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Although hernias can happen to anyone, certain factors might put you at a higher risk for herniation. These may be chronic conditions, or they may pass with time — for example, if you have a bad cough. Risk factors for hernias include:  Increased abdominal pressure Coughing Heavy lifting Constipation Pregnancy Obesity Advancing age Smoking Steroid use A hernia is an imperfection in the muscular container of an organ. Because of this imperfection, the organ is pushed through an opening, resulting in a hernia. As the organ comes through the opening, it will create a swollen area or bulge in the skin. A hernia often gets bigger when you are standing or when you are straining. The site of the swollen area may vary depending on what kind hernia you have. The terms for different hernia types refer either to the location or the cause of the hernia.  Inguinal - These are hernias occurring in the inguinal region (between the hip bone and crotch) or groin. Umbilical - Occur around the belly button Femoral - Occur along the inner thighs Incisional - Occur when incisions from prior surgeries create weak points in an organ's muscular container Diaphragmatic or hiatal - Occur when there's a congenital defect in the diaphragm If the hernia affects your intestine, it can change or even block the flow of food through your digestive system. This can cause an intestinal back-up that results in nausea and vomiting. If the intestine is not completely blocked, you may just see milder symptoms, like nausea without vomiting or decreased appetite. You may experience constipation if you suffer from an inguinal or femoral hernia low in the body. Constipation is, in essence, the exact opposite of vomiting. When the flow of feces is blocked, you may experience constipation -- instead of it all coming out, it stays in. Needless to say, this symptom necessitates immediate surgical intervention. Hernias can be very serious when they interfere with the functions your body needs in order to survive. If you are experiencing any constipation, see your doctor immediately. Many people with hernias don’t have any complaints of pain or severe or significant noticeable symptoms. But, they may have a feeling of heaviness or fullness in the affected area, especially in the abdomen. You might chalk this up to complaints of bloating. If nothing else, you'll feel keenly aware of your abdominal area, whether it's feeling full, weak, or just has a mysterious pressure. You can relieve the "bloating" from hernias by resting in a reclined position. Though it's not always present, pain is a sign of hernia — especially if there are complications. Inflammation can cause a burning sensation or sharp pain. Pressure build-up can result in a tearing pain that suggests the hernia is directly touching the muscle walls. Here's how pain affects hernias in different stages:  Irreducible hernia: the hernia cannot return to a normal state, but instead gets larger; you may feel occasional pain.  Strangulated hernia: the bulging organ is losing its blood supply, and could be dead soon without medical attention. You'll feel significant pain in this case, along with nausea, vomiting, fever, trouble moving your bowels. This condition requires emergency surgery. Hiatal hernia: the stomach bulges out of its cavity, causing chest pains. This also affects the flow of food, causing acid reflux and making it hard to swallow. Untreated hernia: hernias are usually painless and symptomless, but if left untreated, may cause pain and other health problems. All hernias have the potential to become dangerous.  If you suspect you have one, you need to see a doctor for evaluation as soon as possible. He or she will determine whether you actually have one, and also discuss its severity and your treatment options. If you know you have a hernia and feel sudden throbbing or pain in the area, go to the emergency room immediately. The hernia could become "strangulated" and cut off blood supply, which is highly dangerous.

Summary:
Assess your risk factors. Take note of any bulges. Pay attention to vomiting. Watch for constipation. Don't ignore abnormal feelings of fullness. Keep track of your pain levels. Know when to see a doctor.