What causes stomach pain while running?

Dec 21, 2023 Source: Cainiu Health
Dr. Shen Yonghua
Introduction
Abdominal pain is medically known as腹痛 (abdominal pain). Abdominal pain during running may be related to conditions such as gastrointestinal spasms, intestinal ischemia, respiratory muscle spasms, rectus abdominis spasms, chronic hepatitis, and others. If you experience abdominal pain while running, it is important to seek medical attention promptly to identify the underlying cause and receive appropriate treatment. When experiencing abdominal pain during running, attention should be paid to adjusting breathing, diet, and exercise habits.

In general, stomach pain is medically referred to as abdominal pain. Abdominal pain during running may be related to gastrointestinal spasms, intestinal ischemia, respiratory muscle spasms, rectus abdominis muscle spasms, chronic hepatitis, and other conditions. It is recommended to seek medical attention promptly, identify the underlying cause, and receive symptomatic treatment under the guidance of a qualified physician. Specific details are as follows:

1. Gastrointestinal Spasms

During running, cold air entering the gastrointestinal tract may trigger gastrointestinal spasms, leading to abdominal pain. Medications such as pinaverium bromide tablets, otilonium bromide tablets, or atropine sulfate tablets may be used as directed by a physician to relieve gastrointestinal spasms and pain.

2. Intestinal Ischemia

During running, intense physical activity diverts blood flow to muscle tissues, potentially causing intestinal ischemia and resulting in abdominal pain. Under a doctor's supervision, medications such as enteric-coated aspirin tablets, Weichangling capsules, or montmorillonite powder may be used to alleviate abdominal discomfort.

3. Rectus Abdominis Muscle Spasm

Vigorous exercise can lead to excessive loss of water and salt, metabolic imbalances, and fatigue, which may trigger spasmodic pain in the rectus abdominis muscle. Applying heat to the abdomen and gently massaging the area in the direction of the muscle fibers can help relieve pain and muscle tension.

4. Respiratory Muscle Spasm

The primary respiratory muscles—intercostal muscles and diaphragm—may spasm during intense exercise, causing pain typically located along the rib cage. This often results from inadequate deep breathing or overly rapid respiration during physical activity. Medications such as aminophylline tablets, doxofylline tablets, or salbutamol tablets may be used as prescribed to alleviate respiratory muscle spasms.

5. Chronic Hepatitis

In individuals with chronic hepatitis, edema of the liver capsule may occur, and ligament function (such as the falciform ligament) may be impaired. During running, stretching of these structures may increase stress on the liver and gallbladder, potentially triggering abdominal pain. Treatment under medical supervision may include antiviral medications such as entecavir tablets, tenofovir tablets, or lamivudine capsules.

When experiencing abdominal pain during running, it is important to adjust breathing patterns, dietary habits, and exercise routines. Additionally, ensure timely replenishment of fluids and electrolytes during physical activity.


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