Date amended:
External
Statements of Principles

Inguinal hernia - Increased intra-abdominal pressure due to coughing or sneezing Factor

Coughing and sneezing are part of ordinary everyday life; for SoP purposes coughing or sneezing must be forceful enough to cause increased intra-abdominal pressure.  Such coughing or sneezing may develop in response to environmental factors or may be due to a medical condition.

Environmental factors which can cause coughing or sneezing include working in a dusty, smoky, or confined atmosphere, working amongst chemicals, solvents, paints, asbestos, or other products which can irritate the airways.  A ship’s stoker, for example, would be exposed to coal dust which might precipitate the development of chronic cough.  Reactions to such environmental factors vary between individuals and may constitute an allergic response.  There can be incidental exposure to irritants such as smoke and other fumes in the atmosphere.

In many cases cough from exposure to irritants would develop into another medical condition such as asbestosis, silicosis, or pneumoconiosis.  Examples of medical conditions that can cause a cough include chronic bronchitis, bronchiectasis or pulmonary fibrosis.  Sneezing may be due to conditions such as sinusitis, allergic rhinitis, and vasomotor rhinitis.

Last reviewed for CCPS 18 July 2005.

Investigative Documents
Type Title PDF Format Word Format
Claimant Report
Coughing or Sneezing - Inguinal Hernia
Medical Report
Increased Intra-Abdominal Pressure due to Coughing or Sneezing - Inguinal hernia
Preliminary questions [1641]

1645     the veteran has established the causal connection between the increased intra-abdominal pressure due to coughing or sneezing and VEA service for inguinal hernia.

6789     the veteran has established the causal connection between the increased intra-abdominal pressure due to coughing or sneezing and VEA service for the clinical onset of inguinal hernia.

1648     the veteran has established the causal connection between the increased intra-abdominal pressure due to coughing or sneezing and operational service for the clinical onset of inguinal hernia.

or

3964     the veteran has established the causal connection between the increased intra-abdominal pressure due to coughing or sneezing and eligible service for the clinical onset of inguinal hernia.

or

7334     the clinical onset of the condition under consideration occurred after the end of the veteran's last period of VEA service.

7335     the condition under consideration permanently worsened.

6794     the veteran has established the causal connection between the increased intra-abdominal pressure due to coughing or sneezing and VEA service for the clinical worsening of inguinal hernia.

6800     the veteran has established the causal connection between the increased intra-abdominal pressure due to coughing or sneezing and operational service for the clinical worsening of inguinal hernia.

or

6801     the veteran has established the causal connection between the increased intra-abdominal pressure due to coughing or sneezing and eligible service for the clinical worsening of inguinal hernia.

Clinical onset and operational service [1648]

6796     the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the thirty days before the clinical onset of the condition under consideration.

6798     on operational service, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the thirty days before the clinical onset of the condition under consideration.

1650     as a causal result of operational service, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the thirty days before the clinical onset of the condition under consideration.

4134     the coughing or sneezing on operational service, which resulted in increased intra-abdominal pressure within the thirty days before the clinical onset of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

4671     as a result of an illness or injury that is identifiable, the veteran had coughing or sneezing which caused increased intra-abdominal pressure.

26062 as a consequence of the identified illness or injury, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the thirty days before the clinical onset of the condition under consideration.

4673     the identified illness or injury, that caused the coughing or sneezing resulting in increased intra-abdominal pressure, is causally related to operational service.

Clinical onset and eligible service [3964]

6797     the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the three days before the clinical onset of the condition under consideration.

3966     on eligible service, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the three days before the clinical onset of the condition under consideration.

4185     as a causal result of eligible service, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the three days before the clinical onset of the condition under consideration.

4456     the coughing or sneezing on eligible service, which resulted in increased intra-abdominal pressure within the three days before the clinical onset of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

4671     as a result of an illness or injury that is identifiable, the veteran had coughing or sneezing which caused increased intra-abdominal pressure.

6803     as a consequence of the identified illness or injury, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the three days before the clinical onset of the condition under consideration.

4674     the identified illness or injury, that caused the coughing or sneezing resulting in increased intra-abdominal pressure, is causally related to eligible service.

Clinical worsening and operational service [6800]

35136 the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the thirty days before the clinical worsening of the condition under consideration.

35137 on operational service, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the thirty days before the clinical worsening of the condition under consideration.

6804     as a causal result of operational service, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the thirty days before the clinical worsening of the condition under consideration.

6805     the coughing or sneezing on operational service, which resulted in increased intra-abdominal pressure within the thirty days before the clinical worsening of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

4671     as a result of an illness or injury that is identifiable, the veteran had coughing or sneezing which caused increased intra-abdominal pressure.

6788     as a consequence of the identified illness or injury, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the thirty days before the clinical worsening of the condition under consideration.

4673     the identified illness or injury, that caused the coughing or sneezing resulting in increased intra-abdominal pressure, is causally related to operational service.

6814     the clinical onset of the condition under consideration occurred prior to that part of operational service to which the identified illness or injury, which caused the coughing or sneezing resulting in increased intra-abdominal pressure, is causally related.

Clinical worsening and eligible service [6801]

35138 the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the three days before the clinical worsening of the condition under consideration.

35139 on eligible service, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the three days before the clinical worsening of the condition under consideration.

6799     as a causal result of eligible service, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the three days before the clinical worsening of the condition under consideration.

6810     the coughing or sneezing on eligible service, which resulted in increased intra-abdominal pressure within the three days before the clinical worsening of the condition under consideration, was due to the veteran's serious default, wilful act or serious breach of discipline.

or

4671     as a result of an illness or injury that is identifiable, the veteran had coughing or sneezing which caused increased intra-abdominal pressure.

6811     as a consequence of the identified illness or injury, the veteran had coughing or sneezing which resulted in increased intra-abdominal pressure within the three days before the clinical worsening of the condition under consideration.

4674     the identified illness or injury, that caused the coughing or sneezing resulting in increased intra-abdominal pressure, is causally related to eligible service.

6815     the clinical onset of the condition under consideration occurred prior to that part of eligible service to which the identified illness or injury, which caused the coughing or sneezing resulting in increased intra-abdominal pressure, is causally related.