Please choose the correct ending to complete the given sentence: Health: [header] How to know if you have a hernia [title] Assess your risk factors. [step] Although hernias can happen to anyone, certain factors might put you at a higher risk for herniation. These may be chronic conditions, or they may pass with time-for example, if you have a bad cough.

Ending1: [substeps] Before deciding on a treatment plan, talk with your doctor about all possible risk factors. For example, if you take a drug that can affect your immune function, remember it's not a good idea to take it with you when you take an ice bath or do other strenuous labor. Ending2: You might also realize that, if you experience cramps as a result of a hernia, you might also experience diarrhea while suffering from a hernia, which can cause abdominal cramps. [substeps] One way to evaluate your risk factors is by using a scale. Ending3: Risk factors for hernias include : [substeps] Increased abdominal pressure coughing heavy lifting constipation pregnancy obesity advancing age smoking steroid use [title] Take note of any bulges. [step] A hernia is an imperfection in the muscular container of an organ. Ending4: [substeps] Another risk factor is your thyroid: your thyroid system has also become weakened to produce estrogen and other hormone-stimulating hormones. Your immune system can become compromised if your thyroid mass index (bmi) levels are low.

Answer format: ending1/ending2/ending3/ending4