And What To Do About It In Malaysia
Most of the time, groin swelling or lumps in young children is caused by either Hernias, Hydrocoeles, or other problems with the testis or ovaries.
Some conditions are more urgent than others and its important to see a doctor early on to perform a proper diagnosis.
Here are a few questions you need to consider before bringing your child to the doctor:
Does it come and go easily?
Is the swelling there all the time?
You need to seek urgent consultation with a child surgeon if your
child's groin lump for is painful and does not go away.
Do NOT wait to schedule an appointment.
Hernias occurs in about 1% of boys and 5% of all hernias seen in children are in girls. An inguinal hernia is caused by a part of the bowel, or fat in the tummy protruding through an opening in the lining of the abdomen, near to the groin. Hernias are more common on the right side and in approximately 15% of cases, it will occur on both sides. An inguinal hernia will usually present during the first year of life, but may present at any stage during childhood. The usual presentation is a lump in the groin, which comes and goes. If a child becomes distressed, the hernia may become more prominent.
In children under the age of 1 year, there is a strong chance that the hernia will become stuck. If this happens, the child will be in pain, and the protruding bowel is at risk of becoming damaged. In boys, there is also a risk of damage to the blood supply of the testicle. Sometimes the hernia may extend all the way down into the scrotum. In girls, the ovary may protrude into the groin. This can be painful and risks losing the ovary. Inguinal hernias may also present with a bowel obstruction, causes swelling of the abdomen and bile vomit.
For children under 1, the hernia is fixed under general anesthesia soon after presentation to a child surgeon, as the risk of being stuck is high. It is less urgent for kids over 1 but nevertheless; it is repaired within a few months to avoid complications and it never “goes away” by itself. Very rarely when the hernia is stuck and when the child surgeon cannot push it back, your child may require urgent surgery. The same goes for girls with a hernia and the ovary protruding out. This has risk of strangulating the blood supply or twisting the ovary and cutting off the blood supply to the ovary, which may die if not repaired immediately.
The hernia operation is performed under general anesthesia and the preferred method is by keyhole surgery. This allows the child surgeon to examine all the structures inside, making sure they are all fine and to check if your child is one of the 15% who has a developing hernia on the other side. This will avoid the potential of a second surgery down the line when it presents as a groin lump. The operation is conducted the same way for both boys and girls. It takes about 30 to 45 minutes to conduct one or both sides if present. The operation for inguinal hernia repair in children is extremely successful and the chance of recurrence is less than 1%. The scar will become barely visible in time.
For a detailed article on Inguinal Hernias in children click here.
A hydrocoele is a collection of fluid, usually around the testicle. In most of cases it is caused by fluid from the tummy that has trickled down through a communicating tube and trapped in a space that surrounds the testicle. Occasionally, it may occur after infection or inflammation of the testicle and it may occur following a twist of a part of the testicle. A hydrocoele may also develop after injury to the testicle and very occasionally may occur in the presence of a testicular cancer. Over 50% of baby boys are born with some degree of hydrocele. It can rarely occur in girls who have a small out-pouching of the lining of the abdomen. A hydrocoele usually presents at birth with a soft painless swelling in the scrotum. It does not cause any distress to the babies.
A child surgeon will examine your child to make the diagnosis of a hydrocoele. However, an ultrasound may occasionally be used to confirm the diagnosis. The majority of hydrocoeles presenting at birth will disappear by the age of 2. Since it does not cause any symptoms or trouble to the testis, it can safely be left alone. If still present at the age of 3 it’s best to be repaired, as it may now never “go away” by itself. The repair is almost identical to the hernia operation, again by the keyhole technique under general anesthesia with excellent outcomes.
The testis comes down from inside the tummy through the groin and into the scrotum, before little boys are born. In some the testis does not come down fully. More commonly, on the right, compared to the left. Sometimes these can be felt as an lump in the groin but what’s important is check that its truly the testis and that there isn’t a testis already in the scrotum.
The testis in the groin can sometimes twist and cut off its blood supply, this will make it inflamed and swell up and appear red and tender to touch. If this happens, it is an emergency and you child need to be rushed to a hospital, preferably one with a child surgeon. Undescended testis however is not an emergency. To improve the sperm production function of the undescended testis, it is fix it down into the scrotum surgically at about 6 months of age. Other benefits of fixing the testis are to prevent twisting (torsion of testis), reduce risk of cancer or to enable self-examination and for cosmetic appearance.
