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Inguinal Hernia - Exams and Tests. The diagnosis of inguinal hernia is usually based on your medical history and a physical exam. Tests such as ultrasound and CT scans are not usually needed to diagnose an inguinal hernia. In most cases, a doctor can identify an inguinal hernia during a physical exam. A urine test (urinalysis) may be done to rule out a urinary tract infection. A urinary tract infection or kidney stone may cause pain in the groin that can be mistaken for hernia pain.
1 You may have an abdominal ultrasound to test for conditions affecting the blood vessels or organs in your abdominal area. 2  Ankle-brachial index test. 3  This test measures and compares the blood pressure between your ankle and your arm. 4  The test shows reduced or blocked blood flow to your legs. 5  Cardiac stress test.