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Hi and thank you for your question. I am a verified Expert and I am happy to help you today. Yes, that does sound like a hernia. If it inflates and deflates, this is good. The problem comes in when the hernia becomes trapped in an inflated state and can not retract. If this occurs, the area will remain distended and may become painful. That is a medical emergency as a strangulated hernia can lead to bowel death and serious infection. The coughing is not good... because it is causing the hernia to expand with every cough. Tell him to hold a pillow over the hernia when he coughs. Can you call the Doctor for a cough suppressant?
Hernias don't typically cause bleeding.
Thank you for your reply. The cough suppressant is usually not an option due to his risk of frequent pneumonia. His phys wants him to cough deep and frequently to keep the mucus/phlegm moving. He also takes guafenasin (sp?) to keep it thinned. Is surgery the only option or do hernias "magically" repair/heal themselves.