<s>[INST] Hello,I was just diagnosed with a Intestinal hernia related to scar tissue from appendicitis surgery 43 years ago. Intestine was opened with tubular suctioning in hospital which was successful until surgery can be performed.( while on vacation from Pittsburgh Pa in Florida ) what medical advise can you give me and what direction that I need to go in to correct this problem.  Presently intestine is open and able to eat light amounts but after eating there is a tightness at my naval area and continues upward to center of chest and a feeling of pressure inside pushing outward. [/INST] Thank you for consulting with Chat Doctor. A hernia through scar tissue (incisional hernia) is common to occur in time. Happens due to weakness of the scar. A physical examination is mandatory to confirm the site and to rule out any complications like obstruction or strangulation. The treatment options vary but all aims in strengthening the abdominal wall. Open approach as well as laparoscopic approach is there. Get an appointment with a general surgeon and discuss the options after a physical examination and ultrasound scan(if necessary). I couldn't get what you meant by intestine being open. But the pain you feel after food intake could be due to some kind of obstruction. Please revert with further details. </s>