Le manava tiga is one of the most common symptoms and indeed often taken lightly. However, tiga o le tino i tiga digestive which persist should lead to a consultation.

It can be simple cramps, or, for women of discomfort related to the menstrual cycle but they can also be the signal of a gastritis, I le faamai o le Crohn, I le papala, syndrome bowel itaitagofie, na oʻo lava a appendicitis po o se tumo.