Examination for an inguinal hernia

The examination of an inguinal hernia is performed both in a lying and standing position and is divided into an inspection (assessment) and a palpation (palpation). First, it is observed whether there is a protrusion or asymmetry in the standing position. This is then also examined under increased pressure, with the patient coughing or pressing. Then the hernia is examined by feeling for its consistency, position, possible pain and for a possible reduction (pushing back into the abdomen). The same examinations are then carried out again while lying down, whereby it is also observed whether the hernia recedes of its own accord by lying down.

What are the typical signs?

The typical sign of an inguinal hernia is a visible and palpable swelling. This is usually located in the groin region, but can appear in the labia in women in the later stages. The protrusion of a hernia sac, which can be palpated through the skin, usually manifests itself as soft, elastic and easily movable. In addition to the swelling, there is often pulling in the groin region, which is intensified by increased pressure in the abdomen (e.g. by coughing, sneezing, lifting heavy loads or during bowel movements). More rarely, stronger pain at rest, which also occurs in the groin, is also described.

Can I detect a hernia myself?

Whether a hernia can be detected by a medical “layman” depends on the extent of the hernia and the level of knowledge of the person affected. Especially in younger patients, inguinal hernias are usually detected by themselves. In toddlers and babies they are often noticed by the mother or father.

It is very useful to pay attention to changes in your own body, as you always have the best overview yourself and therefore small changes can be noticed early on. In order to be able to conclude from this that an inguinal hernia is present, the above mentioned criteria are well suited to get a first impression. A final diagnosis can only be made by the doctor, which is why a visit to the doctor should always take place within a shorter time.