Endoscopy To Evaluate Gastrointestinal Bleeding in Marathon Runners

Brief Reports15 October 1990Endoscopy To Evaluate Gastrointestinal Bleeding in Marathon RunnersAndrew E. Schwartz, MD, Arvydas Vanagunas, MD, Perry L. Kamel, MDAndrew E. Schwartz, MD, Arvydas Vanagunas, MD, Perry L. Kamel, MDAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-113-8-632 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWith the increasing popularity of long-distance running in the United States, medical complications are being recognized more frequently. Although orthopedic problems predominate, gastrointestinal problems are frequent. Symptoms of abdominal cramping, rectal urgency, diarrhea, nausea, vomiting, and rectal bleeding certainly occur (1-4), and occult gastrointestinal bleeding has been well described (5-9). The actual cause of these disorders is unknown; however, and we used endoscopy to evaluate prospectively the source of gastrointestinal blood loss in marathon runners.Study Design and MethodsOf 9000 runners in the 1988 Chicago Marathon, 103 volunteered to participate in the study. The 41 runners who completed the...References1. Fogoros R. "Runners' trots"—gastrointestinal disturbances in runners. JAMA. 1980;243:1743-4. CrossrefMedlineGoogle Scholar2. CooperDouglasFirthHannaganChadwick BSLJV. Erosive gastritis and gastrointestinal bleeding in a female runner: prevention of the bleeding and healing of the gastritis with H2-receptor antagonists. Gastroenterology. 1987;92:2019-23. CrossrefMedlineGoogle Scholar3. HeerRepondHanySulserKehlJager MFAHOK. Acute ischaemic colitis in a female long distance runner. Gut. 1987;28:896-9. CrossrefMedlineGoogle Scholar4. MosesBrewerPeura FTD. Running-associated proximal hemorrhagic colitis. Ann Intern Med. 1988;108:385-6. LinkGoogle Scholar5. McMahonRyanLarsonFisher LMDR. Occult gastrointestinal blood loss in marathon runners. Ann Intern Med. 1984;100:846-7. LinkGoogle Scholar6. McCabePeuraKadakiaBocekJohnson MDSZL. Gastrointestinal blood loss associated with running a marathon. Dig Dis Sci. 1986;31:1229-32. CrossrefMedlineGoogle Scholar7. HalvorsenLyngRitland FJS. Gastrointestinal bleeding in marathon runners. Scand J Gastroenterol. 1986;21:493-7. CrossrefMedlineGoogle Scholar8. RobertsonMaughanDavidson JRR. Faecal blood loss in response to exercise. Br Med J. 1987;295:303-5. CrossrefMedlineGoogle Scholar9. FisherMcMahonRyanLarsonBrand RLMDM. Gastrointestinal bleeding in competitive runners. Dig Dis Sci. 1986;31:1226-8. CrossrefMedlineGoogle Scholar10. Clausen J. Effect of physical training on cardiovascular adjustments to exercise in man. Physiol Rev. 1977;57:779-815. CrossrefMedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: From Northwestern University Medical School and Northwestern Memorial Hospital, Chicago, Illinois. For current author addresses, see end of text. 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Andron, MD 15 October 1990Volume 113, Issue 8Page: 632-633KeywordsBloodDiarrheaEndoscopyHemorrhageInterleukinsNauseaOrthopedicsRunningVomiting Issue Published: 15 October 1990 PDF DownloadLoading ...