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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.
Tests that may be done include: 1  Colonoscopy to look at the colon and rectum. 2  Complete blood count (CBC) 3  CT scan of the abdomen (in rare cases) 4  Proctosigmoidoscopy (an examination of the lower bowel) 5  Stool cultures. 6  X-rays of the abdomen.