Diastasis recti in the upper abdomen

The upper abdominal muscles are joined at the centre by connective tissue. Stretching can make this tissue wider and less firm, particularly during and after pregnancy, although other pressure changes can contribute. You may see coning or doming when rising from a lying position, coughing, or bracing. The area can feel tender, weak, or simply different, while some people have no symptoms. A gap is not judged by width alone: depth, tissue tension, breathing and coordinated muscle control also matter. A clinician can distinguish this pattern from a hernia or another cause of a lump.

Book an assessment if the upper abdominal change troubles you or does not settle with recovery. A pelvic-health physiotherapist can teach breathing, deep-core control and gradual strengthening. Roll to your side before pushing up from bed, exhale through effort, and bring heavy loads close to your body. Temporarily modify any movement that creates a pronounced ridge, pain, or pressure. Postnatal physiotherapy may be useful after birth when the clinician considers it suitable.

Get prompt medical care for a sudden painful lump, severe abdominal pain, vomiting, fever, faintness, or a bulge that becomes hard, red, or discoloured. During pregnancy, contact your maternity team for bleeding, fluid loss, regular painful contractions, or other urgent concerns. Routine review is sensible for ongoing pain, back symptoms, pelvic pressure, or difficulty lifting and moving.

Is the upper midline change consistent with diastasis recti? Could another condition explain the bulge? Which breathing and strengthening exercises should I start with? How should I change exercise or lifting while symptoms settle?