[26F] Experiencing abdominal sensations when sneezing

Patient Description

A 26-year-old female reports a sensation of tightening or stretching in the upper right abdomen when sneezing. The patient describes the sensation as non-painful and deeper within the abdomen, not associated with sore muscles. This symptom has been occurring only when sneezing, which has increased in frequency to about 0-6 times a day over the past week. There is no visible bulge or swelling in the abdomen, and abdominal pain is rare. The patient also notes having loose stools for a couple of days, potentially related to recent alcohol consumption. The patient is currently taking Enskyce and has no known allergies or adverse reactions to medications. There is no history of pre-existing conditions or chronic illnesses.

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Arora's Assessment

What might be happening

Based on your symptoms, there are a few possibilities:

  • Abdominal Strain: When you sneeze, your abdominal muscles contract. If these muscles are strained or pulled, you may feel a stretching or pulling sensation. This is usually not a serious condition and often resolves on its own with rest and gentle stretching.

    • Treatment typically involves rest, ice, compression, and elevation (RICE). Over-the-counter pain relievers may also be helpful.
  • Diaphragmatic Irritation: The diaphragm is a muscle that helps you breathe. If it's irritated, it can cause a pulling sensation when you sneeze. This is often due to an underlying condition, such as an infection or inflammation.

    • Treatment involves addressing the underlying cause.
  • Abdominal Hernia: This is a condition where an organ or fatty tissue pushes through a weak spot in your abdominal wall. It can cause a pulling or stretching sensation, especially when you sneeze or cough. However, you mentioned that you haven't noticed any bulges, which are typically present in a hernia.

    • Treatment often involves surgery to repair the hernia.

What you can do

  1. Rest and avoid strenuous activities that may strain your abdominal muscles.
  2. Apply a warm compress to your abdomen to help relax your muscles and alleviate any discomfort.
  3. Over-the-counter pain relievers may help if you're experiencing any discomfort.
  4. Monitor your symptoms. If they worsen or persist, seek medical attention.

What you should look out for

  • Severe or worsening abdominal pain
  • A visible bulge in your abdomen
  • Changes in your bowel movements, such as constipation or diarrhea
  • Nausea or vomiting

Remember, I'm an AI and not a doctor. Please seek care from a healthcare professional to receive a formal diagnosis and treatment if appropriate.

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1 yr ago

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People Also Ask


What could cause a sensation of tightening in the abdomen when sneezing?

A sensation of tightening in the abdomen when sneezing could be due to abdominal muscle strain, diaphragmatic irritation, or less commonly, an abdominal hernia. It's important to monitor for other symptoms and consult a healthcare professional if the sensation persists or worsens.


Is it normal to have loose stools after drinking alcohol?

Yes, it is common to experience loose stools after drinking alcohol, as alcohol can irritate the digestive tract and speed up digestion. If the symptoms persist, it may be worth consulting a healthcare provider.


What are the symptoms of an abdominal hernia?

Symptoms of an abdominal hernia can include a noticeable bulge in the abdomen, discomfort or pain, especially when bending over, coughing, or lifting. However, not all hernias present with a visible bulge, so it's important to seek medical evaluation if you suspect a hernia.


How can I differentiate between a muscle strain and a more serious abdominal issue?

A muscle strain typically involves localized pain or discomfort that worsens with movement and improves with rest. More serious abdominal issues may present with additional symptoms such as severe pain, nausea, vomiting, or changes in bowel habits. If in doubt, it's best to consult a healthcare professional for an accurate diagnosis.


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