals. Small steps, done often, change the trajectory.

Wrapping It Up: What’s the Best Choice for You?

August 10, 2025 by

Mental health challenges after massive weight loss

If you’ve lost a large amount of weight, first: well done. That achievement took planning, grit, and time. But if you’re surprised that your mind hasn’t “caught up” with your body, you’re not alone.

Many people experience anxiety, mood changes, and body image worries after major weight loss. As your doctor, I want to explain why this happens, what’s normal, and how to get the right support so you can feel as healthy mentally as you do physically.

What you’ll learn:

  • Why mental health shifts after big weight changes
  • Common challenges: body image, identity, relationships, and emotional eating
  • How hormones and brain chemistry play a role
  • Practical tools to cope day-to-day
  • When to seek professional help

Mental health challenges after massive weight loss

Why mental health can wobble after major weight loss?

Your body changed. Your brain and life routines need time to adjust. That mismatch can create discomfort. Think of it as “lag time” between physical change and mental integration.

  • Brain-body disconnect: You may still “see” your old body in the mirror. This is common and can last months or longer. Your brain has a stored body map that updates slowly.
  • Routine upheaval: Food, socialising, and stress relief patterns may have revolved around eating. Losing that coping tool can leave a gap.
  • Expectations vs reality: You may have hoped weight loss would fix everything—confidence, relationships, mood. Some things improve, but problems rarely vanish overnight.
  • Biological changes: Rapid weight loss alters hormones such as leptin, ghrelin, insulin, oestrogen/testosterone, and stress hormones. These can affect hunger, sleep, mood, and energy.

Research notes that mood disorders (depression, anxiety) can fluctuate after significant weight reduction, especially within the first 6–18 months as your body stabilises. If you’ve had depression or anxiety before, you may be more sensitive to these shifts.

Common mental health challenges after massive weight loss


1) Body image and “phantom fat”

Many people describe looking smaller but feeling large. You might:

  • Avoid fitted clothes, mirrors, or photos
  • Feel distress about loose skin despite the weight change
  • Struggle to accept compliments or positive feedback
  • Still use “hiding” behaviours (baggy clothes, avoiding intimacy)

Why it happens:

  • Your brain’s visual and sensory maps update slowly
  • Loose skin or stretch marks may draw attention and trigger old thoughts
  • Fear of regain can make you hyper-aware of perceived flaws

What helps:

  • Mirror work in small doses: 1–2 minutes a day, focusing on neutral observations (“My legs feel stronger”) rather than harsh judgments
  • Clothes that fit now: Tailoring can transform how you feel in your new shape
  • Photos as evidence: Progress pictures can help your brain recalibrate
  • Gentle strength training: Feeling physically capable can improve body respect


2) Identity shifts

Weight can be part of your identity. After loss, you might ask: “Who am I now?” You may feel:

  • Disconnected from old hobbies that centred around food or avoidance
  • Overexposed as people notice and comment on your body
  • Pressured to be “the healthy one” all the time

What helps:

  • Write a new “about me” list that has nothing to do with weight: skills, values, interests
  • Try one new activity that aligns with who you want to be now—dance class, hiking group, volunteering
  • Set boundaries for body talk: “I’m focusing on my fitness goals rather than the number. How are you?”


3) Emotional eating and transfer of coping


You may have used food to soothe stress, numb sadness, or celebrate wins. When that tool is limited, other behaviours can rush in: over-exercising, compulsive shopping, alcohol, or strict rule-following. Some people experience binge urges after restriction or structured plans.

What helps:

  • HALT check-in: Am I Hungry, Angry/Anxious, Lonely, or Tired? Address the right need
  • Build a coping menu: 10-minute walk, grounding exercises, journaling, a quick call to a friend, a funny video, breathwork
  • Balanced meals at regular times: Protein, fibre, and healthy fats help stabilise hunger hormones
  • Professional support if binge urges or compulsions persist



4) Mood changes and anxiety

Rapid weight loss and intense lifestyle changes can affect mood. You might notice:

  • Irritability, low mood, “flatness”
  • Sleep problems and fatigue
  • Social anxiety as your appearance draws attention
  • Fear of regain that becomes obsessive

What helps:

  • Sleep routine: consistent sleep/wake times, dark cool room, wind-down ritual
  • Gentle exercise most days: brisk walks, yoga, or resistance training
  • Mindfulness 10 minutes daily: guided app, breathing exercises (inhale 4, exhale 6)
  • Limit body checking: set a schedule for weigh-ins (e.g., once weekly) and stick to it


5) Relationship and social shifts

Friends and partners may react in unexpected ways—supportive, curious, or sometimes jealous or worried. You may attract more attention, which can feel empowering or uncomfortable.

