Abdominal Pain
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  1. #1
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    Abdominal Pain

    I sometimes have abdominal pain (left front of body, a bit above the hips, feels almost like cramping) and so far nobody has figured out why (or how to "fix" it).

    Background (and why it seems to be related to cycling):

    I ride every day (for about 3.5 hours), 3 days "easy" and 4 days with some "hard" intervals. The pain only happens on the "easy" days, most often after a ride (in which case I am barely able to do anything -- I "simply" wait for it to pass which usually takes around 30 minutes), but sometimes also during a ride (which can be really bad because it might mean I still have to climb several hundreds meters to get back while barely being able to put out more than 50W).

    The first time this happened was on a day where the time between breakfast and lunch was almost 2 hours later than usual -- I'm "officially underweight" and have to eat regularly to avoid hunger pain. On that day the pain started near the end of the ride and I had to cut it short (which was easy, because that is basically all downhill).
    The next day (a "hard" ride) it didn't happen, but from then on it was pretty much always the same: "easy" ride: pain, "hard" ride: ok. One day it happened during a ride again and I did an "experiment": go "hard" for a while -- and the pain almost vanished.

    Maybe someone experienced something similar and can provide some comments?

    PS: for those who would reply: "see a doctor": been there, done that (3 doctors so far, no solution; X-rays (why?) and blood tests (ok)).

  2. #2
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    A hernia?

  3. #3
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    chronic appendicitis? irritable bowel syndrome? elastic in clothing pinching something? Arthritis?

    OK maybe not appendicits as that is on the right side.

    only a doctor can say for sure
    Faith is pretending to know things you don't know

  4. #4
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    According to one of the doctors it is unlikely to be due to a hernia because the pain is too far up.

  5. #5
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    My apologies if one of the people who has tried to figure your problem out is actually a doctor. But if it isn't, then why are you asking a bunch of random people on the internet instead of seeing a medical professional?
    "L'enfer, c'est les autres"

  6. #6
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    Hmm, seems you did not read my post????

    I asked "3 doctors so far".

    Why do I ask "random people" on the net? As I wrote:
    "Maybe someone experienced something similar"
    so I'm "crowdsourcing" the problem.

    What is most confusing about the problem: why does it only happen after/during "easy" rides?

  7. #7
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    Atomic intestinal distress?
    If your opinion differs from mine, ..........Too bad.
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  8. #8
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    Quote Originally Posted by MrSkinny View Post
    I sometimes have abdominal pain (left front of body, a bit above the hips, feels almost like cramping) and so far nobody has figured out why (or how to "fix" it).

    Background (and why it seems to be related to cycling):

    I ride every day (for about 3.5 hours), 3 days "easy" and 4 days with some "hard" intervals. The pain only happens on the "easy" days, most often after a ride (in which case I am barely able to do anything -- I "simply" wait for it to pass which usually takes around 30 minutes), but sometimes also during a ride (which can be really bad because it might mean I still have to climb several hundreds meters to get back while barely being able to put out more than 50W).

    The first time this happened was on a day where the time between breakfast and lunch was almost 2 hours later than usual -- I'm "officially underweight" and have to eat regularly to avoid hunger pain. On that day the pain started near the end of the ride and I had to cut it short (which was easy, because that is basically all downhill).
    The next day (a "hard" ride) it didn't happen, but from then on it was pretty much always the same: "easy" ride: pain, "hard" ride: ok. One day it happened during a ride again and I did an "experiment": go "hard" for a while -- and the pain almost vanished.

    Maybe someone experienced something similar and can provide some comments?

    PS: for those who would reply: "see a doctor": been there, done that (3 doctors so far, no solution; X-rays (why?) and blood tests (ok)).
    It's what known as a 'side stitch' that endurance athletes are prone to, especially if they eat too soon before exercising. It usually occurs on the ride side.

    From the internet:

    To prevent a side stitch, avoid eating heavy meals or drinking a lot of liquids one to three hours before exercising. Also, take the following precautions:

    Practice good posture. Athletes with a rounded spine may experience side stitches more often.
    Avoid high-fat and high-fiber foods before exercising.
    Decrease the length of your workout and up the intensity instead.
    Avoid sugary beverages or all beverages right before exercising.
    Increase your level of fitness gradually.
    Increase your mileage by a few miles a week if you’re a runner.

  9. #9
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    It’s just a stitch or gas pain. Or it’s stomach cancer. Just kidding, you ruled out the bad crap by the doc visits. Gas. Try structuring your workouts and spending less time but far more productive time on the bike. One long slow, one interval (with legit max efforts) and one overall pace. Fill in whatever you want. Sleep a lot. Eat a lot. Eat well, add sweet potatoes with butter as snacks. Read Monique Ryan’s book on Nutrition for Endurance Athletes.
    To date, philosophers have merely interpreted the world in various ways. The point however is to change it.

  10. #10
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    It's not a "side stitch".
    I experienced "side stitch" when I had do some running in school -- it's very different.
    My pain is not at the side of the body and feels very different.

