- With Mayo Clinic gastroenterologist
Michael F. Picco, M.D.read biographyclose window
Michael F. Picco, M.D.Michael F. Picco, M.D.
Dr. Michael Picco has been with Mayo Clinic since 1999. He is board certified in internal medicine and gastroenterology. Dr. Picco is an assistant professor of medicine at College of Medicine, Mayo Clinic, and a consultant in gastroenterology at Mayo Clinic in Florida.
He has authored numerous publications in the area of gastroenterology, including original research, editorials and textbook chapters. He works with a team of gastroenterologists that takes care of complex gastrointestinal conditions and has a particular interest in diarrheal illnesses and inflammatory bowel diseases (ulcerative colitis and Crohn's disease). He is also active in medical education in training new gastroenterologist and internists.
"Mayo Clinic's website is an invaluable resource for patients and their families," Dr. Picco said. "Informed patients are better able to participate in their own health care. A patient's participation is vital to the treatment of his or her disease. I hope to assist in helping patients understand their digestive problems and current treatments that are offered. This will allow for better communication between patients, their physicians and other health care professionals."
Dr. Picco serves as a reviewer of new research for several medical journals in the area of gastroenterology and is an active member of the American Gastroenterological Association, American College of Gastroenterology and the Crohn's & Colitis Foundation of America. He serves on numerous committees that address physician training, research and clinical practice in gastroenterology, both at Mayo Clinic and at the national level.
"Patients need to know about their disease, what to expect, the latest treatments and side effects so that they can make informed decisions about their health care. Gastrointestinal disease affects not only patients but also their families. My goal is to assure that our website provides accurate, reliable information and resources for patients. We must always provide the latest, most cutting-edge information to assist patients in dealing with their medical problems," Dr. Picco said.
Tests and diagnosis (1)
- Hernia exam: Why do I have to cough?
Treatments and drugs (1)
- Hernia truss: Can it help an inguinal hernia?
Hernia truss: Can it help an inguinal hernia?
Can a hernia truss help an inguinal hernia?
from Michael F. Picco, M.D.
An inguinal hernia occurs when soft tissue — usually part of the membrane lining the abdominal cavity (omentum) or part of the intestine — protrudes through a weak point or tear in the abdominal muscles. The resulting bulge can be painful, especially when you cough, bend over or lift a heavy object. Inguinal hernias are more common in men.
A hernia truss is a supportive undergarment designed to keep the protruding tissue in place and relieve discomfort. Ancient history documents the use of hernia trusses as early as 1700 B.C. If you have an inguinal hernia, a hernia truss can help you feel more comfortable — but it isn't a replacement for medical care.
A hernia truss doesn't treat the underlying problem of an inguinal hernia. Surgery is usually needed to repair a painful hernia. Untreated, a painful hernia may grow larger. Serious complications can occur if a loop of intestine becomes trapped in the weak abdominal wall (incarcerated hernia). An incarcerated hernia can cause diminished blood flow in the trapped intestine. This condition is called strangulation, and it can lead to the death of the affected bowel tissue. A strangulated hernia is life-threatening and requires immediate surgery.
If your hernia is small and isn't bothering you, your doctor may recommend a watch-and-wait approach. If your hernia is causing discomfort, don't rely on a hernia truss. See your doctor to discuss treatment options.Next question
Hernia exam: Why do I have to cough?
- Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed Jan. 8, 2013.
- Goroll AH, et al. Primary Care Medicine: Office Evaluation and Management of the Adult Patient. 6th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2009. http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=main&D=baov&PCOSTART=goroll. Accessed Jan. 8, 2013.
- Inguinal hernia. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/inguinalhernia/#what. Accessed Jan. 8, 2013.
- Mizrahi H, et al. Management of asymptomatic inguinal hernia: A systematic review of the evidence. Archives of Surgery. 2012;147:277.
- Matthews RD, et al. Inguinal hernia in the 21st century: An evidence-based review. Current Problems in Surgery. 2008;45:261.