Why coughing feels so intense after surgery

After abdominal or pelvic surgery, even a simple cough can feel like a shockwave through your core.

That’s because your body is still rebuilding the fascial tension system that supports and protects your midsection. 

Coughing is a reflex that powerfully activates your core muscles, and when those tissues are still healing or inhibited, the force gets dispersed differently, often with discomfort.

Gentle bracing (hugging a pillow to your abdomen) when you cough or sneeze can make a big difference early on. 

Over time, as your internal pressure systems normalize, the discomfort fades… but that feedback is always important to listen to.