  11. #11
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    My hernia was starting to turn my innie belly button to an outie. I didn't notice any pain riding until I eased up after a hard effort. It only started to really bother me in the last 2-3 weeks before I had surgeryuntil right before I had surgery. It was usually more of a vague discomfort most of the time when I noticed it.

  12. #12
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    Quote Originally Posted by MrSkinny View Post
    Hmm, seems you did not read my post????
    He does that a lot. If you look at the description below his name, you will see who you are dealing with.

    It's the internet. There are all types here.
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  13. #13
    tlg
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    I'm really confused.. you say you've seen 3 doctors... well what do they say when they haven't solved the problem?
    "Tough luck... go on your merry way"?

    Why aren't they ordering more tests or sending you to a specialist?

    Quote Originally Posted by MrSkinny View Post
    PS: for those who would reply: "see a doctor": been there, done that (3 doctors so far, no solution; X-rays (why?) and blood tests (ok)).
    Were these 3 doctors specialists or GP's?

    Why an xray? Why are you asking us?
    Didn't YOUR doctor explain to you why they were ordering an xray? Why didn't you ask them?
    My guess as an Internet Doctor is the your doctor ordered an xray to rule out an intestinal obstruction. The is very common. But of course... your doctor would've explained this.

    Why might I need an abdominal X-ray?
    https://www.hopkinsmedicine.org/heal...bdominal-x-ray
    Abdominal X-rays may be used to diagnose causes of abdominal pain. These can include things such as masses, holes in the intestine, or blockages. Abdominal X-rays may be done before other tests that look at the GI tract or urinary tract. These include an abdominal CT scan and renal or kidney tests.

    Basic information regarding the size, shape, and position of abdominal organs can be seen with abdominal X-rays. Stones in the gallbladder, kidneys, or ureters may be seen. Calcification of the aorta may also be seen with an abdominal X-ray. There may be other reasons for your healthcare provider to recommend an abdominal X-ray.


    Either you've found 3 very bad doctors, or you're not asking them questions and not paying attention to what they're telling you.
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  14. #14
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    Its a long-shot, but maybe one of those creatures from the Aliens movies getting reading to burst out of your abdominal cavity. This would be more likely if you've done any recent space travel or visited LV-426.

    I dont have any real advice except maybe to seek out a specialist and be persistent in getting an answer

  15. #15
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    Quote Originally Posted by tlg View Post
    I'm really confused.. you say you've seen 3 doctors... well what do they say when they haven't solved the problem?
    "Tough luck... go on your merry way"?

    Why aren't they ordering more tests or sending you to a specialist?

    Were these 3 doctors specialists or GP's?

    Why an xray? Why are you asking us?
    Didn't YOUR doctor explain to you why they were ordering an xray? Why didn't you ask them?
    My guess as an Internet Doctor is the your doctor ordered an xray to rule out an intestinal obstruction. The is very common. But of course... your doctor would've explained this.

    Why might I need an abdominal X-ray?
    https://www.hopkinsmedicine.org/heal...bdominal-x-ray
    Abdominal X-rays may be used to diagnose causes of abdominal pain. These can include things such as masses, holes in the intestine, or blockages. Abdominal X-rays may be done before other tests that look at the GI tract or urinary tract. These include an abdominal CT scan and renal or kidney tests.

    Basic information regarding the size, shape, and position of abdominal organs can be seen with abdominal X-rays. Stones in the gallbladder, kidneys, or ureters may be seen. Calcification of the aorta may also be seen with an abdominal X-ray. There may be other reasons for your healthcare provider to recommend an abdominal X-ray.


    Either you've found 3 very bad doctors, or you're not asking them questions and not paying attention to what they're telling you.
    All good advice!

    I had a pain between the left side ribs and belly button that after cat scans and colonoscopy, turned out to be partial blockage in the large intestine, diagnosed as pre-cancerous polyps.

    The colon goes across the chest from left to right slightly higher than the belly button. I now feel constriction sometimes accompanied with pain, gas mostly, but also from the colon being shortened about 4 inches, and now periodically challenged to fill the void, noticeable after emptying the bladder. The pain goes away on a full stomach. It's most intense about 2:00 o'clock off the belly button. Is that where your pain is?

    For me, the colon is the source of "hunger pain." Your light weight and small meals could contribute to it as well. Colon muscles contract strongly when voiding stool. When I have discomfort at that place, it always goes away when I ride the bike, same as yours.

    So get a colonoscopy. It's a good idea anyway, if you're older than 40 and haven't had one. Cat scan and colonoscopy would definitely be the next step if you want to find out what's going on. I went a year and a half with my "stitch," blaming the prostate, bladder, kidneys, liver, before finally giving in to a colonoscopy and bingo, there was the culprit.

  16. #16
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    Dr.#1: not my usual Dr because he was unexpectedly out that day; ordered an X-Ray: when I went there, it was for the hips, not the abdominal area -- and Dr.#1 was not available so I couldn't ask...
    Dr.#2 (my usual "GP"): "shrugged" when I asked about those X-rays for the hips which I took as "seems like a misunderstanding from Dr.#1".
    Discussion about the problem, but no idea about the reason (so far) -- just as confused as I why easy riding would trigger it. He ordered blood tests and referred me to a surgeon for the hernia.
    Dr.#3 (surgeon): long discussion about the problem and hernia and we came to the conclusion that it most likely is not the hernia "but we won't know until we do the surgery".