A painful testis needs to be looked at by a surgeon urgently to exclude a twist or torsion of the testis.
For a detailed article on Undescended Testes (Cryptorchidism) in children click here.
Lymph nodes are small gland like structures that help develop the white blood cells to combat infection or inflammation. These are found everywhere in the body. Any infection to the leg may cause the lymph nodes in the groin to swell and get bigger. This can get really big and “pointed”, then it has become an abscess, full of pus.
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As a parent myself, I know how daunting it is when you’re faced with the dilemma of finding the best treatment for your children.
My passion is to make sure that all my patients get the best quality of care.
That involves good communication with children and parents while making the journey as pain-free as possible.
Articles and videos to help you diagnose your children and make the right decision for their treatment
𝗛𝗼𝗻𝗲𝘀𝘁 𝗮𝗱𝘃𝗶𝗰𝗲 𝗮𝗻𝗱 𝗲𝘁𝗵𝗶𝗰𝗮𝗹 𝘁𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝘀𝗵𝗼𝘂𝗹𝗱 𝗯𝗲 𝗲𝘃𝗲𝗿𝘆 𝗽𝗮𝗿𝗲𝗻𝘁'𝘀 𝗿𝗶𝗴𝗵𝘁. As a parent myself, I know how daunting it is when parents are faced with the dilemma of finding the best treatment for their children.
My passion is to make sure that all my patients get the best quality of care.
That involves good communication with children and parents while making the journey as pain-free as possible.
To help parents address their concerns before they need to see a paediatric surgeon, I created a blog with over 25 videos and 20+ articles on a range of different conditions, that children may be born with or develop, that may require surgical intervention.
>> www.drnadachildsurgeon.com/paediatric-blog-conditions-children-malaysia/
Each article and video explains the following about a condition
> WHAT
> SYMPTOMS
> CAUSES
> TREATMENT
> RECOVERY
All articles are available in English, Bahasa Malaysia & Simplified Chinese.
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Hi, I’m Dr. Nada Sudhakaran, a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps your child experience less pain, recover faster & gives you peace of mind.
I am based in Kuala Lumpur, Malaysia.
To schedule an appointment >> www.drnadachildsurgeon.com/
Dr. Nada, Thanks for introducing yourself to us. As I can see from those performance you have been through. Amazing.
You are one of the best doctors I have ever seen. This is from my personal experience, you treated my son. Thank you so much Dr Nada 🙏🙏🙏
Wonderful speech Dr.above kids healthiness l tq dr.
Bravo Dr
Over 97,300+ viewers & parents have benefitted from the articles & videos in Dr Nada's Blog since June 2020!
> MALAYSIAN PARENTS' BLOG TO PAEDIATRIC CONDITIONS THEIR CHILDREN MAY FACE <
There are over 25 videos and 20+ articles on a range of different conditions, that children may be born with or develop, that may require surgical intervention.
Each article and video explains the following about a condition
> WHAT
> SYMPTOMS
> CAUSES
> TREATMENT
> RECOVERY
All articles are available in English, Bahasa Malaysia & Simplified Chinese.
We hope you find it a useful resource to safeguard the health of your precious little ones. IF so please do share it.
As always...if you require any help please do not hesitate to schedule an appointment with me.
Stay Safe & Stay Happy!
>>> www.drnadachildsurgeon.com/paediatric-blog-conditions-children-malaysia/
Most tummy pain in children is short-lived, intermittent and resolves spontaneously.
Main causes are infections, inflammation, intestinal obstructions, kidney or bladder problems or bile duct problems.
However, if a child has constant, persistent abdominal pain that lasts more than 2 hours, without relief, it is critical to take that child to the local hospital Emergency Room (ER).
Similarly for diarrhea lasting more than 24 hours, particularly with associated lower abdominal pain.
Other situations where it’s advisable to seek medical attention is when there is associated symptoms with abdominal pain, such as vomiting, especially when the vomitus is green or blood stained or if there is blood in a child’s faeces.
If a child has fever and complains of pain whilst passing urine, this could be due a urinary tract infection. So the child’s urine needs to be examined for bacterial infection.
A smaller child who prefers to lie still, refuses to be cuddled, wants to be left untouched could potentially have a serious abdominal condition.
