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What causes the sharp pain on the right side of the abdomen during running, and what should be done about it?

Apr 28, 2024 Source: Cainiu Health
Dr. Yang Shuwen
Introduction
In general, pain in the right abdomen during running that feels like a side stitch may be caused by conditions such as chronic appendicitis, enteritis, ovarian cyst torsion, ectopic pregnancy, or right ureteral stones. Patients should promptly visit a正规 hospital to determine the underlying cause and receive appropriate treatment. In daily life, it is recommended to maintain a positive mindset, avoid spicy, stimulating, and greasy foods, and ensure adequate rest.

Under normal circumstances, right-sided abdominal pain resembling a side stitch during running may be caused by conditions such as chronic appendicitis, enteritis, ovarian cyst torsion, ectopic pregnancy, or right ureteral stones. Patients should promptly visit a reputable hospital to determine the underlying cause and receive appropriate treatment. Specific analyses are as follows:

1. Chronic Appendicitis

Chronic appendicitis is a common digestive system disorder, usually resulting from incomplete treatment of acute appendicitis or infection with pathogens of relatively low virulence. This can lead to hyperplasia of appendix tissue and narrowing of the appendiceal lumen. During running, increased intestinal motility and elevated intra-intestinal pressure may allow gas to enter the appendiceal cavity, causing irritation and resulting in right-sided abdominal pain. In such cases, patients should promptly undergo appendectomy at a reputable hospital.

2. Enteritis

Enteritis may be caused by bacterial infections, autoimmune disorders, or other factors. Patients with enteritis often experience intestinal dysfunction; during exercise, excessive intestinal motility may trigger spasms of the intestinal smooth muscle, leading to right-sided abdominal pain. Symptoms may also include diarrhea, fatigue, and vomiting. Treatment may involve medications such as amoxicillin capsules, azithromycin tablets, or cefixime dispersible tablets, taken under medical supervision.

3. Ovarian Cyst Torsion

Ovarian cyst torsion may result from intense physical activity, abdominal cooling, cyst rupture, or malignant transformation. A twisted ovarian cyst can cause right-sided abdominal pain, nausea, vomiting, and other discomforts. Treatment options at a reputable hospital may include laparoscopic surgery or open abdominal surgery.

4. Ectopic Pregnancy

If intrauterine pregnancy has not been confirmed, the aforementioned symptoms may be due to an ectopic pregnancy in which the fertilized egg implants in the right fallopian tube. In such cases, prompt medical intervention—such as salpingectomy (removal of the fallopian tube)—may be required to terminate the pregnancy.

5. Right Ureteral Stone

When a stone is present in the right ureter, it moves with urine flow and irritates the ureteral mucosa, causing sharp, side-stitch-like pain in the right abdomen. Additional symptoms may include dysuria (painful urination), urinary frequency, and urgency. Treatment options available at a reputable hospital include extracorporeal shock wave lithotripsy (ESWL) or ureteroscopic lithotripsy.

In daily life, it is recommended to maintain a positive mindset, avoid spicy, stimulating, and greasy foods, ensure adequate rest, and develop healthy lifestyle habits.


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