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Accurate Diagnosis of
Hernia

A physical exam is usually sufficient, but identifying the exact size of the defect via imaging ensures the right mesh size is used during surgery.

Medically Reviewed by Dr. Jaya Maheshwari
Last Updated: Jan 2026

Diagnostic Methods

Step 1

Physical Examination (Cough Test)

The doctor will ask you to stand and cough. This increases abdominal pressure, causing the hernia to pop out so it can be felt. This is often enough to confirm the diagnosis.

Imaging

Ultrasound (USG Abdomen)

A non-invasive scan used to visualize the hernia defect size and contents. It helps distinguish a hernia from other lumps like lymph nodes or lipomas.

Advanced

CT Scan / MRI

Used for complex, large, or recurrent hernias. It gives a 3D view of the abdominal wall layers, helping the surgeon plan the mesh placement precisely.

Specific

Endoscopy (For Hiatal Hernia)

If you have acid reflux symptoms, a flexible tube with a camera is passed down the throat to check if the stomach has moved up into the chest.

History Taking is Crucial

Before scanning, we ask about your lifestyle. Heavy gym lifting, chronic cough, or difficulty passing urine (prostate issues) are key indicators. Treating the root cause (like cough) is essential before fixing the hernia to prevent recurrence.

Director's Interview

How We Diagnose Hernia

The 'Cough Test' & Ultrasound

"Patients often ask if an Ultrasound is mandatory. For small hernias or obese patients, yes—it helps us see the defect clearly through the fat."

Dr. Jaya Maheshwari demonstrates the simple physical examination techniques used to confirm a hernia and explains when a CT scan is necessary.

Vice President IAGES (2020–2022)
Trained in Germany & USA
Pioneer of Laser Proctology
Now Watching: Dr. Jaya on Advanced Treatments

Why Diagnose Early?

  • Prevent Strangulation (Emergency)
  • Smaller defect = Easier repair
  • Better Mesh placement planning
  • Identify hidden bilateral hernias
  • Plan Laparoscopic approach

Get Checked Today

A simple 5-minute checkup can confirm your diagnosis and prevent complications.

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