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Digestive Disorders

Inguinal Hernia with No Protrusion?

11/05/2010

Question:

For the last 4 months I`ve had upset stomach almost constantly with discomfort generating to the right side. Abdominal ultrasound/upper GI found nothing but acid reflux. But along with this symptom has been groin pain, more extending into genital/testicle area, some days more than others, no pattern. My GP found no lump in the groin and when I cough it doesn`t trigger pain, so he said no hernia. But can someone have an inguinal hernia even without a lump or bulge in the groin area? And if so, then how would it be diagnosed? Thanks

Answer:

Inguinal hernias usually can be diagnosed by physical examination and are frequently confirmed by having patients perform certain maneuvers that will usually exacerbate a hernia if it's present.

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Response by:

Julia Gore Thornton, MD Julia Gore Thornton, MD
Assistant Professor of Medicine
School of Medicine
Case Western Reserve University