My 3-month Shih Tzu has stomach swelling. Is it a hernia? Does she need surgery?

Thank you for submitting your question regarding Coco. It is common for umbilical hernias to go from reducible to non-reducible as the dog grows. I typically surgically repair it at the time of the spay. If you are not planning on spaying her, it still should be corrected. However, it is not an emergency as long as it not red, painful and she is not acting ill. Most of the time, it is just a bit of abdominal fat that slip through the opening in the abdominal wall (the hernia). The risk is if an internal organ such as a loop of intestine slips through the defect. In this case, the hernia would be painful to the touch and Coco would likely be vomiting and showing signs of pain. This is very rare though. I hope this information helps!

Milo’s a cutie! That does look like a hernia, which is a rift in the abdominal muscle wall where intestines protrude through. Some hernia’s are reducible meaning you can push the bowels back into the abdomen. Some are not, and you are correct, there is always a change that they can get bigger and more dangerous because if they are big enough for a loop of bowel to pass through and twist on itself/strangulate….that can be life threatening. It is best to have the hernia repaired (they’re not removed…rather they bowel is pushed back through and the opening in the abdominal wall is sutured closed) at the time at of the neuter to minimize the number of anesthetic events Milo undergoes. This can be done earlier than 6 months….e.g. at 5 months. You can discuss early neutering and hernia repair this with your vet or wait 2 months and have both done when he is 6 months. Good luck!

I am concerned that Goldie's umbilical hernia seems larger. If the hernia has opened up more, then the abdominal organs such as the omentum and intestines can slip through the hole, leading to strangulation of them. That would make her quite uncomfortable to sit and lie down, and pain would cause her to shake. Based on this, yes I would have Goldie see an emergency vet now.

It could be that, hernias can cause intestinal blockage, i would recommend taking her to the vet in order to get it checked ASAP. even if this isn't the hernia, it will need to be repaired surgically sooner rather than later.

When internal organs slip through an umbilical hernia, the swelling tends to become larger very quickly and is very painful. That does not seem to be the case with Charlie which is good. Umbilical hernias are normally present at birth and should not develop later in life. This swelling also looks like it is a little higher than his umbilicus, so it may not be an umbilical hernia. Depending on what your vet thinks, they may perform a fine needle aspirate to collect a few cells and decide what it is and if anything needs to be done about it. If it is a benign mass, they may not recommend any treatment. If they think it may be a hernia or if they see any concerning cells, they may recommend surgery. Hopefully your vet appointment will put your mind at ease. Good luck! I hope that was helpful. Thanks for using Petco Pet Education Center, formerly Petcoach.

Inguinal hernias are serious and should always be repaired as intestines can get stuck in there. If it is an umbilical hernia it may or may need to be repaired depending on the size. It is best to have her examined by your vet. They will be able to tell you more after examining her. The black spots are likely normal pigment change of the skin as the dog ages. There is nothing you can give or do to prevent them.

Hernia’s generally never heal on their own. Depending on the size of the hernia (the larger the more urgent) and whether or not the bulge can be pushed back into the abdomen (if a loop of intestines can come through, Vs just abdominal fat …it is at risk of getting twisted and dying/strangulating) your vet may recommend an emergency hernia repair or repair it at the time of her spay (recommended to prevent pyometra). Getting the hernia palapated/examined by your vet at Minnie’s vaccine appointments is recommended. Congratulations on your new puppy!