{ "schema_version": 1, "kind": "condition", "id": "inguinal-hernia-referral", "name": "Inguinal Hernia (referral)", "category": "chronic", "sources": "International guidelines for groin hernia management (HerniaSurge Group) 2018 · Egyptian National Drug Formulary (ENDF) 2026 · MSF Essential Drugs 2024 - paracetamol (oral)", "review_status": "reviewed", "verified_against": "International guidelines for groin hernia management (HerniaSurge Group) 2018 · MSF Essential Drugs 2024 - paracetamol (oral)", "verified_date": "2026-08", "treatments": [ { "id": 992, "generic": "No drug therapy required (Surgical Referral)", "line": 1, "is_adjunct": false, "form": null, "strength_mg": null, "adult_dose": "Elective general surgery referral for surgical evaluation and mesh hernioplasty. Watchful waiting is acceptable only in asymptomatic or minimally symptomatic adult men.", "adult_duration": "Elective referral", "dose_source": "International guidelines for groin hernia management (HerniaSurge Group) 2018", "rationale": "Inguinal hernia is an anatomical structural defect requiring surgical repair; no pharmacological treatment repairs the hernia defect.", "cautions": [ "EMERGENCY WARNING: Irreducible, painful hernia with severe acute pain, vomiting, bowel obstruction, or overlying skin discoloration indicates incarceration or strangulation — refer immediately for emergency surgery.", "Trusses and abdominal binders are NOT recommended for routine management as they do not prevent incarceration and may cause testicular atrophy or local skin damage.", "Surgical repair is recommended for all symptomatic inguinal hernias and all female groin hernias (to exclude femoral hernia)." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Pediatric inguinal hernias (patent processus vaginalis) carry a high risk of incarceration; urgent pediatric surgical referral is required for early repair.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [], "condition_id": "inguinal-hernia-referral" }, { "id": 993, "generic": "Paracetamol", "line": 1, "is_adjunct": true, "form": "oral.solid", "strength_mg": 500.0, "adult_dose": "500-1000 mg three or four times a day PRN for mild localized groin discomfort while awaiting elective surgical consultation (maximum 4000 mg/24 hours)", "adult_duration": "PRN until surgical evaluation", "dose_source": "MSF Essential Drugs 2024 - paracetamol (oral)", "rationale": "Simple analgesic added for mild groin discomfort while awaiting elective surgical assessment of an inguinal hernia; it provides symptomatic relief only and does not reduce the hernia or remove the need for surgical referral, especially urgently if the hernia becomes irreducible or pain worsens suddenly.", "cautions": [ "Analgesia provides temporary mild symptomatic relief only and does not eliminate the need for surgical assessment.", "Instruct patient to seek emergency care immediately if hernia becomes non-reducible or pain suddenly worsens." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "Age-appropriate dosing under pediatric surgical guidance while awaiting repair.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "FEBRIMOL 500 MG 20 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO", "price_egp": 3.5, "pack_count": 20, "unit_price": 0.17, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CETAMOL 500 MG 20 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MEMPHIS", "price_egp": 8.0, "pack_count": 20, "unit_price": 0.4, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "PARACETAMOL-MUP 500MG B.P. 20 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MUP", "price_egp": 13.0, "pack_count": 20, "unit_price": 0.65, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "CETAL 500 MG 20 TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EIPICO", "price_egp": 24.0, "pack_count": 20, "unit_price": 1.2, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ARKADOLOW 500 MG 30 F.C. TABS.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "UTOPIA", "price_egp": 42.0, "pack_count": 30, "unit_price": 1.4, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "PARAMOL 500MG 20 TAB.", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MISR", "price_egp": 38.0, "pack_count": 20, "unit_price": 1.9, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "ADOL 500MG 24 CAPLETS", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "JULPHAR", "price_egp": 32.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "AUGICETAMIDE 500 MG 20 SACHETS", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "AUG PHARMA", "price_egp": 50.0, "pack_count": null, "unit_price": null, "strength_mg": 500.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "FEBRIMOL ORAL DROPS 20 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHARCO", "price_egp": 4.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null }, { "trade_name": "THERA-LO 3.2G/100ML ORAL SUSP. 100 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "PHAROPHARMA", "price_egp": 5.0, "pack_count": null, "unit_price": null, "strength_mg": 3200.0, "exact_strength": false, "exact_form": false, "discontinued": false, "also_contains": null } ], "condition_id": "inguinal-hernia-referral" } ] }