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  • With Mayo Clinic gastroenterologist

    Michael F. Picco, M.D.

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Question

Hernia exam: Why do I have to cough?

Why do I have to cough during a hernia exam?

Answer

from Michael F. Picco, M.D.

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Illustration showing inguinal hernia 
Inguinal hernia

A hernia occurs when soft tissue — usually part of the intestine — protrudes through a weak point or tear in your abdominal wall. This bulging is most likely to occur when there's increased pressure on your abdomen, such as when lifting, straining, sneezing or coughing. Forcing a cough during a hernia exam causes your abdominal muscles to contract and increase pressure within your abdomen. This may force a hernia to bulge out, making it easier to detect during the examination.

Next question
Hernia truss: Can it help an inguinal hernia?
References
  1. Brooks DC, et al. Classification and diagnosis of inguinal and femoral hernias. http://www.uptodate.com/home/index.html. Accessed April 11, 2011.
HQ00491 April 23, 2011

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