What helps:

  • Clear, kind statements: “I appreciate your interest. I’m working on balanced habits rather than numbers.”
  • Shared non-food plans: walks, museums, game nights
  • Couples’ check-ins if dynamics change around intimacy or roles


6) Loose skin and surgical decisions

Excess skin can cause rashes, discomfort, and emotional distress. Some people consider body-contouring surgery.

What helps:

  • Skin care: gentle cleansing, moisture barriers for folds, breathable fabrics
  • Talk to your GP or dermatologist if you have recurrent rashes

If considering surgery: wait until weight is stable for 6–12 months, consult a certified plastic surgeon, and discuss expectations and mental health support before and after.

The biology behind the feelings

Understanding your biology can reduce self-blame.

  • Leptin drops with fat loss, signalling reduced energy stores. You may feel hungrier and less satisfied.
  • Ghrelin (the hunger hormone) can rise, boosting appetite.
  • Thyroid hormones can adjust, affecting energy and mood.
  • Oestrogen/testosterone shift with fat loss, which can influence libido and mood.
  • The brain’s reward system has learned to link certain foods with comfort. It needs time and new routines to rewire.

These changes do not mean you’re failing. They mean your body is doing its job: protecting you from perceived famine. Consistent, balanced habits help your system settle.

Practical coping strategies you can start today

1. Build a stable routine

  • Eat every 3–4 hours while awake to reduce binge risk
  • Include protein and fibre at each meal to support fullness
  • Hydrate: aim for pale-yellow urine as a simple guide
  • Move daily: 150 minutes of moderate activity per week plus 2 strength sessions


2.Train your mind gently

  • Cognitive reframing: When you think “I’ll regain everything,” counter with “My habits drive my weight; I’m practising habits I can keep.”
  • Body neutrality: Shift from “I must love my body” to “I respect my body and what it does.”
  • Limit comparison: Curate social media; unfollow accounts that trigger shame or all-or-nothing thinking

3.Strengthen your support network

  • Tell one trusted person exactly how you feel
  • Join a peer group: weight-loss maintenance or body image support communities
  • If you had bariatric surgery, ask your programme about post-op support groups


4.Protect your sleep

  • Aim for 7–9 hours
  • Avoid caffeine after midday if you’re sensitive
  • Keep devices out of bed; try a 30-minute wind-down without screens


5.Prepare for tough moments

  • Pre-commitments: Decide in advance how you’ll handle buffets, holidays, or stressful days
  • “If–then” plans: If I feel the urge to binge, then I’ll set a 10-minute timer, sip water, and do a grounding exercise before deciding
  • Recovery scripts: If I overeat, then my next meal returns to balance—no punishment, no restriction spiral

Red flags: when to seek professional help?

Please reach out promptly if you notice any of the following:

  • Persistent low mood, loss of interest, or hopelessness for more than two weeks
  • Panic attacks, severe anxiety, or obsessive thoughts about food, weight, or exercise
  • Binge eating, purging, laxative misuse, or rigid rules that disrupt daily life
  • Thoughts of self-harm or suicide (this is an emergency—seek urgent care or call local emergency services)
  • Alcohol or drug use increasing to cope with emotions
  • Relationship strain, sexual distress, or social withdrawal you can’t shift on your own

Who can help:

  • GP: first stop for screening, referrals, and medication review
  • Psychologist or therapist: CBT or ACT for body image, anxiety, and habits
  • Dietitian with eating disorder or bariatric experience: personalised meal structure and hunger/hormone support
  • Psychiatrist: medication assessment if mood or anxiety is severe
  • Bariatric or surgical team (if applicable): coordinated aftercare

Evidence-based therapies and tools

  • Cognitive Behavioural Therapy (CBT): challenges unhelpful thoughts and builds balanced behaviours
  • Acceptance and Commitment Therapy (ACT): helps you act on your values even when uncomfortable thoughts show up
  • Exposure therapy for body image: gradual mirror exposure, wearing more fitted clothing, and social exposure with support
  • Interpersonal Therapy (IPT): addresses role transitions and relationship changes after weight loss
  • Medications: If depression or anxiety persists, your doctor may discuss SSRIs or other options, considering your medical history and any surgery-related absorption issues

Planning for long-term maintenance

Think maintenance as a lifestyle, not a holding pattern.

