The solid organs in your body, such as the liver, kidneys, spleen, and pancreas not move significantly regardless of body position. However, the intestines are constantly in motion and shifting. A diastasis recti, which is the separation of the rectus abdominis muscleses not pose any health concerns as the integrity of the abdominal wall remains intact, albeit stretched. During a tummy tuck procedure, the diastasis is usually corrected by bringing the muscles together and suturing them, resulting in a flatter appearance of the abdominal wall.
Whether a diastasis is present or not, there is typically some degree of shifting of abdominal contents when changing positions. If there is a weakness in the abdominal wall, whether due to a hernia, diastasis, or both, it can contribute to the shifting of abdominal contents. A hernia involves a true protrusion of the abdominal wall, which may include abdominal contents, while a diastasis is usually a larger area of generalized weakness and separation between the paired abdominal muscles (commonly referred to as "abs"). In the case of a pure diastasis, it should not cause any issues or pain. However, a hernia can be associated with acute or chronic abdominal symptoms. If there are any concerns, it is recommended to consult with a primary care physician and consider a consultation with a general surgeon.
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