Gabriella -

So sorry you have been so ill. I haven't had the type of pain you describe from coughing, etc.

BUT

Sometimes when coughing or laughing or just turning wrong, one of my abdominal muscles gets contracted gets contracted and I have intense pain.... A true, double-up "get a grip" pain !

Kind of like a charlie horse in the tummy.

I have had two children; when this abdominal muscle cramps up - it almost looks like the bottom of one of my babies when he was turning around in the womb !!! I can see the muscle protruding out of my tummy. But seeing (and feeling) my baby's "bottom" protruding up in my stomach did not hurt!

Also, when I have this intense abdominal contraction and pain - others can place their hand on my tummy and feel the solid tensed up muscle.

My docs have said my pain/abdominal muscle contraction is due to the fact that my abdominal muscles are so weak, due to MG. The abs are proximal muscles. MG affects proximal muscles; those muscles that are closer to the "core" of our body.

The pain I have gradually goes away after muscle has relaxed.

I don't doubt that you are having severe pain. Perhaps those muscles you are suffering from so much pain are very tender due to the intense coughing - and the muscles can't tolerate the coughing as well due to MG weakness.

However, your pain sounds different than the kind I have experienced.

You may not know this (yet) - but MG is known as the "Snowflake" disease. As a "Snowflake", we MGer's are all different, yet the same.

If this pain continues, you probably should consult with your doc(s) again.

As mentioned above, pleurisy (or worse) could be a possibility and can be very serious.

Good luck.

Take care of yourself.

I hope you feel better soon.

(From one "Flake" to Another)