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Have abdominal pain. Hurts while coughing, clearing throat and breathing. Underlying cause?

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Emergency Medicine Specialist
Practicing since : 2006
Answered : 300 Questions
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Having a pain to the left side of belly button area, hurts more with coughing, clearing my throat and is there kinda like a dull ache when just breathing what can this be
Posted Sun, 24 Feb 2013 in Abdominal Pain
 
 
Answered by Dr. Sheeba Stephen 3 hours later
Hello and welcome to Healthcare Magic. Thanks for your query.

Pain during coughing or clearing the throat or breathing is likely to be due to a either a problem in the abdominal wall or a problem which worsens when the abdominal pressure rises. This is because coughing, straining or breathing cause a movement in the abdominal wall as well as a change in the abdominal pressure also.

The possible causes are:
- A pulled or strained muscle in the abdominal wall
- Gas problem or a an stomach ulcer problem
- Rarely, an abdominal wall hernia (but in most cases, this will present as a swelling or fullness in that area)

Since your pain and discomfort is not severe, it is unlikely to be due to a serious problem.

I would suggest the following:
- Take adequate rest for a couple of days and avoid straining yourself by bending and lifting objects.
- You take an antacid and an anti-ulcer medication (ranitidine, rabeprazole, omeprazole, etc.), in case this is a gastric problem
- Drink plenty of fluids. Drink a glass of water with 2 pinches of salt and also take potassium XXXXXXX foods like bananas, tender coconut, etc. This is because sodium and potassium deficiency can often cause abdominal muscle pulls or cramps.
- In case your symptoms are persistent or worsening, then I would suggest that you see a doctor for a proper medical examination.

Wish you all the best.

Regards,
Dr. Sheeba Stephen
Emergency Medicine Specialist
Above answer was peer-reviewed by
 
Follow-up: Have abdominal pain. Hurts while coughing, clearing throat and breathing. Underlying cause? 4 minutes later
Is white floatie and one kinda stringy in my pee what could this be
 
 
Answered by Dr. Sheeba Stephen 3 hours later
Hello again,

The white stringy things in urine is most likely a solidified vaginal discharge. Sometimes, a yeast infection of the vagina or a urine infection can also present with such symptoms. If you are having any burning sensation or pain while passing urine or itching in the vaginal area, then you may need a a few tests to rule our an infection.

Regards,
Dr. Sheeba Stephen
Emergency Medicine Specialist
Above answer was peer-reviewed by
 
Follow-up: Have abdominal pain. Hurts while coughing, clearing throat and breathing. Underlying cause? 4 hours later
Ok thank you I will check back in a few days
 
 
Answered by Dr. Sheeba Stephen 4 hours later
You're welcome...

Regards,
Dr. Sheeba Stephen
Emergency Medicine Specialist
Above answer was peer-reviewed by
 
Follow-up: Have abdominal pain. Hurts while coughing, clearing throat and breathing. Underlying cause? 28 hours later
So far feeling a but better but I have a question what could be a cramp kinda feeling in my right side of neck throat area comes and goes today
 
 
Answered by Dr. Sheeba Stephen 14 hours later
Hello again,

From the description of your symptom it appears to be a muscle cramp. This can be caused due to:
- Strain on the neck (maybe, due to a bad posture or sleeping on one particular position)
- Calcium or salt imbalance can also result in muscle cramps

It doesn't appear to be anything serious and should settle down on its own. I would suggest that you avoid any neck strain - avoid prolonged bending, or sleeping on one side and take adequate rest.

Regards,
Dr. Sheeba Stephen
Emergency Medicine Specialist
Above answer was peer-reviewed by
 
Follow-up: Have abdominal pain. Hurts while coughing, clearing throat and breathing. Underlying cause? 2 hours later
Thank u so much I hope u have a great weekend I will be in touch
 
 
Answered by Dr. Sheeba Stephen 7 hours later
Your're most welcome. Take care...

Regards,
Dr. Sheeba Stephen
Emergency Medicine Specialist
Above answer was peer-reviewed by
 
Follow-up: Have abdominal pain. Hurts while coughing, clearing throat and breathing. Underlying cause? 41 hours later
Hi there again, i know it must seem to u i am falling apart but my neck seems better thank u for responding i yet now have another concern, last night after superbowl, i went home, tried to lay down, i had some chest pain in my left side of chest like above my breast, took gas x, tums, and even advil, that was around midnight, woke up about 4am, and same pain but it seemed to hirt more if i burped, git back uo at 5 for eork still kinda yhe same off and on psin, mot sure if this matters i also got my period today, please help i get very nervous i dont want it to be my heart please help what should i do
 
 
Answered by Dr. Sheeba Stephen 5 hours later
Hello,

From the description of your recent symptoms - pain in the chest, which hurts more on burping - is most likely related to acid peptic disease. Pain due to duodenal ulcers typically worsens about 3 to 4 hours after having food. This also seems to correlate with your previous symptom of abdominal pain on the left side of the belly button. Hormonal changes during menstrual periods can often cause a worsening of acid peptic disease and can sometimes present with tenderness over the breast / chest area also.

The nature, location and quality of pain is unlikely to be due to a cardiac problem. Contrary to popular belief, cardiac pain doesn't occur on the left side. It is a crushing type of pain, felt right behind the centre of the chest, associated with sweating and breathlessness, and worsens on physical exertion like climbing stairs or walking long distances, etc.

I would suggest that you take an anti-ulcer medication and antacids for this problem. Avoid taking strong pain killers like Advil, since it can worsen stomach or duodenal ulcers. This could have been the reason why your pain worsened later in the night after taking Advil.

Regards,
Dr. Sheeba Stephen
Emergency Medicine Specialist
Above answer was peer-reviewed by
 
Follow-up: Have abdominal pain. Hurts while coughing, clearing throat and breathing. Underlying cause? 5 hours later
Ok thank u so much i do have a appt. With a new doctor i asked to get a full physcial and plan to talk to her about this what type of meds do u suggest that i take i am not allerguc to anything that i am aware of, i thought about prlocic otc but was not sure the pain has come and gone threw the day today but with out the burping making it worse just on its own, hopefully once my period is over this will too, i can just be sitting here and will feel the pain ,every once inawhile i feel it in center then it goes away but no sweats at all, so glad it is not my heaet thank u, although at times it sure feels like it could be, cause of how intense, please let me know what i should take thank u
 
 
Answered by Dr. Sheeba Stephen 12 hours later
Hello again,

I would suggest that you have a 1 week course of OTC Prilosec (Omeprazole) - twice a day, half an hour before meals. You can also take an antacid plus local anesthetic syrup / gel like Sucralfate to give you quicker relief from the pain. Have a strict bland, non-oily, non-spicy diet for the next few days and avoid carbonated drinks, coffee, tea or alcohol.

Regards,

Dr. Sheeba Stephen
Emergency Medicine Specialist
Above answer was peer-reviewed by
 
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