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Plastic Surgery/ventral/umbilical hernia and diastasis recti


Miss C wrote at 2014-09-06 18:18:20
Hi Dana do not know how long ago you posted this question, hope still relevant. I also very thin, 118 and 5 ft 3 inches. I have had 3 full term pregnancies and 1 miss carriage at 51/2 months. I just 3 months ago found out I had the diastasis recti hernia, and umbilical hernia. I work out religiously, not kidding 7 days a week 2 to 3 times a day. I had just given up on a flat belly. Thought that rounding in my belly was just my shape, honestly could not remember any more what I looked like before the kids, but I was still pleased with my tummy had worked hard on June 6 th I go to see about abreast lift found out about hernia the diastasis recti any way, went though surgery to fix, being a certified nutritionist I knew the trapped gas and distention  I was experiencing was associated with the hernia. Now I find out there is still the umbilical hernia. The trapped gas and digestion upset had just moved up, to where the hernia was left untreated. The moral of the story is yes the diastasis will be noticeable, a slope rounding down ward toward you pubis, can start as high as up towards rib cage and slope down too. The muscles have been separated at the connective tissue that joins the 2 halves of the abdominals, not allowing them to be pulled together in the center, you have to do abdominal work in a certain way or can make diastasis worse, if done right you may reduce the diastasis but not completely, the umbilical hernia can create around bulging in the center of belly right at the belly button, pain, pressure, bloating, distention, constipation, diarrhea, and worse case strangulation of intestines = blood flow has been cut off to organ, deadly. Intra-abdominal pressure in so important, not only for holding your organs in place, but pressurizing for proper breathing, and forcing things to move in the right direction down not out the front of your belly which is where the pressure ends up pushing hence my distention, bloating, and trapped gas. I am in the process of trying to get the umbilical hernia fixed now, only way is surgery. Yeah. Not happy. But what can you do. I am 40 and had digestion issues for 10 years, covered all the bases perfected everything (for real became miss perfect, diet, became personnel trainor too, juicing) all that was left was the trapped gas. Could not seem to take care of that. Now I know why. These type of hernia are dead center with digestion upset, and doctors throw pills at you, simethicone, proton pump inhibitors ( prescription acid reducers, real bad idea will not digest protein properly create inflammation of the villi and micro villi in the intestines) . So lay down flat on your back and start to do a crunch, take 2 fingers and place them in the center of your belly between the 2 side by side halves of abdominals and during a crunch try to push your fingers through the center of you abdominal wall connective tissue if they go through, you have the diastasis recti hernia may come with umbilical too, probably. Also think about digestion, they can be tell tail signs too. Gas, bloating, pressure pushing outward, constipation, trouble or slow heavy digestion, pain full bowel movements with blood in stool, pain around belly button. Adult umbilical hernia do not fix themselves and can get worse and need emergency surgery, do not let it go, your health is so important the better you feel the better the world gets to see you every day!  Good health good luck.

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Alan M. Engler, MD, FACS


Dr. Engler has answered over 6600 questions on social media sites, including over 3500 on AllExperts alone. His expertise includes breast surgery (breast enlargement with implants, breast reduction, breast lifts), liposuction, eyelid surgery, tummy tucks, facelifts, lipomas, skin cancers, cysts, etc. Dr. Engler has been listed as one New York`s Top Doctors, and as "One of the World's Most Famous Aesthetic Surgeons" (Aesthetic Surgery, TASCHEN Books, Angelika Taschen, Editor). He is the author of 4 books, including "BodySculpture" (a best-selling plastic surgery book on breast surgery, liposuction and tummy tucks), "EyeScapes" (Plastic Surgery of the Eyelids), "Restylane," and "The Slim Book of Liposuction." Dr. Engler has two US Patents for surgical instruments that he's designed, and has appeared on numerous television shows, including The Tyra Banks Show, The Ricki Lake Show (four times), the Dr. Keith Ablow Show and Jerseylicious. Videos of his appearances are available on YouTube (search for "DR. ENGLER"), and his discussion of breast implants, also on YouTube is "How to Choose a Breast Implant." His website is Follow Dr. Engler: @AlanEnglerMD


Dr. Alan Engler is a board-certified plastic surgeon in New York and the author of BodySculpture - Plastic Surgery of the Body for Men and Women (ISBN 0966382749) one of the top-selling plastic surgery books on,, as well as EyeScapes - Plastic Surgery of the Eyelids.

Dr. Engler graduated from Yale University (BA, Russian Studies) and the Columbia University College of Physicians and Surgeons (MD). He did his residency training in General Surgery and, after that, Plastic Surgery, at the Montefiore Medical Center in New York. He is on the faculty of the Albert Einstein College of Medicine in New York in the Departments of both Surgery (Plastic Surgery) and Medicine (Dermatology), and is a Special Lecturer in the Department of Dermatology at Columbia University in New York. He has admitting privileges at Beth Israel Medical Center and Montefiore Medical Center, both in New York.

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