Abdominal Muscle Pain After Nausea: Causes and Remedies - Internal Medicine

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Abdominal muscles


Hello, today I suddenly experienced a dry heaving sensation after drinking water, and I’m not sure if it was too forceful.
I felt a sharp, cramp-like pain in my abdomen, specifically near the right side of my navel, lasting about 10 seconds, although it subsided afterward.
I would like to ask if this could be due to using my abdominal muscles too much while heaving, and whether it could potentially harm any internal organs, as I am a bit concerned.
Additionally, I noticed that after a while, the area around my abdomen and the right side of my lower back felt sore, although the soreness in my back has since disappeared, leaving only a slight discomfort in my abdomen when I exert myself.
Is it safe to apply the pain relief cream I received from physical therapy? Could this be a muscle cramp?

Te, 20~29 year old female. Ask Date: 2020/10/30

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your description, it is indeed due to vomiting that caused abdominal muscle strain.
Applying a warm compress may provide some relief, and you can also use topical analgesic ointments from the rehabilitation department.
Thank you for your inquiry.

Reply Date: 2020/10/30

More Info


Hello! It sounds like you had quite an uncomfortable experience, and I understand your concerns regarding the abdominal pain and the potential implications of your symptoms. Let’s break down what might be happening and how to address it.

From your description, it seems that the pain you experienced in your abdomen, particularly around the area near your navel and to the right, could indeed be related to the muscle contractions that occur during nausea or vomiting. When you vomit or even dry heave, the abdominal muscles contract forcefully. This can lead to temporary muscle strain or discomfort, similar to what one might feel after an intense workout. The fact that the pain lasted for about 10 seconds and then subsided is a good sign, indicating that it may not be a serious issue.

However, it’s important to consider that while muscle strain is a likely cause of your discomfort, there are other potential factors to keep in mind. For instance, if the pain were to persist or worsen, it could indicate an underlying issue such as appendicitis, especially since you mentioned the pain is localized to the right side of your abdomen. Other conditions, such as gastrointestinal issues or even kidney stones, could also present with similar symptoms. Therefore, if you experience any additional symptoms like fever, persistent pain, or changes in bowel habits, it would be wise to seek medical attention promptly.

Regarding the soreness you felt in your lower back and the right side of your abdomen, this could also be a result of muscle strain. The muscles in your back and abdomen work together, and strain in one area can often lead to discomfort in another. It’s not uncommon for individuals to experience referred pain or soreness in adjacent areas after a sudden movement or strain.

As for using the topical pain relief cream you mentioned (like the one from your rehabilitation clinic), it can be helpful for muscle soreness. These creams often contain ingredients that provide a warming or cooling sensation, which can help alleviate discomfort in strained muscles. Just ensure that the skin is intact and that you follow the instructions on the product.

In terms of remedies, here are a few suggestions:
1. Rest: Allow your body some time to recover. Avoid any strenuous activities that could exacerbate the pain.

2. Heat Therapy: Applying a warm compress or heating pad to the affected area can help relax the muscles and alleviate pain.

3. Gentle Stretching: Once the acute pain subsides, gentle stretching of the abdominal and back muscles may help improve flexibility and reduce soreness.

4. Hydration: Ensure you stay hydrated, especially after experiencing nausea. This can help your body recover more effectively.

5. Over-the-Counter Pain Relief: If the discomfort persists, consider taking over-the-counter pain relief medications like ibuprofen or acetaminophen, following the recommended dosages.

If your symptoms do not improve or if you have any concerns about the severity of your pain, it’s always best to consult with a healthcare professional. They can perform a thorough evaluation and may recommend further diagnostic tests if necessary. Remember, it’s better to err on the side of caution when it comes to abdominal pain.
Take care, and I hope you feel better soon!

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