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Why do runners get side stitches?

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Answer: Diaphragm muscle cramps

Lungs expand too muchWrong. Lung expansion doesn't cause stitches. Current theory: diaphragm muscle spasms from inadequate blood flow during intense exercise.

Diaphragm muscle crampsCorrect! Diaphragm theory! Side stitch (ETAP—exercise-related transient abdominal pain): sharp pain below ribs. Likely cause: diaphragm muscle cramps from: (1) Inadequate blood flow (diverted to legs). (2) Repetitive jolting stresses ligaments supporting organs, pulling on diaphragm. (3) Eating before running makes it worse. Prevention: proper breathing (deep belly breaths), gradual intensity increase, avoid food 2-3 hours before. Treatment: slow down, deep breathing, press on area. Common in running/swimming!

Rib bones rub togetherWrong. Bones don't cause pain. Stitch from diaphragm cramping likely due to blood flow issues and organ ligament stress during running.

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