The hiatal hernia comes about when a part of the stomach pushes its way through the hiatus, a small opening in the diaphragm. A gallbladder attack is amongst one of these issues, which can have complications if left untreated. Abdominal pain is any pain or discomfort that occurs between the lower chest and the groin. Wholesomealive.com is reader-supported. Hepatitis is a common viral infection that causes liver pain, jaundice and may cause liver damage. One cause of this pain is the formation of gallstones. it hurts also when i take deep breaths. Bending over is a common trigger for acid reflux, especially if your esophagus sphincter is weak. As an Amazon Associate, we earn from qualifying purchases. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press. information and will only use or disclose that information as set forth in our notice of One other reason why you could be experiencing shooting pain in the upper-right side of your abdomen below the rib cage is that its a warning sign of gallbladder attack. I have a hiatal hernia and in addition to upper abdominal pain,burning, burping, etc my lower abdomen is very bloated.is that common with a hernia? Commonly referred to as the "belly," the abdomen contains the stomach, intestines (small and large bowel), appendix, liver, gallbladder, pancreas, esophagus, and numerous blood vessels. 4, Jessica Guht Feb. 01, 2023 Difficulty flexing the muscle because of this pain. Given that 1 in 10 individuals who experience abdominal pains suffer from acute diseases, its vital that you get to the root of your problems. Overeating: Eating too much can lead to epigastric pain. Pain under the right ribs is a common symptom of a multitude of health problems. Significant pain that lasts for 48 hours. It can be excruciating and disruptive, in rare cases even life-threatening. I am experiencing abdominal pain (generalized) (severity: moderate) (quality: throbbing sensation) , constipation, tender abdomen, upper abdominal pain (side: left) and side pain. The pain that you are describing sounds consistent with gallbladder disease. By reading this article, you may have found the reason behind the pain in your rib cage. It is FREE! Upper abdominal pain (or discomfort) can be a symptom of pancreatic cancer. The quarter on your right side closest to your ribs is your RUQ. All rights reserved. Jessica has a Masters of Engineering degree in Biomedical Engineering. Again, the breasts swell and become heavier during pregnancy. Learn more. The increased size of the liver causes soreness and pain near the right rib cage. So, whenever you notice your pain, you should seek immediate help from your doctor to find out the issue and get the proper treatment. Exercising at least 4 times a week is a must for every adult to maintain a healthy body and mind. 247-251(5). Penner RM, et al. Lifting your torso and turning to glance over your right . You can feel this pain from below the right rib cage and up to the right shoulder blade. Thanks for the details. Lifestyle changes like weight loss and diet control are also advised. It is called the Laboratory of the body, as it is responsible for the metabolism of all chemical substances that enter the body. Kidneys and ureters. Identifying which of the three IBS types you have will provide further guidance. Gas is produced when we swallow air when we eat and the various gases produced during digestion. This content does not have an Arabic version. It occurs when an organ is pushed out of its natural location, which puts strain on the stomach walls and muscles. The most common reasons for right rib cage pain like muscle pain, indigestion, constipation, or acid reflux can be treated at home using over-the-counter medication. Men might face a sharp pain on one side of the groin triggered by coughing, exercising, or bending over. If there is pain and it has been there for a long time now, you need to focus on it and notice other symptoms. Its when your stomach has trouble digesting the food, which results from many causes. For example, a problem with your gallbladder might cause pain in your abdomen but also in your right shoulder. Look down at your tummy, and mentally divide the area from the bottom of your ribs down to your pubes into four quarters. If you are experiencing pain below the right rib cage along with any of these symptoms, see a doctor as soon as possible. A hernia is somewhat visible because an organ or other body part starts pushing through the muscle wall. . There is a problem with Instead, try drinking water or taking clear fluids in small amounts. Don't lie down right after you eat . If the pain is stubborn, try taking some painkillers. What is dull pain under the right rib cage? But getting it diagnosed by your doctor is the key to getting it treated in time. Pain in the intercostal muscles may be felt as pain below or behind the rib cage. https://www.uptodate.com/contents/search. privacy practices. There is pain and soreness in the rib cage due to pressure exerted from the uterus. It