Runners, and just about everyone who exercises actively, are bound to experience right side abdominal pain at some point. The problem is likely a muscle cramp, or stitch, in the abdominal wall. A second possible culprit is gastrointestinal upset. These problems are typically not cause for concern, but the pain in the right side of the abdomen can make running temporarily extremely painful or impossible.
Causes
Right side abdominal cramps while running probably indicate overuse or strain of the abdominal muscles. This is more common in people who aren't in particularly good shape, as their muscles are less flexible. During the considerable exertion of running, labored breathing can also deprive muscles of oxygen, contributing to cramps. Muscles affected by cramps involuntarily contract and fail to relax.
Abdominal pain during running caused by gastrointestinal upset is generally related to overheating, dehydration and electrolyte depletion. Heavy sweating contributes most significantly, emptying the body of fluids and salt and other minerals.
Symptoms
Muscle cramps in the right side of the abdomen generally manifest quickly and present significant, sharp pain. Pain can be light or moderate, as well. You may be able to feel muscle contractions or spasms. A bulging or hardened spot of contracted muscle is often detectable by pressing on the painful area. Cramps last anywhere from a few seconds to 15 minutes or longer, notes the American Academy of Orthopaedic Surgeons, and they may be recurring.
Gastrointestinal upset that causes right side abdominal pain may be accompanied by flatulence or belching, nausea, diarrhea, vomiting, bloating or stomachache. These symptoms, as well as fatigue, dizziness, dry mouth, thirst, headache, constipation, low blood pressure, rapid heartbeat, delirium and other signs, can point to dehydration.
Prevention/Treatment
Thorough, slow stretching before and after running is the best way to prevent and treat muscle cramps, including those in the right side of the abdomen. Warm up prior to running with a walk that gradually builds speed. Cool down after your run with a walk that gradually decreases in speed. Learn proper breathing techniques for aerobic exercise. Massaging muscles and using a hot compress can help, too. Incorporate flexibility exercises into your workout routines. Drink plenty of fluids to avoid dehydration, and avoid large, greasy or fatty meals before running.
Warning
While muscle cramps are the most likely cause of right side abdominal pain during running, there are other possible explanations. Some are serious health concerns, and sometimes, abdominal pain is a medical emergency. If you experience other symptoms like abdominal pain while not running or have recurring problems, seek medical treatment. Some conditions known to cause right side abdominal pain include appendicitis, an intestinal blockage, diverticulitis, ulcers, certain cancers, hernia, endometriosis, gallbladder inflammation or gallstones, liver problems, pancreas problems, kidney infection or stones, ovarian cysts and thoracic aortic aneurysm. Additionally, frequent muscle cramps can indicate damaged nerves, atherosclerosis or mineral deficiencies, notes MayoClinic.com.
References
- Rice University: Abdominal Pain in Runners; Dec. 1997
- American Academy of Orthopaedic Surgeons: Muscle Cramp; 2010
- MedlinePlus: Muscle Cramps; March 2011
- University of Maryland Medical Center: Muscle Cramps; 2011
- MayoClinic.com: Muscle Cramp; July 2010
- MayoClinic.com: Abdominal Pain - Causes; Dec. 2010
