Hi there- I'm 35 years old and have had 3 c-sections (4 children). After my second c-section in 2005, I started getting charley horse-like cramps in my lower abdomen when I would bend over a certain way. They got quite painful but I found that lying down flat helped them go away quicker. I had twin girls in Feb 2008 and since then I've been getting the charley horse-like cramps again but this time they are in my upper abdomen and lying flat on my back doesn't seem to help them go away. I discovered getting on all 4's seems to work better. I don't get them every day mind you, just when I bend a certain way. I think I'm conscious of them so much now that I try not to do anything that will bring them on. Back in 2005 I asked my ob/gyn about the cramps and he said it could become a hernia but that it wasn't at the time. Is this something I will just live with or could there be something more serious going on?
It's difficult to say exactly what it is without examining you. That said, there are a variety of GI-related conditions that can lead to crampy pain, including, irritable bowel syndrome, inflammatory bowel disease, or colitis.
I would start the investigation with imaging the abdomen, specifically with a CT scan. Another consideration would be a colonoscopy to exclude inflammatory bowel disease or an anatomical cause of the pain.
If those tests remain negative, you can consider a GYN workup, which can include a pelvic ultrasound or CT scan.
These options can be discussed with both a GI physician or your gynecologist.
This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.
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