Aggregative Adherence Fimbriae I (AAF I) causes aggregation of the bacterial cells. These aggregate on small intestinal cells and cause mucous secretion which produces a biofilm. Enteroaggregative heat stabile toxin is an STa like toxin, and plasmid encoded toxin can also be present.
1 Umbilical hernia is a bulge around the belly button. It occurs when the muscle around the belly button does not close completely after birth.  Inguinal hernia is a bulge in the groin. It is more common in men.
An inguinal hernia is a protrusion of abdominal-cavity contents through the inguinal canal. Symptoms are present in about 66% of affected people. This may include pain or discomfort especially with coughing, exercise, or bowel movements. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. Inguinal hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the intestine is blocked. This usually produces severe pain and tenderness of the area.