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Risk factors

By Mayo Clinic staff

Risk factors for an inguinal hernia include:

  • Being male. You're far more likely to develop an inguinal hernia if you're male. Also, the vast majority of newborns and children who develop inguinal hernias are boys.
  • Family history. Your risk of inguinal hernia increases if you have a close relative, such as a parent or sibling, who has the condition.
  • Certain medical conditions. People who have cystic fibrosis, a life-threatening condition that causes severe lung damage and often a chronic cough, are more likely to develop an inguinal hernia.
  • Chronic cough. A chronic cough, such as from smoking, increases your risk of inguinal hernia.
  • Chronic constipation. Straining during bowel movements is a common cause of inguinal hernias.
  • Excess weight. Being moderately to severely overweight puts extra pressure on your abdomen.
  • Pregnancy. This can both weaken the abdominal muscles and cause increased pressure inside your abdomen.
  • Certain occupations. Having a job that requires standing for long periods or doing heavy physical labor increases your risk of developing an inguinal hernia.
  • Premature birth. Infants who are born early are more likely to have inguinal hernias.
  • History of hernias. If you've had one inguinal hernia, it's much more likely that you'll eventually develop another — usually on the opposite side.
References
  1. Feldman M, et al. Sleisenger & Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 9th ed. Philadelphia, Pa.: Saunders Elsevier; 2010. http://www.mdconsult.com/books/about.do?eid=4-u1.0-B978-1-4160-6189-2..X0001-7--TOP&isbn=978-1-4160-6189-2&about=true&uniqId=229935664-2192. Accessed Jan. 8, 2013.
  2. Goroll AH, et al. Primary Care Medicine: Office Evaluation and Management of the Adult Patient. 6th ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2009. http://gateway.ovid.com/ovidweb.cgi?T=JS&MODE=ovid&PAGE=main&D=baov&PCOSTART=goroll. Accessed Jan. 8, 2013.
  3. Inguinal hernia. National Digestive Diseases Information Clearinghouse. http://digestive.niddk.nih.gov/ddiseases/pubs/inguinalhernia/#what. Accessed Jan. 8, 2013.
  4. Mizrahi H, et al. Management of asymptomatic inguinal hernia: A systematic review of the evidence. Archives of Surgery. 2012;147:277.
  5. AskMayoExpert. What are the most common types of hernia that occur in children? Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2012.
  6. Matthews RD, et al. Inguinal hernia in the 21st century: An evidence-based review. Current Problems in Surgery. 2008;45:261.
  7. Karthikesalingam A, et al. Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia. British Journal of Surgery. 2010;97:4.
DS00364 March 20, 2013

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