---
>>> Find out more in this article (with videos) including medical conditions that can cause tummy pain in children and importantly what you can do about it in Malaysia.
Article available also in BM and CHINESE.
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-tummy-pain-in-children-and-what-to-do-about-it-in-malaysia/
What Causes Tummy Pain In Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Main causes of tummy pain in children include infection, abnormal growths, inflammation, obstruction (blockage), and intestinal disorders. Most are short-lived but if the symptoms last more than 24...Perzeus James
Tq so much for this msg Dr.vry useful msg for my family mmbrs.👍🏻🤝
“Why is my son’s testes missing?”
This is a question that Malaysian parents ask when their baby’s scrotum looks flat or when touched, this may be a congenital deformity called undescended testes or cryptorchidism.
This condition is more common in premature babies.
Timely, early intervention can prevent your child’s testicular function from being effected.
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Dr Nada explains more about this condition in this video and article
www.drnadachildsurgeon.com/resources/undescended-testes-cryptorchidism-what-is-it-and-how-to-trea...
Article available also in BM and CHINESE.
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
Great sharing Dr.! Those little ones isn't easy to understand. They will just cry. Thank you Dr. for your unselfishness sharing.
am cryptorchid boy with 23 years
As a parent I sometimes worry about the future my daughter will face...
There is so much uncertainty and worry at the moment. The world is changing fast. Will Malaysia keep up?
Will Malaysia be able to offer her a better tomorrow?
As parents we can only do so much to love, protect and nurture our children. Their future is up to them to make.
But my worries melt away when I see my daughter, Shahana, joyfully and confidently waving our flag as she celebrates Hari Merdeka.
She's not going to wait for Malaysia to be ready for her.
She's gonna make Malaysia ready instead! 🚀
---
To all my lovely parents, today, on our nation's 64th birthday, I wish you and your loved ones the very best of health and success as we make the future a better one...for all of us Malaysians.
Selamat Hari Merdeka! 🥰
She is not going to wait for Malaysia to be ready for her. Sounds Deep and eye opening. 👌💪💪. All the Best cutie ✈️
Selamat Hari Merdeka to you Dr...hugs to your princess 🙂
Happy merdeka day I cant believe shes so big already
Very cute Best wishes to you and Uma
Slamat hari merdeka smoga ttp Jaya nuri itu ya tuan😃😃cantiik
Happy Merdeka to you and your family, Dr. Nada!! Stay safe!
Wish her long and happy life
Selamat Hari Merdeka
Selamat Hari Merdeka to you and your family 👍
Most of the time, groin swelling or lumps in young children is caused by either Hernias, Hydrocoeles, or other problems with the testis or ovaries.
Some conditions are more urgent than others and its important to see a doctor early on to perform a proper diagnosis.
Here are a few questions parents need to consider before bringing their child to the doctor:
> How long has the swelling been there?
> Is it painful? Has it changed in colour?
> Does it come and go easily?
> Is the swelling there all the time?
Common causes of groin swelling and lumps in babies & children include:
- Inguinal Hernias
- Hydrocoeles
- Undescended Testis
- Enlarged Lymph Nodes...
>>> Find out more in this article (with videos) including medical conditions that can cause groin swelling in children and importantly what you can do about it in Malaysia.
Article available also in BM and CHINESE.
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-groin-swelling-in-young-children-and-what-to-do-about-it/
What Causes Groin Swelling In Babies & Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Most of the time, the groin swelling or lumps in young children is caused by either Hernias, Hydrocoeles, or other problems with the testis or ovaries. Some conditions are more urgent than others. Cli...
Most tummy pain in children is short-lived, intermittent and resolves spontaneously.
Main causes are infections, inflammation, intestinal obstructions, kidney or bladder problems or bile duct problems.
However, if a child has constant, persistent abdominal pain that lasts more than 2 hours, without relief, it is critical to take that child to the local hospital Emergency Room (ER).
Similarly for diarrhea lasting more than 24 hours, particularly with associated lower abdominal pain.
Other situations where it’s advisable to seek medical attention is when there is associated symptoms with abdominal pain, such as vomiting, especially when the vomitus is green or blood stained or if there is blood in your child’s faeces.
If a child has fever and complains of pain whilst passing urine, this could be due a urinary tract infection. So the child’s urine needs to be examined for bacterial infection.