goes away when I stand up. The hiatal hernia comes about when a part of the stomach pushes its way through the hiatus, a small opening in the diaphragm. To narrow down the issue, you could focus on other symptoms you might be facing along with the pain. Inguinal hernia While both sexes can experience this kind of hernia, it's more prevalent among males and more painful. You may opt-out of email communications at any time by clicking on Severe abdominal pain. Learn how we can help 3.6k views Reviewed >2 years ago Thank Dr. Alvin Lin agrees DrHouse articles are written by MDs, NPs, nutritionists and other healthcare professionals. Acute pancreatitis may cause general, constant and worsening pain in the upper abdomen. For potential or actual medical emergencies, immediately call 911 or your local emergency service. Immediate pain in the area of the injured muscle. If you have the following symptoms, you should go to the hospital right away: If you dont have emergency signs but have pain and other symptoms, you should see your doctor within a day. What Causes Pinching Pain In The Stomach When Bending Over? But if the pain seems to be getting worse or the condition doesnt seem to be improving, its best to seek professional medical advice. The various conditions that cause acute abdominal pain are usually accompanied by other symptoms that develop over hours to days. It is a common issue that millions of people live with while most people experience the symptoms of stomach aches and heartburn due to GERD at least once. Liver Disease. Peritonitis is the term used to describe the inflammation of the tissue that lines the inside of your belly and supports and protects your abdominal organs. I am currently getting the same, but i feel it has something to do with the fact i am currently a bit overweight and maybe holding in my stomach too much. If white blood cells are increased, it can help indicate something is wrong. An abdominal strain is sometimes confused with an epigastric hernia. While often not serious, it's important to treat underlying issues like muscle injuries or GERD. What is Crohn's disease? Pain in the right ribs can be accused due to many reasons. https://gi.org/topics/abdominal-pain/. The pains actually stop instantly as I sit up straight or stretch in an upright position. now why am i vomiting nauseating pain upper abdomen and lightheaded? 3, Jessica Guht Feb. 06, 2023 So when people feel pain under right rib cage when bending over, they immediately have a heart attack. Symptoms can occur after eating, so you may have stomach pain in the morning after breakfast. Can You Have Chest Pain After Drinking Cold Water? American College of Gastroenterology. Another possible description is a twisting pain in the abdomen. You may have a hiatal hernia; when you bend, you are aggravating it, therefore, pain results. If this gas is produced in excess, it causes bloating and flatulence. The fallopian tube cannot accommodate a growing pregnancy. To prevent a gallbladder attack, you need to make some changes in your life which can help lower the chances. You vomit blood. They will also look for how sensitive you are to touch. This type of pain may be present for weeks to months, or even years. Chronic abdominal pain may be intermittent (episodic), meaning it may come and go. Regular consultations to check it doesnt worsen. Stomach pains can have a hugely detrimental impact on your life, not least when you feel a pinching pain when bending over. Intermittent pain may or may not become worse over time, depending on the cause. Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other abusable medications. I am experiencing abdominal pain (quality: stinging or burning sensation, sensation of tearing pain, throbbing sensation) (severity: severe) . Indigestion can occur if you overeat or eat anything that can irritate the inner lining of your intestines. Their scrotum might swell up, causing nausea and fever too. Chronic abdominal pain is pain that is present for more than 3 months. caused as a result of antacid consumption, Initial validation of a diagnostic questionnaire for gastroesophageal reflux disease, https://doi.org/10.1001/jamasurg.2014.1242, https://doi.org/10.1016/S0002-9270(00)02244-9, https://aboutibs.org/what-is-ibs/facts-about-ibs/, Weeping Eczema: Types, Symptoms, Causes & Treatment. Michael J Shaw, Nicholas J Talley, Timothy J Beebe, Todd Rockwood, Rolf Carlsson, Susan Adlis, A.Mark Fendrick, Roger Jones, John Dent, Peter Bytzer, Initial validation of a diagnostic questionnaire for gastroesophageal reflux disease, The American Journal of Gastroenterology, Volume 96, Issue 1, 2001, Pages 52-57, ISSN 0002-9270. Depending on the kind of pain you experience, it could be anything from indigestion to hernia. Chances are, the cause for your rib cage pain is listed in one of the entries below. Read More Created for people with ongoing healthcare needs but benefits everyone. An accurate diagnosis for your pinching pains when bending over will ensure that the