    • Set process goals: “Three strength sessions per week” beats “Weigh X”
    • Schedule health check-ins: quarterly GP visits in the first year can help catch issues early
    • Track non-scale wins: stamina, sleep quality, mood, lab results, flexibility, clothing fit
    • Expect plateaus and small fluctuations: normal and manageable with steady habits
    • Keep kindness central: progress is not linear; self-criticism fuels relapse more than any food ever could

A brief word on social media and diet culture

You’ll see extreme “before-and-after” photos and rigid rules online. Remember:

  • Photos don’t show mental health, lab results, or sustainability
  • Your body is not a project; it’s your home
  • Choose sources that promote health behaviours, not shame or fear

Key takeaways

  • Feeling emotionally unsettled after major weight loss is common and understandable
  • Your brain and hormones need time to adjust; this doesn’t mean you’ve done anything wrong
  • Practical tools—routine meals, movement, sleep, mindfulness, and support—make a real difference
  • Seek help early if mood, anxiety, or disordered eating signs appear

You deserve to feel good in your mind and your body. If you’re struggling, tell someone today—your GP, a friend, or a therapist. There’s real, effective help, and you don’t have to go through this alone.

Wrapping It Up: What’s the Best Choice for You?

August 5, 2025 by

Who is an Ideal Candidate for Bariatric Surgery?

Let’s Answer the Main Question First:

 An ideal candidate for bariatric surgery is someone who has a BMI (Body Mass Index) of 40 or more, or a BMI of 35 or more with obesity-related health problems like diabetes, high blood pressure, or sleep apnea.

They’ve usually tried diet and exercise but haven’t seen long-term success. Most importantly, they are mentally prepared for lifestyle changes and committed to a healthier future.

If this sounds like you or someone you know, keep reading. We’re going to walk through every doubt and question you might have—in the simplest, friendliest way possible.

Who is an Ideal Candidate for Bariatric Surgery?

What is Bariatric Surgery in Simple Terms?

Bariatric surgery is a weight-loss surgery that helps people who are obese lose weight by changing the way their stomach and digestive system work. It’s not just about looking thinner—it’s about becoming healthier, avoiding future complications, and living longer.

Why Should You Even Consider Bariatric Surgery?

Let’s be real: Losing weight is not easy. You might have tried every diet out there. Keto, intermittent fasting, gym routines, yoga—you name it. But the weight keeps coming back.

That’s where bariatric surgery comes in. It gives you a permanent tool to help with weight loss.

✅ It reduces hunger.
 ✅ It limits how much you can eat.
 ✅ It improves or even reverses diseases like type 2 diabetes.

Who Qualifies for Bariatric Surgery? A Checklist

Let’s go through the ideal candidate profile in detail:

1. BMI (Body Mass Index) Requirements

  • BMI of 40 or above (severe obesity)
  • BMI of 35 or above with health problems like:
    • Type 2 diabetes
    • High blood pressure
    • Heart disease
    • Obstructive sleep apnea

You can check your BMI using an online calculator. Just search “BMI calculator,” enter your height and weight—it takes seconds.


2. Tried Diet and Exercise, but Nothing Works

You’re not lazy—you’ve tried. Maybe you lost 10 kilos, only to gain back 15. Bariatric surgery is for people who genuinely tried lifestyle changes and still struggle.

3. You Have Obesity-Related Health Issues

This is a major sign you might benefit from surgery. These include:

  • Diabetes
  • High cholesterol
  • PCOS (in women)
  • Joint pain
  • GERD (acid reflux)
  • Heart-related issues

     

4. You’re Between 18 to 65 Years of Age

This is the typical age range, but older adults can qualify too if they’re in good health.

