A fruity odor is characteristic of the preswense of
ketone bodies, which are produced when blood glucose levels
are abnormally high and there is insufficient insulin available.
Thus, as waverider suggested, you require a complete diabetic evaluation.
Insofar as your hernia, you need to find a physician who is familiar with SIS, otherwise known as "small intestine submucosa", which is undergoing FDA trials and, if used, should completely solve your hernia issue.