Every time I bend over from the waist I feel as my internal organs are moving around. Sometimes it is painful. Sometimes

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Customer:

Every time I bend over at the waist, I feel as though my internal organs are shifting around. At times, it can be painful. Occasionally, I find myself needing to stand up and "massage" them back into place. I experience a similar sensation when sitting down and lifting one leg over the other while putting on pantyhose. This painful feeling of moving organs also occurs during bowel movements, even though I am not straining and do not have any issues with constipation. What could be causing this, and how can I alleviate it? I have had both my appendix and gallbladder removed. I am 64 years old, and my only significant health issue is sarcoidosis.

Answered by howard lewis in 2 days 16 years ago
Profile of howard lewis, verified expert at JustAnswer
fellow american college of physicians hospitalist
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Given your history of abdominal surgeries, my initial consideration is that you may be dealing with an incisional hernia, which is a defect in the peritoneum or abdominal wall. Without the ability to conduct an examination, it's challenging to provide a definitive answer. I recommend a comprehensive evaluation by your primary doctor. If a hernia is indeed developing, it could worsen and lead to more serious complications. I hope this information is helpful.

Customer

Dr. McDonough,

I believe you are correct. Last year, I underwent an esophagram. I experience reflux due to sarcoidosis and post-nasal drip, which causes coughing. Interestingly, I do not have heartburn, which I previously thought was a necessary symptom of reflux. A type of hernia was identified, but I can't recall the specific name, as it wasn't a common one. The radiologist's report indicated that the hernia should be "watched." Which type of doctor would be the most appropriate for me to consult? A surgeon or a gastroenterologist?


Dear Dr. McDonough,

Which type of doctor should I consult regarding the hernia identified by the esophagram? Should I see a surgeon or a gastroenterologist? Thank you for your assistance.

A general surgeon is the most suitable physician to consult. They can perform any necessary diagnostic studies and also carry out the repair. If the condition becomes too large, it may disrupt bowel habits and could potentially lead to strangulation, resulting in possible peritonitis.

Customer

Could you explain what causes a hernia in women? Could mine have developed from prolonged coughing? Is there such a thing as an esophageal hernia?

The UGI likely indicated a hiatal hernia. A hiatal hernia is typically treated with H2 blockers such as Prilosec or Nexium. If the condition is severe, surgery may be necessary, but I would recommend trying medication first. It can also be associated with H. pylori, a type of bacteria. Testing and treatment are available if you test positive for H. pylori.
However, there is another issue that can arise from multiple surgeries, known as adhesions. Adhesions can cause scarring in the abdomen, which may slow down or partially block the movement of stomach contents to the colon, often resulting in pain. They can lead to additional complications. An incision hernia may also develop from surgery, where a weak area of the omentum allows a loop of bowel to protrude from the abdomen. This is probably not what you are experiencing, but it requires treatment to prevent the risk of developing an area of dead bowel, which would necessitate emergency surgery.
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Please click accept if I have answered your question.

The previous expert provided a partial answer to your question. Specifically, a hiatal hernia happens when the opening for the esophagus (the food tube) becomes excessively wide. This condition permits some food content or a portion of the stomach to move upward, leading to your symptoms. The burning sensation is caused by acid that aids in food digestion, which then ascends to more sensitive areas.

I hope the medications will resolve the issue. According to the radiologist's assessment, it appears that medication will be effective. Wishing you the best, and thank you.

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Sensation of Moving Organs When Bending: Causes & Relief

Discomfort during bending or leg crossing; pain during bowel movements without constipation.
The sensation of internal organs shifting when bending or lifting a leg may relate to abdominal muscle weakness, pelvic floor dysfunction, or early signs of organ prolapse. Pain during bowel movements without constipation suggests possible pelvic floor strain or sensitivity. Strengthening core and pelvic muscles through targeted exercises can help stabilize internal organs. Avoid prolonged positions that trigger symptoms and consult a healthcare provider for evaluation to rule out hernias or pelvic organ prolapse. Imaging or specialist referral may be necessary for accurate diagnosis and tailored treatment.
Disclaimer: This information is AI-generated and intended for general guidance only. For advice specific to your situation, please consult a verified expert on JustAnswer before making decisions.
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