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Common causes of muscle weakness include: failure of the abdominal wall to close properly in the womb congenital defect age chronic coughing damage from injury or surgery Factors that strain your body and may cause a hernia especially if your muscles are weak include: being pregnant puts pressure on your abdomen being constipated causes you to strain when having a bowel movement heavy weight lifting fluid in the abdomen ascites suddenly gaining weight persistent coughing or sneezing Several factors increase your risk of developing a hernia, including: a personal or family history of hernias being overweight or obese a chronic cough chronic constipation smoking which can trigger a chronic cough Conditions such as cystic fibrosis can also indirectly increase your risk of developing a hernia.