Can I ask why the lump appears during a groin hernia examination when standing and holding one's breath?

Patient's question:

Patient: Male, 25 years old. Previously in good health.
1. Due to lifting heavy objects, pain in the right inguinal region occurred, but the pain disappeared after lying down, and it was not taken seriously.
2. A few months later, the pain worsened, and the hernia migrated to the scrotum.

Doctor's answer:

Using the index finger, touch along the root of the scrotum from the lower end of the inguinal canal. There is a soft outer ring. Press upwards and cough or increase abdominal pressure. If the index finger feels a, it may indicate a hernia. If there is already a swelling in the inguinal region when standing, it can be diagnosed as a hernia.

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