Hernia in children swells a little when they cry?

Patient's question:

My child is very young, only a few months old, but recently I noticed a problem with his stomach. I asked a doctor, and he said it's infantile hernia. I don't understand much about this, so I want to ask if infantile hernia can bulge a bit when the child cries?

Doctor's answer:

Based on the described situation, this may be related to inguinal hernia in children, which is often caused by the failure of the processus vaginalis to close during the descent of the testis in the embryonic period. It can develop during the neonatal period and is a congenital disease. For children with a history of a mass in the inguinal area or those who temporarily cannot be found with a mass in the inguinal area, infants and young children can be stimulated to cry or have abdominal pressure applied, while older children can be asked to cough, hold their breath, or bear down after running or jumping, after which the mass can often be found and a definitive diagnosis can be made.

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