D. Are you online? I have a question that I would like to…

The fact that multiple evaluations have not shown any other condition and that the doctors think that it is muscular is strongly supportive that it is muscular in origin. When we discussed this previously, I said at the time that it sounded to be muscular, and the evaluations thus far support that.

At this point, it is appropriate to use the medicines for muscular pain more consistently, including both muscle relaxers and anti-inflammatory medicines, to see if the pain can be eliminated.

The recent visit to your PCP that you described above happened after this pain started, correct?

This is still likely muscular.

First, yes, center abdominal pain can be muscular. The muscle layer of the abdominal wall starts on one side and extends across the abdomen to the opposite side.

Since you have been having pain along the side that is muscular, it is more likely that this new pain is muscular. And since the recent evaluation did not show any other condition, that would support that it is muscular.

We are cooking and then will eat supper. I may be available intermittently, but will be available consistently once we are done eating.

Yes, he is correct that holding the urine would not cause a problem with any structure in the center of the abdomen.

The doctor will base the diagnosis on the symptoms along with the findings on exam. Worsening of symptoms with slouching when sitting or driving is also more likely from a muscular issue.

Yes, muscular abdominal pain is fairly common and can occur anywhere in the abdominal wall.

There is no predictable timeline/ As with muscular pain anywhere, most muscular pains resolve relatively quickly (days to a couple weeks), but muscular pain anywhere can persist and cause chronic pain.

The ache you describe can be muscular.

As i just said, the ache you describe can be muscular..

And as we previously discussed, using the findings on exam along with the symptoms is more useful than using symptoms alone.

But we also discussed that if you are concerned that your doctor has missed something, then it is fine to seek a second opinion to get another exam done.

Yes, it does matter, because this differentiation is why the doctor does an exam.

Other symptoms may or may not be present. But the doctor typically already knows what symptoms are present before performing the exam.

I suggest that you ask the doctor what is causing the pain.