Very likely. What you describe—a sudden bulge in the groin with discomfort after straining that then slips back in and the pain eases—is classic for a reducible inguinal hernia. A hernia is a weakness in the abdominal wall that lets tissue push out when pressure rises (lifting, coughing, standing), and slide back when you lie down or relax.
Is this an emergency?
Not if the bulge went away and you’re feeling mostly fine. It is urgent if a bulge becomes stuck out and is painful, firm, or discolored, or if you have nausea/vomiting, fever, or belly swelling. In that case, lie down, try gentle steady pressure or ice for a few minutes—if it won’t reduce, go to the ER.
What to do next
- Schedule an exam. I can usually confirm the diagnosis while you’re standing and coughing. An ultrasound is sometimes helpful if the bulge is shy. If you have had this sort of episode which caused a lot of pain briefly, we would typically want to confirm the diagnosis and then recommend you plan for an elective repair of the hernia.
- Activities now: You don’t need blanket restrictions just because a hernia exists. Do your usual activities as tolerated; let discomfort be your guide. If routine life starts causing bothersome symptoms, that’s a good reason to plan repair so you can return to everything you enjoy without guarding.
Treatment choices
- Watchful waiting might be considered if symptoms are mild (for men).
- Surgical repair is recommended when pain or limitations creep in. Options include open repair (can be done with local anesthesia and light sedation, avoiding general anesthesia) or laparoscopic repair (often best for both sides at once but typically uses general anesthesia). We’ll tailor this to your goals.
Note: In women, we lean more toward repair sooner because femoral hernias are more common.
Bottom line: Your story sounds like a hernia. It’s not an emergency if it reduces and you feel okay, but let’s examine it and plan the approach that fits your priorities.
This information is educational and not a substitute for medical advice. Talk with your own clinician about your situation.