5. You’re Mentally Prepared

Bariatric surgery is not a magic fix. It needs a lifestyle shift. Are you ready to:

  • Change how you eat?
  • Attend follow-ups?
  • Take vitamin supplements for life?
  • Commit to exercise?

If yes, then you’re mentally prepared.

6. You Don’t Have Medical Conditions That Make Surgery Risky

Some conditions, like active cancer or severe heart issues, may require clearance before surgery.

Busting Common Myths About Who Can Get Bariatric Surgery

“I’m not fat enough for surgery.”
 If you have diabetes and a BMI of 35, you may actually qualify.

“Only rich people get this surgery.”
 Not true. Many hospitals offer affordable packages and EMI options. In some cases, insurance may also cover it.

“It’s cosmetic surgery.”
 Not at all. It’s a life-saving, health-improving surgery—not done for looks but for health.

Why Mental Readiness is Just as Important?

Bariatric surgery changes your body—but your mind also needs to change. Ask yourself:

  • Can I follow a new diet plan?

  • Am I okay with skipping junk food?

  • Will I keep my follow-up appointments?

If your answer is yes, you’re not just an ideal physical candidate—but a mental one too.

What Happens Before the Surgery?

Here’s what the typical pre-surgery process looks like:

  1. Initial Consultation
    • You meet the doctor.
    • Discuss your medical history.
    • Talk about why you want surgery.

  2. Medical Tests

    • Blood tests

    • ECG

    • Chest X-ray

    • Sleep study (for apnea)

  3. Psychological Evaluation

    • A psychologist checks your mental readiness.

  4. Dietitian Consultation

    • You learn what to eat before and after surgery.

What are the Types of Bariatric Surgery?

  1. Gastric Sleeve (Sleeve Gastrectomy)

    • Removes 70–80% of the stomach.

    • Less hunger hormone = less appetite.

  2. Gastric Bypass

    • Food bypasses a portion of the stomach and intestine.

    • Helps control blood sugar very well.

  3. Mini Gastric Bypass

    • Simpler than full bypass, equally effective.

Your surgeon will suggest the best option based on your body and health.

Life After Surgery – What Changes?

✅ You eat smaller portions.
 ✅ You feel full quickly.
 ✅ You may need to avoid sweets or oily food.
 ✅ You must take multivitamins regularly.
 ✅ You start enjoying movement again!

Many patients say they feel more energetic, confident, and positive after 3–6 months.

Who Should NOT Get Bariatric Surgery?

Not everyone is a candidate. You may be disqualified if:

  • You have untreated mental illness.
  • You’re addicted to alcohol or drugs.
  • You’re not ready for long-term changes.
  • Your BMI is below 30 with no health issues.

Can Teens Get Bariatric Surgery?

Yes—but it’s rare and only under strict medical guidance. Usually for teens with very high BMI and severe health risks. Parents, doctors, and psychologists all need to be involved.

How to Start If You Think You’re a Candidate?

Here’s a simple step-by-step:

  1. Check your BMI.
  2. Note down your health issues (like diabetes or joint pain).
  3. Speak to a bariatric surgeon.

Ask questions. No query is silly.

Final Thoughts: Are You the Right Candidate?

If you’ve reached a point where weight is affecting your health, happiness, and quality of life—and you’ve genuinely tried everything else—you might be the perfect candidate for bariatric surgery.

It’s not about giving up. It’s about taking control.

You deserve to live a life that’s energetic, healthy, and free from the weight that’s holding you back.

FAQs About Bariatric Surgery Eligibility

Q1. What’s the minimum BMI for bariatric surgery?
 BMI of 35 with health issues or 40 without any health problems.

Q2. Can I get surgery if I’m only 10–15 kg overweight?
 Usually no. Other weight-loss methods are better for that range.

Q3. Is it safe for older adults?
 Yes, if they are in good health. Many 60+ patients do very well.

Q4. Will I gain the weight back?
 Only if you return to old habits. Success depends on your commitment.

Q5. Is surgery the only solution?
 No. It’s one of many tools. But it’s the most effective for people who’ve tried everything else.


Want to Know If You Qualify?
Book a consultation with an experienced bariatric surgeon  and get personalized guidance. It’s your first step toward a healthier you.

Wrapping It Up: What’s the Best Choice for You?

July 23, 2025 by