What Causes Abdominal Pain When Coughing?

Understanding Abdominal Pain When Coughing

Coughing is the body's natural reflex to clear irritants or secretions from the breathing passageways. However, in some cases, coughing can cause discomfort or pain in the abdominal region.

There are various possible causes for abdominal pain that occurs during or after coughing. Identifying the source of the pain is key for proper diagnosis and treatment.

What Triggers Abdominal Pain When Coughing?

Some common culprits of abdominal discomfort that arises from coughing include:

Pulled muscles from vigorous coughing
Strain of abdominal incision after surgery
Irritation of pelvic organs like bladder or ovaries
Inguinal hernia protruding through weak spot in abdominal wall
Exacerbation of conditions like gastroesophageal reflux disease

In some cases, the abdominal pain while coughing results from the underlying condition actually causing the cough itself. Examples include pneumonia, bronchitis, pleurisy, asthma or COVID-19.

Characteristics of Abdominal Pain When Coughing

Paying attention to the details of the abdominal pain experienced during coughing can offer helpful insight:

Location - Upper or lower abdomen
Timing - During coughing spells or persisting after
Duration - Seconds, hours or constant
Type of pain - Sharp, cramping, burning, achy
Severity - Mild soreness to severe debilitating

Also note any related symptoms like nausea, vomiting, fever or unusual discharge which can indicate infection or inflammation.

When to See a Doctor

In many cases, abdominal discomfort from coughing resolves on its own. However consult a physician promptly if you experience:

Difficulty breathing
Blood in mucus
Fever over 101F (38C)
Vomiting or diarrhea
Swollen, red, extremely tender abdomen
Persistent pain over 24 hours

Severe or progressive symptoms warrant rapid medical assessment to rule out serious conditions like pneumonia, pulmonology embolism or bowel obstruction.

Diagnosing the Cause of Abdominal Pain When Coughing

To determine the underlying reason for abdominal discomfort from coughing, the doctor will typically start with a thorough history and physical examination. They may then recommend:

Imaging Tests

X-ray to visualize lungs
CT scan to identify abdominal issues
Ultrasound to examine pelvic organs

Laboratory Tests

Complete blood count to check for infection
Urinalysis for potential UTI
Sputum culture to identify lung bacteria

Additional testing like endoscopy may be needed depending on findings so far. Accurately diagnosing the trigger for discomfort guides appropriate treatment.

Treating Abdominal Pain with Coughing

Medications

Medications that may help alleviate abdominal pain associated with coughing include:

Cough suppressants to dampen cough reflex
NSAIDs to reduce inflammation
Antibiotics for bacterial infection
Antacids for gastric reflux

Lifestyle Remedies

Use pillow or gentle splinting to support abdomen when coughing
Apply warm compresses to ease muscular discomfort
Rest and avoid strenuous activity exacerbating pain
Stay hydrated and use cough drops to soothe irritated throat

Treatment targets the diagnosed cause of discomfort, which may require referral to specialists like pulmonologists, surgeons or OB/GYNs for additional intervention.

Preventing Abdominal Discomfort When Coughing

You can reduce chances of abdominal pain occurring when coughing through measures like:

Protect and Support Core Muscles

Maintain good posture and bending technique
Strengthen abdominal wall with targeted exercises
Manage healthy weight to avoid excess strain

Modify Coughing Pattern

Cover mouth and cough inward to temper force
Use pillows to splint incision sites post-surgery
Treat underlying conditions, especially respiratory illness

While occasional abdominal discomfort from coughing is normal, consistent or worsening pain warrants medical examination. Seeking appropriate diagnosis and therapy helps prevent complications and supports healing.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.