Why does an overweight person experience stomach pain when doing sit-ups, and what should be done about it?

Jun 05, 2023 Source: Cainiu Health
Dr. Lin Yunfei
Introduction
Abdominal pain during sit-ups in overweight individuals may be caused by physiological factors, muscle strain, gastrointestinal spasms, or other reasons, and targeted treatment should be based on the specific underlying cause. In addition to these common causes, other potential factors such as gastroenteritis, intestinal obstruction, or gastrointestinal tumors should also be considered. Patients should seek timely medical attention to avoid delaying diagnosis and treatment.

Abdominal pain during sit-ups in overweight individuals may be caused by physiological factors, or it could result from muscle strain, gastrointestinal spasms, and other reasons. Targeted treatment should be based on the specific cause. Detailed analysis is as follows:

1. Physiological Factors

If sit-ups are performed for a prolonged period or with intense movements, lactic acid can accumulate locally, leading to discomfort or pain. This is a normal phenomenon and usually resolves after rest, so there is no need for excessive concern.

2. Pathological Factors

1) Muscle Strain

During sit-ups, accidental strain of the abdominal muscles may cause localized pain, accompanied by symptoms such as swelling or cramping. Patients should take medications such as celecoxib capsules or Sanqi tablets under medical guidance to relieve symptoms.

2) Gastrointestinal Spasms

These are commonly associated with environmental factors or improper diet, causing strong contractions of the smooth muscles in the intestinal wall, resulting in localized pain along with nausea and vomiting. Patients may benefit from gentle massage or heat application. When necessary, medications such as belladonna tablets or racemic hyoscine butylbromide tablets may be taken according to medical advice.

Besides the common causes mentioned above, other conditions such as gastroenteritis, intestinal obstruction, or gastrointestinal tumors may also be responsible. In such cases, patients should seek timely medical attention to avoid delays in diagnosis and treatment.


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