A smaller child who prefers to lie still, refuses to be cuddled, wants to be left untouched could potentially have a serious abdominal condition.
---
>>> Find out more in this article (with videos) including medical conditions that can cause tummy pain in children and importantly what you can do about it in Malaysia.
Article available also in BM and CHINESE.
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-tummy-pain-in-children-and-what-to-do-about-it-in-malaysia/
What Causes Tummy Pain In Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Main causes of tummy pain in children include infection, abnormal growths, inflammation, obstruction (blockage), and intestinal disorders. Most are short-lived but if the symptoms last more than 24...
Many different things can cause children to vomit. 🤮
Things such as any forms of infections, intestinal blockage or even pain.
The most common cause of vomiting is usually due to a viral infection (tummy bug) and often this is accompanied by diarrhea.
Most children may have these symptoms for a couple of days but as long as they can drink and keep their fluids down and stay hydrated, they can usually be safely managed at home.
Infection is one of the most common causes of vomiting but it is CRITICAL that that you take your child to the local hospital Emergency Room (ER) if they are presenting any of the following symptoms:
> Vomiting With Diarrhea
> Cough And Persistently Vomiting
> High Fever (>38 degrees Celcius)
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>>> Find out more in this article (with videos) including medical conditions that can cause vomiting in children and importantly what you can do about it in Malaysia...
---
Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-vomiting-in-children-and-what-to-do-about-it-in-malaysia/
What Causes Vomiting In Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Many different things can cause children to vomit. Things such as any forms of infections, intestinal blockage or even pain. Click here to see the most common symptoms and causes.
This is my most visited web page - and with good reason! 💦
Urinary problems in children is one of the most common causes of concern for parents.
The urinary system starts from the kidneys, down the ureter (water-pipe) to the bladder and from the bladder out through the urethra (another waterpipe), in boys, urine also needs to go through the foreskin before leaving the body.
The one other difference between boys and girls is the length of the urethra.
When it comes to urinary problems in children, the urine may be cloudy or blood stained or there is pain on passing urine.
A young child may not be able to tell a parent about his or her symptoms, which can make it hard to decide what that child needs.
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🖊 In this article - Dr. Nada explains about the common causes of Urinary Problems in children and what parents can do about them.
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>>> For more helpful videos and articles or if you require help with a baby or child please visit www.drnadachildsurgeon.com
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Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
www.drnadachildsurgeon.com/what-causes-urinary-problems-in-children-and-what-to-do-about-it-in-ma...
What Causes Urinary Problems In Children And What To Do About It In Malaysia
www.drnadachildsurgeon.com
Children may not be able to tell you about the symptoms they have as a result of Urinary Problems. This can make it hard to decide what your child needs. Check out this article to see the symptoms and...Shamala Subramanam
Parents with a sick child may often be reluctant to schedule an appointment with a paediatric surgeon.
This could be due to fears of not knowing what to expect at the appointment or of immediately being told that expensive surgery is required.
This reluctance is understandable - but very dangerous.
Delaying a 1st appointment when a child is presenting signs of illness or a disorder could be very damaging to that child.
Early detection, diagnosis and treatment is always better.
The majority of appointments don't even require surgery.
In this video Dr. Nada explains what parents can expect when they make that all important 1st appointment with him > 🎬
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>>> For more helpful videos and articles or if you require help with a baby or child please visit www.drnadachildsurgeon.com
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Dr. Nada is a paediatric surgeon & urologist specialising in Keyhole Surgery – a procedure that helps children experience less pain, recover faster & gives parents peace of mind.
He is based in Kuala Lumpur, Malaysia.
Set up an appointment with Dr. Nada at any of the preferred hospitals and we’ll diagnose how we can help your child better
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Dr Nada Sudhakaran is a consultant Paediatric Surgeon providing specialized children surgery and based in Kuala Lumpur Malaysia. He has extensive experience in reconstructive paediatric surgery, with a special interest in Minimally Invasive Surgery (keyhole surgery). He is on the specialist register to practice Paediatric Surgery in UK, Malaysia and Australia
MBBS University of Wales, UK, MRCS (Glasgow, UK), FRCS (Paediatric Surgery, Intercollegiate Board, UK), CCT Paediatric Surgery General Medical Council (UK), No: 4193546, FRACS Paediatric Surgery, Australia, No: 200030, National specialist Register Malaysia: No: 129809
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