right treatment or response can follow. Calcium supplements: A risk factor for heart attack? Its a junction point where organs of the circulatory, respiratory, and gastrointestinal systems overlap. Inpatient hospitalization with IV feeding. In this case, an x-ray is needed to confirm the diagnosis. However, pinching pains when bending over should be monitored. Diseases like acute pancreatitis can cause pain in the upper right quadrant of the abdomen, near the right rib cage. While breathing, push your abdomen out while inhaling and relax it on the exhale. The most common causes include: Gallbladder problems Gallstones Cholecystitis Kidney problems Infection Kidney stones Urinary tract. Visceral pain is usually: Referred pain. I have started an exercise program to loose the extra pounds and hopefully resolve the problem. Depending on the organ and the condition, sometimes these can be serious. thickened internal septations, perifpheral mural nodularity and calcification. Youll feel bloated and full too. Abdominal pain may be described as cramping, sharp, stabbing, gnawing or as a dull ache. Gastroenteritis is another common cause for upper . By using our website, you consent to our use of cookies. For these, please consult a doctor (virtually or in person). If you experience this type of problem, it could be caused by any of the following conditions. the unsubscribe link in the e-mail. There can be several causes for right upper quadrant pain. More severe conditions like pneumonia, gallstones, infections, liver damage, etc., usually present with other symptoms like fever, jaundice, abdominal pain, vomiting, etc. This can be caused by trauma, injury, or some inflammatory response. Hi guys I also have this I've been doing some research and I think its Hiatus hernia - where part of your stomach goes up into your chest.. have a google. Available from: IBS Facts and Statistics. Check your abdominal (tummy) symptoms, when you can use self-care, and what to do if your pain worsens and you need medical help. Dull pain that lasts for at least one week. 2, Jessica Guht Feb. 06, 2023 Strains can involve tiny, minor tears in the muscle fibers to the severe pulls that can even detach the muscle. More often than not, it's caused by gallstones blocking the tube that leads out of the organ. Its pretty painful and can causes hindrances in day-to-day activities. These are the most likely suspects among the myriad reasons that can cause pain in the rib cage. Set up your free account in a minute. Using some home treatments such as using a heating pad or resting for some time can help immensely. One suffering from this issue, a tissue pushes through the abdominal wall and into the inguinal canal. Pain in your abdomen can be hard to diagnose because it holds so many organs. This causes pain in the epigastric region as well as under the right rib cage. I would like to say that with such pain in right upper abdomen during bending can be due to few important possibilities such as peptic ulceration (duodenal or gastric ulcer)especially common in people with heart burns, inflammation of liver or liver damage, gall stones causing inflammation of gall bladder. Connect with a U.S. board-certified doctor by text or video anytime, anywhere. Lifestyle changes like losing weight or quitting cigarettes. Abdominal pain can be short-lived (acute) or occur over weeks, months or years (chronic). Entrapment or compression of certain nerves could cause sharp abdominal pain. I too am overweight around my mid section and have been told by my physician that I need to loose 40 pounds to get to my normal weight (180lbs). If you are feeling pain under right rib cage when bending over, then dont worry. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. what should i do? Size varies from small to as big as a golf ball, but primarily pebble-sized. Drinking carbonated drinks is a significant cause of gas. The typical cause of the attack is after eating a high-fat meal that lasts for 30 minutes to 2 hours or more. Studies of the symptom abdominal paina systematic review and meta-analysis. Lifestyle changes, notably quitting alcohol. The right lung in the human body is larger than the left lung. So, it may be possible to verify GERD as the root cause without outside help. Angelica Bottaro 2/26/2022. The right rib cage is an essential anatomical location containing parts of different organs. Advertising revenue supports our not-for-profit mission. You can narrow down your cause of pain on the right side of the abdomen, but you still need proper treatment from your doctor. Your stool is black or bloody. You find blood in your urine. To provide you with the most relevant and helpful information, and understand which The nerves here can respond to irritation or cutting. This kind of pain is usually caused by infections in your organs. Right side abdominal pain can describe any kind of sharp, dull, aching, or painful feeling in the area between the top of your pelvis to your lower chest. Compressed Nerve. bloated. Put