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In general, conditions that increase pressure within your abdomen contribute to formation of a hernia, including:PregnancyObesityHistory of heavy liftingConditions that predispose you to chronic cough, such as smoking or asthmaStraining during a bowel movement, such as caused by chronic constipationStraining to urinate, such as caused by prostate enlargementFluid in the abdominal cavity Diagnosis Most hernias can usually be detected by a physical examination.