[41F] Postpartum abdominal pain exacerbated by lifting

Patient Description

A 41-year-old female, 4 months postpartum, reports dull abdominal pain on the lower right side, close to the hip and towards the front of the body. The pain began 10 days ago, following a 10-mile run, and is aggravated by lifting heavy objects such as a baby car seat. The pain is intermittent and rated as a 2 on the pain scale. The patient's last bowel movement was described as dark hard balls, indicating possible constipation. There is no fever, chills, vomiting, blood in stool, changes in urination, or sudden weight loss. The patient has no known drug allergies, is not on any medications, and has no history of chronic illnesses or conditions. Initially, the patient considered the possibility of a muscle strain, hernia, or appendicitis.

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Arora's Assessment

What might be happening

Based on the information you've provided, possible causes for your symptoms include:

  • Muscle Strain: Given that your pain started after a long run and is aggravated by lifting heavy objects, it's possible that you strained a muscle in your abdomen. This is especially likely given that you're only four months postpartum and your abdominal muscles may still be recovering from pregnancy and childbirth.

    • Treatment typically involves rest, applying heat or cold to the affected area, and over-the-counter pain relievers.
  • Hernia: A hernia occurs when an organ pushes through an opening in the muscle or tissue that holds it in place. In your case, a hernia could potentially explain the intermittent, dull pain in your lower right abdomen. However, hernias are usually accompanied by a noticeable lump in the abdomen, which you didn't mention.

    • Treatment for a hernia usually involves surgery to repair the opening in the muscle or tissue.
  • Appendicitis: This is an inflammation of the appendix, a small organ located on the lower right side of the abdomen. Symptoms typically include sharp pain in the lower right abdomen, loss of appetite, nausea, vomiting, and fever, but not everyone experiences all of these symptoms.

    • Treatment for appendicitis usually involves surgery to remove the appendix.
  • Constipation: Your description of your stool as "dark hard balls" suggests that you might be constipated. Constipation can cause abdominal pain and discomfort.

    • Treatment for constipation usually involves dietary changes, such as increasing your intake of fiber and water, and over-the-counter laxatives.

Please note that this is not an exhaustive list of all possible conditions that could be causing your symptoms. It's important to consult with a healthcare provider for an accurate diagnosis.

What you can do

  1. Rest and avoid strenuous activities that could potentially aggravate your abdominal pain.
  2. Apply a warm compress to your abdomen to help alleviate the pain.
  3. Stay hydrated and try to eat a balanced diet rich in fiber to help alleviate constipation.
  4. Over-the-counter pain relievers may help with the pain, but they should be used sparingly and only as directed on the label.
  5. Keep an eye on your symptoms and note any changes or worsening of your condition.

What you should look out for

Seek immediate medical attention if you experience any of the following:

  • Severe or worsening abdominal pain
  • Fever or chills
  • Nausea or vomiting
  • Blood in your stool
  • A noticeable lump in your abdomen

Remember, while I strive to provide accurate and helpful information, I'm not a doctor. It's important to consult with a healthcare provider for an accurate diagnosis and treatment.

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People Also Ask


What are the common symptoms of a muscle strain in the abdomen?

Common symptoms of a muscle strain in the abdomen include dull or sharp pain that worsens with movement, tenderness in the affected area, and sometimes swelling or bruising. The pain often starts after physical activity or lifting heavy objects.


How can I differentiate between a hernia and other causes of abdominal pain?

A hernia often presents as a noticeable lump or bulge in the abdomen, which may become more apparent when standing or straining. Unlike other causes of abdominal pain, a hernia may not always cause pain unless it is aggravated by activity or becomes strangulated.


What are the early signs of appendicitis that I should be aware of?

Early signs of appendicitis include sharp pain in the lower right abdomen, loss of appetite, nausea, vomiting, and sometimes fever. The pain typically starts near the belly button and then shifts to the lower right side.


What dietary changes can help alleviate constipation?

To alleviate constipation, increase your intake of dietary fiber by eating more fruits, vegetables, whole grains, and legumes. Drinking plenty of water and staying hydrated is also important. Regular physical activity can help stimulate bowel movements.


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