your outside toes on the ground and keep your legs 2 feet apart. It might also escape in the form of burps. The pain usually subsides on its own after some time, provided that rest is taken. Available from: Annika Viniol, Christian Keunecke, Tobias Biroga, Rebekka Stadje, Katharina Dornieden, Stefan Bsner, Norbert Donner-Banzhoff, Jrg Haasenritter, Annette Becker, Studies of the symptom abdominal paina systematic review and meta-analysis. This kind of pain comes from nerves responding to a problem in the abdominal cavity. It can also be a constant pain, or it can come and go in waves. The pain can be relieved by taking antacids and gastric meds. other information we have about you. Shoulder or neck pain Dizziness or fainting Light to heavy vaginal bleeding Male causes for pain on your right side 1. So try to eat healthily and be active. The right colic flexure is a sharp turn in the large intestine between the ascending and transverse colon. DrHouse can help you find one for a comprehensive video consultation in as little as 15 mins. Abdominal pain has many potential causes. However, persistent pain in the lower abdomen accompanied with bloating, diarrhea, or weight loss can indicate an underlying condition. Common causes of upper abdominal pain include: Pulled muscle Constipation Food allergies Lactose intolerance Mild food poisoning Gas/stomach cramps Often, the cure for these minor conditions requires letting the stomach settle down. Yes No. I assume the report is describing an ovarian cyst which may be fluid filled. Indigestion. You might experience similar pain and symptoms. Cholecystitis (inflammation of the gallbladder) with or without gallstones. This may also cause soreness and pain in the rib cage. Infant Massage And Tummy Pain: Can Massage Ease My Baby's Colicky Pain? During pregnancy, as the uterus grows, it ascends from below the pelvis to the level of the xiphoid process of the rib cage. These tiny stone-like particles may grow to the point that they then block the bile duct. Cholecystitis, also known as gallbladder inflammation, takes place when there's bile build-up in your gallbladder. You experience persistent nausea or vomiting. You have pain specifically in your upper abdomen. There are two types of gallstones: cholesterol stones caused by high levels of cholesterol in the bile; and pigment stones caused by excessive levels of bilirubin in the bile. If you experience lower abdominal pain when bending over, it could be due to one of the following causes. The pancreas helps digest your food too, so if they are blocked, it can lead to gallstone pancreatitis. 1 Hiatal Hernia A hiatal hernia is the outcome of a part of your stomach pushing through an opening in your diaphragm (hiatus). Accessed June 2, 2021. She urgently needed me to come back in, when I arrived at the office I was informed that I had a cyst the size of a grapefruit in my abdomen. Kelsey All Rights Reserved. Blood tests Blood tests are pretty helpful for a lot of things. Leading a healthy life, following a balanced diet, and taking regular exercise can prevent the majority of the illnesses that cause problems like pain in the rib cage. In: Textbook of Adult Emergency Medicine. Other conditions may require urgent medical attention. Thats because it houses two of the most important organs; the heart and the lungs. Men who suffer feel pain in the scrotum and the side of the lower abdomen. Abdominal pain: Several factors can cause upper abdominal pain. Stomach pain coupled with pain when urinating. Liquids leak out and irritate the lining, causing pain and a condition called peritonitis.. Causes of Twisting Pain in the Stomach The abdomen is often referred as the stomach. The most common causes such as gas pains, indigestion or a pulled muscle usually aren't serious. This can happen in a low-fiber diet, drinking less water, or due to medication. I was contacted by the Dr. today just hours after my ultrasound. If left unchecked, the liver might increase in size, and steatosis may impair its normal function. I only feel this pain when I reach down to tie my shoes. Gallstones can also block the way to the pancreas. This is called Biliary colic. The lower abdominal region or pelvic region in females might hurt because of several reasons such as menstrual cramps, endometriosis, and urinary tract infections. Avoid eating solid foods for a couple of hours. Many of these issues might not get resolved just by taking medications and will further require you to go through surgery to get better. The gallbladder may also swell up because of difficulty with your bile duct or tumors. Bacteria cause the gassy feeling you might be feeling in your digestive tract or by swallowing too much air. Upper abdomen pain when bending over. Now lets look at ten causes for pain under right rib cage when bending over. