Notice a new lump or bulge in the groin, lower abdomen, belly button, or previous surgery scar
Check whether the bulge becomes more noticeable when standing, coughing, straining, or lifting
See whether the bulge gets smaller or disappears when lying down
Pay attention to aching, pressure, burning, or a pulling sensation in the area
Watch for pain that worsens with activity, lifting, or prolonged standing
Check for nausea, vomiting, constipation, bloating, or trouble passing gas
Look for tenderness, redness, or swelling over the bulge
Seek urgent care if the bulge becomes hard, very painful, discolored, or cannot be pushed back in
Seek urgent care if there is severe abdominal pain, vomiting, fever, or inability to pass stool or gas
See a clinician for a physical exam, especially if the bulge is intermittent or small
Ask about imaging such as ultrasound, CT scan, or MRI if the diagnosis is unclear
Mention any pregnancy, prior surgeries, chronic cough, constipation, or heavy lifting history
Get evaluated promptly if symptoms persist or worsen