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What Causes Lower Abdominal Pain After Severe Cough?

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Posted on Tue, 30 Dec 2014
Question: My lower abdomen began hurting due to a severe cough; the problem is that while the cough has improved there is severe pain when I do cough and the pain is spreading almost up yo my belly button. My stomach hurts when straining to urinate or bowl movement, even laying on right side. No fever, discolored bowels, pain on urinating. My entire abdomen is tender to touch. I am a 58 year old overweight woman with three grown children. As I live in Europe, I would really prefer to wait the two weeks before I go home to the States to see a doctor. What could it be?
doctor
Answered by Dr. T Chandrakant (25 minutes later)
Brief Answer:
Rest and medicines as advised.

Detailed Answer:
Hi.
Thanks for your query and an elucidate history.

The problem started with the cough.
Apparently the muscle straining at the bouts of cough has caused the abdominal wall musculature to go into inflammation, thus causing you the typical pain on coughing, straining at urination, bowel movements or lying on your right side. That is why the entire abdominal wall has gone into a stage of tenderness even to touch.

I would suggest you the following:
First of all, take / continue the medicines to control the cough.
Ranitidine / PPI
Anti-inflammatory medicines like Ibuprofen (if it suits you) at 8 hourly duration.
Laxative - only if you have constipation.
Bed-rest.
Hot fomentation of the abdominal wall by warmed up cloth / Heater.
Rubrafacient liniments/ ointments- they help by increasing the blood supply locally and reduce the pain. Help in breaking the vicious cycle of pain > spam > pain.
Avoid any activity which strains the abdominal wall musculature.

Consult a Doctor for local examination and to get a prescription.

If you follow this, you would be fine within few days.
I hope this answer helps you to get pain-free at the earliest.
Note: Revert back with your health reports to get further guidance on your gastric problems. Click here.

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
Answered by
Dr.
Dr. T Chandrakant

General Surgeon

Practicing since :1984

Answered : 19777 Questions

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What Causes Lower Abdominal Pain After Severe Cough?

Brief Answer: Rest and medicines as advised. Detailed Answer: Hi. Thanks for your query and an elucidate history. The problem started with the cough. Apparently the muscle straining at the bouts of cough has caused the abdominal wall musculature to go into inflammation, thus causing you the typical pain on coughing, straining at urination, bowel movements or lying on your right side. That is why the entire abdominal wall has gone into a stage of tenderness even to touch. I would suggest you the following: First of all, take / continue the medicines to control the cough. Ranitidine / PPI Anti-inflammatory medicines like Ibuprofen (if it suits you) at 8 hourly duration. Laxative - only if you have constipation. Bed-rest. Hot fomentation of the abdominal wall by warmed up cloth / Heater. Rubrafacient liniments/ ointments- they help by increasing the blood supply locally and reduce the pain. Help in breaking the vicious cycle of pain > spam > pain. Avoid any activity which strains the abdominal wall musculature. Consult a Doctor for local examination and to get a prescription. If you follow this, you would be fine within few days. I hope this answer helps you to get pain-free at the earliest.