Post-Exercise Abdominal Pain and Other Health Concerns - Surgery

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Abdominal pain after intense exercise?


Hello, doctor.
I have several questions and would appreciate your help in clarifying them.
Thank you in advance.
1.
Regarding a head issue, sometimes I feel a lump on my scalp that can be painful when pressed.
I have had this for quite some time and am a bit worried it might be something serious.
2.
In my armpit, I recently noticed a lump that was painful.
I applied a topical acne medication, which did reduce the swelling.
However, I have found another lump in the same location, and it feels like the previous one did not completely go away.
3.
I have been experiencing abdominal pain that originally occurred only before my menstrual period.
Whenever I run, I feel a strong urge to use the restroom (not for a bowel movement, but to avoid getting cold).
I have had this since middle school and didn't think much of it, but I am starting to feel that something might be wrong.
Is this normal?
4.
For a period of time, I have felt weakness in my legs.
While it does not affect my walking, when I try to squat, my legs start to shake and feel weak immediately.
5.
I have concerns about hair loss and would like to know what methods are available to improve this issue.

Feng, 10~19 year old female. Ask Date: 2020/09/08

Dr. Ke Fangxu reply Surgery


1.
If you feel a lump on your scalp, it is important to have it examined by a physician to determine its nature.
Most of the time, these lumps are either lipomas or benign skin tumors; however, there are many individuals who mistakenly identify bony protrusions as tumors.

2.
Similarly, it could also be an enlarged lymph node.

3.
Abdominal pain after intense exercise is a common occurrence, especially in individuals who do not have a regular exercise routine.
It is generally believed to be caused by a significant influx of blood into the muscles, leading to insufficient blood flow to the intestines, which can result in abdominal pain.
Resting for a while usually resolves the issue, and developing a regular exercise habit can help prevent this from happening in the future.

4.
Please consult a dermatologist.

Reply Date: 2020/09/08

More Info


Understanding post-exercise abdominal pain and other health concerns can be complex, as various factors contribute to these symptoms. Let's break down your concerns one by one.

1. Head Scalp Pain: The sensation of a painful lump on your scalp could be due to several reasons, including tension headaches, cysts, or even a localized infection. If the pain persists or worsens, it is advisable to consult a healthcare professional for a thorough examination. They may recommend imaging studies if necessary to rule out any serious conditions.

2. Axillary Lump: The lump in your armpit that has caused pain could be a swollen lymph node, which can occur due to infections, inflammation, or other benign conditions. If the lump reappears or does not resolve, it is essential to see a doctor for further evaluation. They may perform an ultrasound or biopsy if needed to determine the nature of the lump.

3. Abdominal Pain During Exercise: Experiencing abdominal pain during or after running is not uncommon, particularly if you have a history of gastrointestinal issues. This could be related to exercise-induced gastrointestinal distress, which can manifest as cramping or the urgent need to use the restroom. It is important to monitor your diet and hydration before exercising, as certain foods or drinks can exacerbate these symptoms. If this pain is new or significantly worsens, it would be wise to consult a gastroenterologist for further evaluation.

4. Leg Weakness: Feeling weakness in your legs, especially during activities like squatting, could be related to muscle fatigue, lack of strength, or even neurological issues. If this sensation is persistent and affects your daily activities, a physical therapist or a physician specializing in sports medicine could provide a tailored exercise program to strengthen your legs and improve endurance.

5. Hair Loss: Hair loss can be caused by various factors, including genetics, hormonal changes, nutritional deficiencies, and stress. To address this, consider consulting a dermatologist who specializes in hair loss. They may recommend treatments such as topical minoxidil, dietary changes, or other therapies based on the underlying cause of your hair loss.


Additional Considerations
In terms of post-exercise abdominal pain, it is crucial to understand that this discomfort can arise from several factors, including muscle strain, dehydration, or even gastrointestinal issues. When engaging in physical activities, especially high-impact exercises like running or sit-ups, the body undergoes significant stress. This can lead to muscle soreness or cramps, particularly if you are not accustomed to the intensity of the workout.

To manage post-exercise abdominal pain, consider the following strategies:
- Warm-Up and Cool Down: Always include a proper warm-up before exercising and a cool-down afterward. This helps prepare your muscles and reduces the risk of injury.

- Hydration: Ensure you are well-hydrated before, during, and after exercise. Dehydration can lead to muscle cramps and discomfort.

- Gradual Increase in Intensity: If you are starting a new exercise routine, gradually increase the intensity and duration to allow your body to adapt.

- Listen to Your Body: If you experience pain, especially sharp or persistent pain, it is essential to stop exercising and assess the situation. Continuing to push through pain can lead to more severe injuries.

In conclusion, while some post-exercise discomfort can be normal, persistent or severe symptoms warrant a professional evaluation. It is always better to err on the side of caution and seek medical advice when in doubt about your health concerns.

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