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.