A 50-year-old male presents with severe abdominal pain, vomiting, and constipation. He has a history of long-standing hernia. On examination, the hernia is tender, firm, and non-reducible. What's the likely diagnosis and the next steps?
The patient's symptoms suggest an incarcerated hernia with suspected bowel obstruction. This requires urgent surgical consultation for potential hernia reduction and repair. If the incarcerated tissue cannot be reduced or if there is suspicion of strangulation (compromised blood supply), an emergency surgery is required to prevent tissue necrosis.