Inguinal Hernia: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate an inguinal hernia (inguinal hernia):

Leading symptoms

  • Recurrent pain in the inguinal region (69% discomfort in the hernia, 66% in the groin; 50% increased peristalsis).
  • Swelling or protrusion in the groin region.

Possible accompanying symptoms

  • Pain in the genital area
  • Pain during sexual intercourse (dyspareunia)
  • Micturition disorders (disorders during urination) or pain.
  • Increased peristalsis of the intestine (muscle activity of the intestine), possibly also tenesmus (intestinal spasms).

Other indications

  • Approximately 18% of patients with an inguinal hernia are asymptomatic (see also under Medical Device Diagnostics under Abdominal Sonography).
  • If there is a reducible (“returnable”) protrusion of the inguinal region, this is a clear sign of a hernia. In such cases, no further diagnostics are necessary.

Warning signs (red flags)

  • Pressure pain, non-reducible swelling, abdominal pain, or vomiting → think of: Incarceration/incarceration of hernia sac contents in a hernia (→ emergency admission to surgery).