<human>: After lifting a heavy object I felt a sharp pain in my left abdominal side 2 days ago it is not getting better, sleeping is difficult lying down, a hot and cold compress help a little, but I am worried of internal problem what shall I do? My email is YYYY@YYYY
<bot>: Hi. Thanks for your query. Read and understood your history of lifting heavy object 2 days ago followed by sharp pain on the left side of the abdomen, not getting alright by hot and cold compresses. The most probable reasons for such a pain are:-Muscle pull, going into spasm or hematoma formation. - Development of hernia. I would advise you the following:-See if there is development of any lump which is reducible and enlarges or straining or coughing and reduces on its own. If this is so, it is hernia. The pain is due to recent injury. If this is hernia, you will surgery. If there is a swelling which neither gets enlarged nor reduces, this is then a hematoma. Confirm by clinical evaluation, ultrasonography and so on. Treatment is conservative by medication, bed-rest, aspiration if required. If there is no swelling and still there is tenderness, the diagnosis is obviously muscle sprain. Take rest, anti-inflammatory medicines, and you will be fine. Take care.