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The following may increase your risk for an umbilical hernia: High body weight or pregnancy Being female or age older than 60 A medical condition such as liver cirrhosis A large growth in your abdomen Chronic constipation, chronic cough, or straining to have bowel movements Surgery or trauma to the abdomen, such as from a motor vehicle accident Intense exercise or lifting heavy objects often What are the signs and symptoms of an umbilical hernia