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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Severe Abdominal Pain, While On Physical Exercises Suggest?

Sometimes while doing Yoga or sit ups I feel a popping and then a very painful sensation in my abdomen. It feels as though something gets stuck under a rib and/or sternum. I can still breathe just fine. Its very painful and paralizing. I have to staighten my body for it to slide or pop out. What could this be?
Mon, 16 Feb 2015
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General Surgeon,  's  Response
HI.
Thanks for your query.
This is a atypical presentation where you are getting this feeling of popping and pain just below the sternum / rib.
As this is occurring after yoga or sit ups, it is suggestive of a hernia in the epigastrium.
This is a peculiar site as the fat only gets entrapped and you get a pain.
The moment you are straightening, the hernial contents get back to abdomen and your pain is relieved.

I would advise you the following:
Get a Clinical examination done by a Surgeon and ask Him to examine you during such acts that give you pain.
High resolution ultrasonography to confirm.
The surgeon would just confirm the diagnosis or try to find out other possible problems if the hernia is not present
Another possibility of Hiatal hernia - needs upper GI Endoscopy

Get operated if this is hernia.
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What Could Severe Abdominal Pain, While On Physical Exercises Suggest?

HI. Thanks for your query. This is a atypical presentation where you are getting this feeling of popping and pain just below the sternum / rib. As this is occurring after yoga or sit ups, it is suggestive of a hernia in the epigastrium. This is a peculiar site as the fat only gets entrapped and you get a pain. The moment you are straightening, the hernial contents get back to abdomen and your pain is relieved. I would advise you the following: Get a Clinical examination done by a Surgeon and ask Him to examine you during such acts that give you pain. High resolution ultrasonography to confirm. The surgeon would just confirm the diagnosis or try to find out other possible problems if the hernia is not present Another possibility of Hiatal hernia - needs upper GI Endoscopy Get operated if this is hernia.