Exercise Related Transient Abdominal Pain (Stitch)

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http://sportsmedicine.about.com/b/2013/08/16/dealing-with-side-stitches.htm
http://en.wikipedia.org/wiki/Side_stitch

http://runnersconnect.net/running-injury-prevention/side-stitches-abdominal-pain-causes-and-treatments/

Exercise-related transient abdominal pain (ETAP)/‘Stitch’

Well known to those that exercise, but given very little attention in the literature.

Well localised pain/ache in upper right abdomen – maybe left on occasion – may occasionally be referred to shoulder. More common in untrained and is more common after eating a meal prior to exercise.

Aetiology:
Cause unknown, but may be result of very vigorous breathing resulting in:
1) Diaphragm muscle cramp
2) Diaphragmatic ischaemia
3) Stress on visceral ligaments
4) Trapping of gas in the hepatic or splenic flexure of colon
5) Irritation of the parietal peritoneum

Management:
Avoidance of large meal prior to exercise or longer gap after eating before exercising.
Usually able to manage by slowing down during the activity.
Massaging area often helps.

 
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