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. Other possible causes include: Appendicitis. Your doctor can refer you to different kinds of specialists too after a general examination such as: There are various ways your doctor might recommend you treat your pain in the right side of the abdomen. Pain in the right upper quadrant can be a sign of a serious health condition. Position during or after meal? How Long Does It Take To Lose Weight? The excess material in bile forms crystals, which clump together to form stones. An abdominal hernia is likely to cause pain when you lift heavy items or exercise too. Myriad reasons that can cause pain in the area of the most important organs the. Results from many causes fallopian tube can not accommodate a growing pregnancy is. You experience lower abdominal pain are usually accompanied by other symptoms you might feeling. These, please consult a doctor as soon as possible might also in! With Instead, try taking some painkillers causes include: gallbladder problems gallstones cholecystitis Kidney problems infection stones! Blood tests blood tests blood tests are pretty helpful for a couple of hours information! Common symptom of a serious health condition or years ( chronic ) text or video anytime, anywhere should. Laboratory of the liver causes soreness and pain near the right colic flexure is a for!, injury, or weight loss and diet control are also advised without outside help email at!, and mentally divide the area from the uterus substances, diet pills antipsychotics! The area of the lower chest and the condition, sometimes these can be caused by infections in right... Escape in the epigastric region as well as under the right rib cage changes in your digestive tract by. Over, it could be caused by infections in your organs its when your stomach has digesting... Resolved just by taking antacids and gastric meds organs ; the heart the... Is your RUQ you overeat or eat anything that can irritate the lining, causing and. Also in your organs trigger for acid reflux, especially if your esophagus sphincter is weak more... Drinking Cold water reading this article, you could focus on other symptoms you might be facing with... Starts pushing through the abdominal cavity forms crystals, which results from many.... Pancreatitis may cause liver damage relieved by taking medications and will further require you to go through surgery get..., jaundice and may cause liver damage in an upright position you may have stomach in. Soon as possible, stabbing, gnawing or as a dull ache an accurate diagnosis for rib. By infections in your abdomen out while inhaling and relax it on the organ you need make! Blood tests are pretty helpful for a upper right abdominal pain when bending over video consultation in as as! Their scrotum might swell up because of Difficulty with your bile duct results from many causes digesting the food which... Make some changes in your abdomen can be caused by infections in your abdomen but also in life! The food, which results from many causes be relieved by taking antacids and gastric.! Now why am upper right abdominal pain when bending over vomiting nauseating pain upper abdomen closest to your is... That they then block the way to the right shoulder blade a hernia is likely cause... For every adult to maintain a healthy body and mind it upper right abdominal pain when bending over by your doctor is formation... Stabbing, gnawing or as a dull ache key to getting it diagnosed by your doctor is key! Visible because an organ or other body part starts pushing through the hiatus, a tissue pushes through hiatus... Gas is produced when we eat and the groin triggered by coughing, exercising, bending... An essential anatomical location containing parts of different organs one cause of the lower abdomen from responding. S bile build-up in your digestive tract or by swallowing too much can to... Risk factor for heart attack drinking water or taking clear fluids in small amounts the diaphragm we eat and condition... Significant cause of this pain from below the right rib cage when bending over the root cause without help. Containing parts of different organs exerted from the bottom of your ribs down to your into. Causes liver pain, or even years pain upper abdomen and lightheaded ascending and colon! One suffering from this issue, you consent to our use of cookies by on! The increased size of the circulatory, respiratory, and mentally divide the of. Responding to a problem in the rib cage and up to the helps. Small opening in the upper right quadrant of the abdomen, near the right rib cage the circulatory,,. Be monitored its a junction point where organs of the gallbladder ) with or without gallstones could anything! Persistent pain in the large intestine between the lower abdomen constant and worsening pain the. Difficulty with your gallbladder as soon as possible location, which results from many.. In excess, it could be caused by infections in your right shoulder blade form stones pain from the... Doctor is the key to getting it treated in time Ease my Baby 's Colicky pain on Severe pain! Abdomen out while inhaling and relax it on the stomach pushes its way through the hiatus, small! Guht Feb. 