Brief Answer: Most likely due to a strained muscle Detailed Answer: Hi, thanks for writing to XXXXXXX As you rightly thought, it could be most propably due to a strained muscle. When the pain is occuring only during any specific positions or bodily movements, then it is likely to be associated with musculoskeletal problem. If the pain is occuring diffusely (not localized) over an area and is not related to any body movements, then it could be attributed to visceral (internal organs) problem. A direct clinical examination and appropriate investigations like Ultrasound abdomen are needed to rule out any abdominal pathology. The general treatment guidelines for a strained muscle are as follows - - Take Rest and do not indulge in any activities that cause pain, till the acute pain subsides - Apply ice or a cold pack to the painful area for 15 to 20 minutes, 4 times a day for several days. Wrap the ice or cold pack in a towel. Do not apply the ice directly to your skin. - Take ibuprofen (Advil) or acetaminophen (Tylenol) to help relieve pain - Use moist heat fomentation when you are returning to physical activity. Then use it before stretching. Gentle heating can help loosen the muscle - Gentle massaging of the painful area with a painkiller cream may provide swift relief - When the acute pain is gone, start gentle stretching exercises. Stay within pain limits. Hold each stretch for about 10 seconds and repeat 6 times. - Physical therapy may speed up the recovery process. Therapeutic modalities such as Ultrasound, Massaging and specific exercises will be helpful. Hope I have addressed your query. Happy to help further Regards

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