Can strained ab muscles feel like hunger pain?

Not really: Peptic ulcer disease usually manifests with hunger like pain. The condition often cause by Helicobacter pylori infection. While strain abdominal muscles can't produce look like pain, the pain is more of a dull, achy pain, reproduced with position, not hunger like pain.

Not usually: The pain is exacerbated by movement when the abdominal muscles are strained, and of course, not relieved by food.