### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
hi there i have 2 children by c section 13 and 11 years ago. about 4 years after that i had a hernia op which cut me from my belly to down below. over the last few months everytime i cough sneeze or go the toilet i am getting very very bad pain in my c section scar on the right hand side. am wondering if the hernia is back? if so what do i do the problem is i cant get operation as my husband has just got out of hospital after having an op on his ankle after he broke dislocated and tore the tendons and ligaments in it. so the prob we have is we both cant be off our feet at the same time with havin to young boys. any help would be apprecaited

### output:

Hi ! Good morning. I am Chat Doctor answering your query. Incisional hernias are more common in a vertical incision for a Assyrian section than in transverse incisions. Pain in the scar does not necessarily mean that you got an incisional hernia, but could be a pointer towards an increased intro abdominal pressure stretching the scar, which might in the long run result in a hernia. So if I were your doctor, I would advise you to avoid any kind of work that increases the intro abdominal pressure, get your cough treated at the earliest, avoid constipation for similar reasons, and try to reduce weight (if overweight) by regular routine exercise. In addition, you might consider wearing an abdominal binder which would give some kind of support whenever you are upright, and would protect at the time of increasing intro abdominal pressure. To know precisely if you got a recurrent hernia or not, I would advise you to get it assessed clinically by your doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.