Indirect: Caused by a defect in the abdominal wall that will typically have been present since birth. Most common in children, it affects up to 5 percent of ...Directvs.indirectinguinalherniasMedicallyreviewedbyJudithMarcin,M.D.—WrittenbyTomSeymouronMay17,2017Whatisaninguinalhernia?SymptomsCausesDiagnosisTreatmentOutlookTherearemanydifferenttypesofhernias.Aninguinalherniaiswhenabulgeorprotrusionoftissueoccursinthegroinarea.Theyoccurwithintheinguinalcanalandcanextendintothescrotuminmales.Theinguinalcanaltravelsthroughtheabdominalwallandisapassagewayfromtheabdomentothegenitals.Peoplehavetwoinguinalcanals,oneoneachsideofthelowerabdomen.Theabdomenisdefinedastheareabetweenthechestandhips.Thelowerabdominalwallistheinguinalregion,morecommonlyknownasthegroin.Oftenwhatbulgesisbodyfatorpartofthesmallintestine,whichcomesthroughaweakenedpartofthelowerabdominalwall.Whatisaninguinalhernia?Therearetwotypesofinguinalhernias:Direct:Developsovertimeduetostrainingandiscausedbyweaknessintheabdominalmuscles.Mostcommoninadultmalesandrareinchildren.Indirect:Causedbyadefectintheabdominalwallthatwilltypicallyhavebeenpresentsincebirth.Mostcommoninchildren,itaffectsupto5percentofnewbornsandupto30percentofprematurebabies.Often,itisdiscoveredinthefirstyearoflifebutcanremainundetecteduntiladulthood.Inguinalherniasareupto10timesmoremorecommoninmenthanwomenandoneinfourmenwilldevelopaherniaatsomepointintheirlife.SymptomsShareonPinterestSymptomsofaninguinalherniaincludepain,burning,orachinginthegroin.Symptomscandevelopgraduallyorstartsuddenly.Sometimesapersonisunawareofanysymptoms,andtheinguinalherniaisdetectedduringaphysicalexamination.However,apersonwilloftenhavesymptoms,whichcaninclude:groinpainabulgethatcomesandgoesburningorachingsensationinthegroinheavyordraggingsensationinthegroin,especiallyattheendofadayorafterprolongedactivityswollenorenlargedscrotuminboysandmenActivitiesthatcausestrainontheabdomencanalsomakethebulgeincrease.Theseinclude:coughingliftingobjectsstrainingforanyreasonsexercising