    Next possible step suggested by Dr.#2: CAT scan.

    So while considering my options, I posted the problem here (on the small chance that there is some useful feedback).

  17. #17
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    Elephantitis. If not that, then you're pregnant.

    I'm not a doctor, but my brother is.

  18. #18
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    Quote Originally Posted by azpeterb View Post
    Elephantitis. If not that, then you're pregnant.

    I'm not a doctor, but my brother is.
    Cute. And BTW, it's elephantiasis not elephantitis.
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  19. #19
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    Quote Originally Posted by MrSkinny View Post
    Next possible step suggested by Dr.#2: CAT scan.
    I would suggest getting a colonoscopy before you get a CT scan. CT scans expose you to large doses of radiation and other options should be explored first. If the doc insists on a CT scan, ask if you can get an MRI instead.
    "With bicycles in particular, you need to separate between what's merely true and what's important."-- DCGriz, RBR.

    “Statistics are like bikinis. What they reveal is suggestive, but what they conceal is vital.” -- Aaron Levenstein



  20. #20
    tlg
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    Quote Originally Posted by MrSkinny View Post
    Dr.#1: not my usual Dr because he was unexpectedly out that day; ordered an X-Ray: when I went there, it was for the hips, not the abdominal area -- and Dr.#1 was not available so I couldn't ask...
    Dr.#2 (my usual "GP"): "shrugged" when I asked about those X-rays for the hips which I took as "seems like a misunderstanding from Dr.#1".
    Discussion about the problem, but no idea about the reason (so far) -- just as confused as I why easy riding would trigger it. He ordered blood tests and referred me to a surgeon for the hernia.
    Dr.#3 (surgeon): long discussion about the problem and hernia and we came to the conclusion that it most likely is not the hernia "but we won't know until we do the surgery".

    Next possible step suggested by Dr.#2: CAT scan.

    So while considering my options, I posted the problem here (on the small chance that there is some useful feedback).
    Dr#3 surgeon of what? What's their specialty?

    What it sounds like is you've been to 3 bad doctors. Best advice.... get a new doctor. "Shrugging", misunderstandings, and exploratory surgery aren't much better than medical advice on a bike forum.
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  21. #21
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    I'm thinking your best bet would be to see a doc who specializes in gastroenterology.
    "With bicycles in particular, you need to separate between what's merely true and what's important."-- DCGriz, RBR.

    “Statistics are like bikinis. What they reveal is suggestive, but what they conceal is vital.” -- Aaron Levenstein



  22. #22
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    Quote Originally Posted by MrSkinny View Post
    Dr.#1: not my usual Dr because he was unexpectedly out that day; ordered an X-Ray: when I went there, it was for the hips, not the abdominal area -- and Dr.#1 was not available so I couldn't ask...
    Dr.#2 (my usual "GP"): "shrugged" when I asked about those X-rays for the hips which I took as "seems like a misunderstanding from Dr.#1".
    Discussion about the problem, but no idea about the reason (so far) -- just as confused as I why easy riding would trigger it. He ordered blood tests and referred me to a surgeon for the hernia.
    Dr.#3 (surgeon): long discussion about the problem and hernia and we came to the conclusion that it most likely is not the hernia "but we won't know until we do the surgery".

    Next possible step suggested by Dr.#2: CAT scan.

    So while considering my options, I posted the problem here (on the small chance that there is some useful feedback).
    If the hernia is down low on the same side as the pain, it definitely could be the cause. The guts are supported riding under power. Ease up, and the guts could be pressing into the hernia and causing pain. Had this experience with one for a long time. Finally got it patched up. Big difference. The internal organs are staying in place, not trying to push out at the bottom.

    So we've got two avenues of investigation: colonoscopy and hernia repair. No need to put it off. You'll narrow down the source, maybe even get rid of it.

  23. #23
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    Quote Originally Posted by Lombard View Post
    I'm thinking your best bet would be to see a doc who specializes in gastroenterology.
    Ding, ding, ding, we have a winner! I had the same symptoms as the op. Went to a gastroenterologist. He did a colonoscopy and found diverticulosis.
    Last edited by redondoaveb; 07-02-2019 at 03:46 PM.
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    Kidney Stones. Any blood in the urine?

  25. #25
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    Quote Originally Posted by Methodical View Post
    Kidney Stones. Any blood in the urine?
    That's usually like a lower back pain, not an abdominal pain. Blood in urine would be a dead giveaway though. I've passed a couple of stones which started as a lower back pain, then a day or two later, there was blood in my urine.
    Last edited by Lombard; 07-02-2019 at 06:48 PM.
    "With bicycles in particular, you need to separate between what's merely true and what's important."-- DCGriz, RBR.

    “Statistics are like bikinis. What they reveal is suggestive, but what they conceal is vital.” -- Aaron Levenstein



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