Sign-in to Ask A Doctor - 24x7
OR
Sign in with GoogleGet your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
Is Lower Stomach Pain Due To Muscle Strain?
I had a c-section three years ago. This morning before I got out of bed, I stretched (big stretch... arms above head and toes pointed). My stomach started to ache low by my incision scar, and has still been aching ever since. Should I be worried or did I just strain a muscle?
Thu, 5 Jan 2017
Hello and welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
Please let me know how much time has passed since your c section. Did you feel that any thing gave way from that scar? Is there any swelling in that area? What is the quality of your abdominal muscles? Are they lax or tight? From your history I am suspecting three things:
1. incisional hernia.
2. rectus sheath hematoma
3. muscle stretch or spasm.
In case of incisional hernia there will be a swelling with cough impulse. It is common. The definitive treatment is surgery. It can be mesh hernioplasty, or keel repair herniorrhaphy. You can apply abdominal support until you have met your doctor. Don't panic and remain calm as there are less chances of obstruction in these cases in case oaf rectus sheath hematoma a blood vessel is disrupted within abdominal muscle and collection of blood is present beneath the skin which causes pain and swelling.
It can regress by itself but if it is large enough it will need incision and drainage. Muscle stretch and spasm can also cause pain which is self limiting and will be okay with rest. Kindly take nonsteroidal anti inflammatory drug ie tab dicloran or acemed. Take muscle relaxant such as tizanadine or thiocholchiside. Take plenty of fluids and fiber diet.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Asad Sami
I have reviewed your query and here is my advice.
Please let me know how much time has passed since your c section. Did you feel that any thing gave way from that scar? Is there any swelling in that area? What is the quality of your abdominal muscles? Are they lax or tight? From your history I am suspecting three things:
1. incisional hernia.
2. rectus sheath hematoma
3. muscle stretch or spasm.
In case of incisional hernia there will be a swelling with cough impulse. It is common. The definitive treatment is surgery. It can be mesh hernioplasty, or keel repair herniorrhaphy. You can apply abdominal support until you have met your doctor. Don't panic and remain calm as there are less chances of obstruction in these cases in case oaf rectus sheath hematoma a blood vessel is disrupted within abdominal muscle and collection of blood is present beneath the skin which causes pain and swelling.
It can regress by itself but if it is large enough it will need incision and drainage. Muscle stretch and spasm can also cause pain which is self limiting and will be okay with rest. Kindly take nonsteroidal anti inflammatory drug ie tab dicloran or acemed. Take muscle relaxant such as tizanadine or thiocholchiside. Take plenty of fluids and fiber diet.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Asad Sami
I find this answer helpful
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer.
For a more detailed, immediate answer, try our premium service
[Sample answer]
Related questions you may be interested in
Recent questions on Soft tissue
Loading Online Doctors....