<s>[INST] I had incisional hernia repaired 2yrs ago. Over the last year or so I m feeling the same type of pain I had before the repair. Burning pain and now a new sensation, a crawling/fluttering feeling over the insicion area. There is stiffness and pain around that area, mesh was used to fix the hernia. My doctor said CT scan showed no hernia reoccurrence. Could I be having mesh reaction? Would CT show this? No pain in the morning, but starts once I start eating and unbearable by mid afternoon. Worse when i sit for long periods at work. Even worse if I have gas/ bloating . What can be done? Naproxen, lidoderm patches don t help. [/INST] Did you undergo an open incisional hernia repair or a laparoscopic one? If you had a laparoscopic repair, then the tacks used to fix the mesh can sometimes lead to the symptoms you are complaining of. In open repair, extensive dissection is done and that can lead to this feeling as well. These complaints will settle down with time. If you are overweight, then try to reduce a couple of kg, and you will feel better. You have already been assured by getting a CT done that it is not a recurrence. Another possibility could be gastritis or a peptic ulcer. You can try a proton pump inhibitor (pantoprazole, etc.) for your pain and see if it helps you out. If the pain still persists, then you should consult your doctor. Hope you get well soon </s>