Is Abdominal Massage Causing Persistent Pain? When to Seek Medical Attention - Gastroenterology and Hepatology

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Applying slight pressure to the abdomen can lead to various issues, depending on the individual and the circumstances. It may cause discomfort, pain, or cramping. In some cases, it could exacerbate underlying conditions such as gastritis, ulcers, or irritable bowel syndrome. If excessive force is applied, it could potentially lead to injury or complications such as internal bleeding


Hello Doctor, two weeks ago I applied some pressure while massaging my abdomen, which has resulted in a persistent dull pain in my abdomen (but it doesn't hurt when pressed).
The pain slightly extends to the right side and into my back.
Is this condition related to my actions? Should I seek medical attention promptly, or can I just observe it for a while? Thank you, Dr.
Chen.

Wane, 20~29 year old female. Ask Date: 2022/09/02

Dr. Chen Shidian reply Gastroenterology and Hepatology


Most cases are muscle fascia strains.
Pay attention to posture, stretch the muscles, and apply local heat if necessary.

Reply Date: 2022/09/02

More Info


Hello, Chen. Thank you for your question regarding the persistent abdominal pain following self-massage. It’s understandable to be concerned about any new or unusual pain, especially after a specific activity like abdominal massage.

First, let’s discuss the potential connection between your self-massage and the pain you’re experiencing. Abdominal massage, when performed correctly and gently, can be beneficial for digestion and relieving tension. However, if excessive pressure is applied or if there are underlying conditions, it can lead to discomfort or pain. The fact that you are experiencing a dull, persistent pain that radiates to your back could suggest a few possibilities.

1. Muscle Strain: It’s possible that you may have strained the abdominal muscles or the muscles in your back during the massage. This can lead to localized pain that may not necessarily be aggravated by pressure but can be persistent.

2. Visceral Pain: Sometimes, pain in the abdomen can be referred from internal organs. If the massage inadvertently affected an organ (like the intestines or gallbladder), it could lead to discomfort.
3. Nerve Irritation: The massage could have caused irritation to the nerves in the abdominal area, leading to pain that might not be directly related to muscle strain.

4. Underlying Conditions: If you have any pre-existing conditions such as gastrointestinal issues, hernias, or kidney problems, the massage could have exacerbated these conditions.

Given that the pain has persisted for two weeks, it is advisable to seek medical attention, especially since it is radiating to your back. Here are some signs that indicate you should see a doctor promptly:
- Worsening Pain: If the pain increases in intensity or changes in character.

- Accompanying Symptoms: If you experience additional symptoms such as fever, nausea, vomiting, changes in bowel habits, or any signs of infection (like chills or sweating).

- Impact on Daily Life: If the pain is affecting your ability to perform daily activities or sleep.

When you visit a healthcare provider, they may perform a physical examination and possibly recommend imaging studies (like an ultrasound or CT scan) to rule out any serious underlying conditions. They may also ask about your medical history, any other symptoms you may have, and the specifics of how the pain developed.

In the meantime, you can manage the discomfort with rest, gentle stretching, and over-the-counter pain relief medications if necessary. However, avoid any further self-massage until you have a clearer understanding of the cause of your pain.

In summary, while it’s possible that your abdominal massage is related to the pain you’re experiencing, the persistence of the pain warrants a medical evaluation to rule out any serious conditions. It’s always better to err on the side of caution when it comes to health concerns. Please take care and consider scheduling an appointment with your healthcare provider soon.

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