Correct option is D
Inguinal hernias often present as a bulge in the groin, noticeable when the child cries, coughs, or strains—due to increased abdominal pressure. Explanation of options:
· (a) ✘ Defecation issues aren't diagnostic of hernia.
· (b) ✘ Suggests urological issue.
· (c) ✘ Indicates undescended testis, not hernia.
· (d) ✔ Classic presentation of pediatric inguinal hernia.