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A stitch in the epigastric or hypochondrium is sharp unilateral pain due to cramping in the diaphragm. It is common in children and adolescents and lasts ½–3 minutes.
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Stop and rest when the pain strikes during activity, especially long-distance running. Then walk—don’t run. Relieved by straightening up and taking very slow deep breaths followed by shallow breaths.
Apply deep massage to the area with pulps of middle 3 fingers.
Perform slow deep breathing.
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Prophylaxis: undertake a program of abdominal breathing prior to activity.