Celiac Trunk Aneurysm causes and treatment

Complicated combination of symptoms because of more than one medical condition where some causes the others.

I am a Total Laryngectomee with Third World country government hospital aftercare.
Due to ill-fitting voice prostheses over long periods of time and resultant leaking into my lungs, I violently cough many times a day for long periods of time, and I regularly have lung infections and then have to use antibiotics.

As a result of years of medical neglect and ill-fitting and leaking voice prostheses, and violent coughing, I believe I developed an already proven bilateral inguinal hernia and a hiatal hernia and a Celiac trunk aneurysm.
(Proven by private doctor with ultra-sound scan)

First problem: Because of the lack of a larynx and thus also no glottis, I cannot produce the Valsalva Maneuver and thus the above hernias are almost undetectable during CT-scans.
What can I tell the radiologist to do to get a clearer or more telling result?
I can feel the symptoms, but they deny the inguinal hernias... because they cannot see it, because when a Total Laryngectomee breathe in deeply, and hold his breath as instructed during the scan, the exact opposite of the Valsalva maneuver happens and they refuse to consider it.
(I know it sounds weird, but I tested it in search of solutions!)

Second problem: There seems to be a total disregard for my concern about the threat of living with a symptomatic celiac trunk aneurysm. However no-one is willing to confirm that it is insignificant and confirm that I can carry on regardless picking up heavy stuff, swinging golf clubs etcetera.
Is a symptomatic celiac trunk sacular aneurysm of greater than 22mm insignificant?
My research shows that it should be treated and that it could be remedied by coiling. What is recommended and what are the risks?

Kindly consider the above and provide insight.
Thank you in advance.
Ric.