Pain When Coughing After C-section. Incisional Hernia And Fibroid?

Hi Dr. Aboutv5 years after my second c-section, I started to feel a slight, infrequent, pinch that seemed to be near m'cGurney's point (if I have that right -- near appendix). It did not get worse over the years but I have imaging once a year because I have a large fibroid (I am 51 now). My gyn and i agreed it ws probably adhesions No one ever sees anything wrong with my ovaries or anything else there (althought the fibroid sometimes hides my ovary). Anyhow, I suddenly realized that every 6 months or even less, if I cough or twist that area, it causes tremendous and sudden "tearing" (not pain, but a big, sharp feeling) -- and i cant move Am I right to think I may have an incisional hernia compounded by the possibly still-growing fibroid(it was about 7-1/2 cent last I knew)? FYI I also have Gerd, lyme, fibro if any of us still believe it, adrenal fatigue, and a hiatal hernia. Also nuts and seeds have started to bother me. Thank you!