To help prepare for your doctor's appointment about your paraumbilical hernia, write a list of your symptoms. Symptoms may include swelling or a bulging around the naval. Note any pain, tenderness, constipation, or feeling of heaviness in the abdomen. Be prepared to have a physical examination. Your doctor may try to massage the bulge back through the abdomen wall. Because time with your doctor may be limited, it is a good idea to prepare a list of questions you may have about your paraumbilical hernia, including how to manage your symptoms before and after surgery.