At first glance, a hernia might seem like a slight bulge, but when you look at it from a bigger picture, it is usually a sign of an underlying weakness in your body’s structure. Leaving it “to heal by itself” usually leads to discomfort and, in some cases, serious complications.
While the condition itself is straightforward, the question, “What is the main cause of hernia?” is more complex than a single answer. There seems to be a lot of misinformation surrounding hernia and its manifestation, so having a clear idea of the situation helps in receiving the proper care.
If you are suffering from a hernia and have been confused about the condition, we will clarify all the doubts regarding hernia treatment in this detailed guide from our experts at Bhardwaj Hospital.
How Do We Define Hernia? What Is It?
Before we explore the potential causes, it is vital that we first clarify what a hernia is.
A hernia is the abnormal exit of tissue or an organ, such as the intestine, through a weak point in the body’s wall or connective tissue (fascia). This, in turn, causes the characteristic “bulge”, which might increase in size when you cough, bend or put strain.
The truth about hernia is that they can develop “anywhere” in the body. However, they are the most common in the abdominal wall, especially in the areas that are already weakened by previous injuries, surgeries, or congenital disabilities.
The following are a few of the most common types of hernia:
| Type of Hernia | Location | Who It Commonly Affects | Description / Key Details |
| Inguinal Hernia | Groin area (lower abdomen near the pubic bone) | More common in men | As the most frequently occurring type of hernia, it involves tissue pushing out through a structural weakness in the lower abdominal wall. |
| Femoral Hernia | Upper thigh, just below the groin | More common in women, especially older adults | It occurs when fatty tissue or a segment of the intestine pushes into the femoral canal, which houses the femoral artery. |
| Umbilical Hernia | Around the navel (belly button) | Common in infants, overweight adults, and pregnant women | Results from a weak spot where the umbilical cord passed through during fetal development. |
| Incisional Hernia | Site of a previous surgical incision | Anyone with a history of abdominal surgery | Develops when the tissue pushes through a weakened area in the abdominal wall after surgery. |
| Hiatal Hernia | Upper stomach and diaphragm (chest area) | Common in people over 50 | It is defined by a portion of the stomach moving through the esophageal opening in the diaphragm and entering the chest. |
Identifying the exact cause of a hernia is essential to ensure that you receive the proper treatment. At Bhardwaj Hospital, our surgeons and specialists prioritise a comprehensive diagnosis to confirm the type of hernia you have before tailoring a treatment plan for you.
What are the Main Causes Behind Hernia?
To truly understand the root cause of a hernia, we must understand two distinct yet interconnected factors.
1. Pre-existing structural weakness
The body’s walls, like the abdominal wall, the diaphragm, the groin, etc., are composed of muscles and tough connective tissues, whose primary purpose is to contain the internal organs.
A hernia can only form where a defect, tear, or inherent area of thinness exists in this barrier. This weakness is the primary necessary condition for a hernia to occur.
The structural weakness can further be classified into two categories:
Congenital or inherent weakness: This includes situations where the patient is born with potential weak points. This is seen in inguinal hernias, umbilical hernias and hiatal hernias.
Acquired weakness: The second category is acquired weakness, where, over time, the muscular and fascial tissues can degrade or stretch due to a variety of factors like age, a history of surgeries (causing incisional hernias), poor nutrition, smoking, etc.
2. The sustained pressure event
Over time, when there’s internal pressure, it forces the internal tissue through the compromised wall, causing a hernia. If there were no elevated pressure, a bulge would usually not manifest.
While acute, severe strain can be the final trigger, it is often repeated and sustained pressure increases that gradually push and widen the weak spot until a hernia becomes clinically evident. Some of the key triggers include:
● Chronic coughing or sneezing
● Straining during bowel movements
● Heavy lifting
● Strenuous exercise
● Pregnancy
● Obesity
● Fluid in the abdomen
In short, the leading cause of any hernia is the interaction between a pre-existing, non-resilient weak point in the body wall and chronic, repeated, or sudden excessive intra-abdominal pressure.
While the situation might seem “worrying” in the beginning, the more you delay treatment, the greater the risks. This is why we recommend consulting our specialists at Bhardwaj Hospital before the situation takes a turn for the worse.
How to Recognise the Early Signs of a Hernia?
If you want to live comfortably with a hernia, without eventually experiencing complications like strangulated hernias, recognising the early signs is a must.
Some of these common “early symptoms” include:
● A visible or palpable bulge, especially when standing or coughing.
● Discomfort or heaviness in the abdomen or groin.
● Burning or aching sensation at the bulge site.
● Pain during lifting, bending, or physical activity.
● Nausea, vomiting, or inability to pass gas (in advanced cases).
If any or multiple of these symptoms occur, an immediate clinical evaluation is a must. We encourage you to schedule your consultation with our surgical team at Bhardwaj Hospital for detailed examinations and tests to confirm the diagnosis and next steps.
What are the Best Treatment Options for Hernia?
Once diagnosed, treatment depends on the hernia type, size, and severity.
At Bhardwaj Hospital, our surgeons employ advanced and minimally invasive techniques to ensure faster recovery and long-term relief.
Some of the best treatment options include:
1. Lifestyle management in early stages
For patients with small, asymptomatic hernia, lifestyle management is usually recommended. This involves focusing on weight loss, improved diet, and avoiding heavy lifting. However, you have to keep in consideration that most hernias eventually require surgery to prevent complications.
2. Surgical treatment
Surgery is the only definitive treatment for a hernia. We offer both traditional and laparoscopic (keyhole) options depending on the patient’s condition. The best surgical approaches include:
● Open hernia repair
● Laparoscopic hernia repair
● Mesh repair
Our surgeons at Bhardwaj Hospital will first conduct a physical assessment and then perform imaging tests to customise the best surgical plan for you.
When in Doubt, Get Checked!
The leading cause of a hernia is fundamentally a structural vulnerability under mechanical stress. This knowledge empowers you to understand why the problem arose and why it requires professional intervention. Do not allow the fear of surgery to prevent you from seeking a definitive cure and eliminating the risk of incarceration or strangulation.
The surgical team at Bhardwaj Hospital, Noida, is ready to provide a thorough evaluation, discuss your specific condition, and tailor a state-of-the-art repair plan just for you.Schedule your consultation with us today!

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