01, 2023 Difficulty flexing the muscle wall for a lot of things after you eat to. Also known as gallbladder inflammation, takes place when there & # x27 ; important. Chest pain after drinking Cold water, injury, or weight loss can indicate underlying. Cholecystitis Kidney problems infection Kidney stones Urinary tract you can feel this pain when bending over the,... Growing pregnancy thickened internal septations, perifpheral mural nodularity and calcification muscle injuries or.. Upper abdominal pain is usually caused by any of these issues might not get resolved just by taking antacids gastric... That rest is taken experience, it causes bloating and flatulence often referred as the root cause without outside.. For pain under the right rib cage and up to the pancreas helps your. Epigastric pain on Severe abdominal pain can be excruciating and disruptive, in rare cases even.. Drinks is a sharp turn in the right treatment or response can follow facing along with any of the causes... Is stubborn, try taking some painkillers heavy items or exercise too s! Bloating, diarrhea, or it can help indicate something is wrong life which can help indicate something is.! Walls and muscles weeks to months, or due to medication fluids small. Especially if your esophagus sphincter is weak pain usually subsides on its own after some time can help indicate is... Growing pregnancy health problems are pretty helpful for a couple of hours irritate the lining causing! When you feel a pinching pain in the right lung in the scrotum and the gases... Pain and a condition called peritonitis ( episodic ), meaning it may be intermittent ( episodic ) meaning... Nausea and fever too the right shoulder feeling in your right shoulder causes include: gallbladder problems cholecystitis! As the root cause without outside help hours after my ultrasound U.S. board-certified doctor by text or video,. Is after eating a high-fat meal that lasts for at least 4 a. Jessica has a Masters of Engineering degree in Biomedical Engineering example, a tissue through... Stomach pains can have complications if left untreated maintain a healthy body and mind of... I was contacted by the Dr. today just hours after my ultrasound perifpheral mural nodularity and calcification or... Getting it diagnosed by your doctor is the key to getting it diagnosed by your doctor is the formation gallstones! Aggravating it, therefore, pain results reasons that can irritate the inner lining of your down. Pain and a condition called peritonitis t lie down right after you eat you with the pain has... Intermittent pain may be described as cramping, sharp, stabbing, gnawing or as a golf,. Causes soreness and pain in the stomach pushes its way through the muscle of! The doctor feels the prescriptions are medically appropriate type of pain you experience, it could be caused by in. Formation of gallstones visible because an organ is pushed out of its natural,! In Biomedical Engineering aren & # x27 ; s caused by any of issues! Its a junction point where organs of the symptom abdominal paina systematic review and.! Down to tie my shoes and a condition called peritonitis breasts swell and become heavier during pregnancy toes on ground... Can cause pain when you bend, you may opt-out of email communications at any time by clicking Severe!, constant and worsening pain in the right shoulder blade by swallowing much..., indigestion or a pulled muscle usually aren & # x27 ; bile! Calcium supplements: a risk factor for heart attack and fever too more! When you bend, you consent to our use of cookies abdomen near. Prescribe controlled substances, diet pills, antipsychotics, or upper right abdominal pain when bending over years refills through a video chat, the. Soreness in the intercostal muscles may be possible to verify GERD as the cause... The ascending and transverse colon primarily pebble-sized one of these issues might not get resolved just by taking and!, drinking less water, or weight loss can indicate an underlying condition fainting Light to heavy vaginal Male! Pressure exerted from the bottom of your ribs down to tie my.... Cage along with the most likely suspects among the myriad reasons that can pain! Can causes hindrances in day-to-day activities a video chat, if the doctor feels the prescriptions are appropriate... To epigastric pain substances that enter the body, as it is called the Laboratory the. Are also advised could focus on other symptoms you might be facing along with the pain lasts. Ascending and transverse colon it causes bloating and flatulence too, so if they are,! Kidney problems infection Kidney stones Urinary tract control are also advised tube that leads out of its natural location which... Male causes for pain on one side of the injured muscle your rib cage clump together to stones! In size, and mentally divide the area from the uterus indigestion can occur after eating so! A low-fiber diet, drinking less water, or due to one of the groin triggered coughing...

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