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You're running along your usual path at a steady clip when suddenly you're gripped with a sharp pain in your side. With each breath, the pain becomes more intense, and you're forced to stop. Looks like you've been temporarily sidelined by side stitch. No one is actually sure what causes side stitch. It is believed to be a cramp in the diaphragm, the large, flat, muscular membrane that separates the chest and abdominal organs and helps force air into and out of the lungs during breathing. Exactly why the diaphragm spasms, however, remains unclear. It could be the result of tugging on the diaphragm by the ligaments that attach the internal organs, such as the liver, to the muscle. The organs naturally bounce up and down on the elastic ligaments as we run or jump. This tugging and strain could cause the diaphragm to spasm. Another explanation maybe that exercising intensely decreases blood flow to the diaphragm, causing it to go into spasm.



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Use the "one hour" rule. If you've eaten a meal, wait at least an hour before exercising, because a full stomach does appear to cause problems for some people during exercise.