Gastrointestinal Bleeding in Long-Distance Runners
Authors: MAIRE T. BUCKMAN
Journal: Annals of Internal Medicine (1984)

Editorials1 July 1984Gastrointestinal Bleeding in Long-Distance RunnersMAIRE T. BUCKMAN, M.D.MAIRE T. BUCKMAN, M.D.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-101-1-127 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptWith an estimated 10 to 30 million participants, long-distance running has become a popular recreational activity. Many complications of long-distance running have been described, though, including delayed menarche, oligomenorrhea, and amenorrhea; stress fractures and other musculoskeletal injuries; sudden cardiac death; proteinuria; hematuria; hemoglobinuria; rhabdomyolysis and myoglobinuria; acute renal failure; heat and cold injury; and alterations in gastrointestinal function. Isolated case reports have described severe or catastrophic gastrointestinal bleeding. Derek Clayton (1) has written about the aftermath of his world record marathon run in 1979 that he "was vomiting black mucus and had a lot of black diarrhea." A retrospective autopsy...References1. FOGOROS R. 'Runners trots': gastrointestinal disturbances in runners. JAMA. 1980;243:1743-4. CrossrefMedlineGoogle Scholar2. THOMPSONFUNKCARLETONSTURNER PERW. Incidence of death during jogging in Rhode Island from 1975 through 1980. JAMA. 1982:247:2535-8. CrossrefMedlineGoogle Scholar3. PORTER A. DO some marathon runners bleed into the gut? Br Med J [Clin Res]. 1983;287:1427. CrossrefMedlineGoogle Scholar4. MCMAHONRYANLARSONFISHER LMDR. Occult gastrointestinal blood loss in marathon runners. Ann Intern Med. 1984;101:846-7. LinkGoogle Scholar5. VOLPICELLI N. Effect of sports on the gastrointestinal tract and liver. In: APPENZELLER O, ATKINSON R, eds. Sports Medicine: Fitness, Training, Injuries. 2nd ed. Baltimore: Urband & Schwarzenberg; 1983:91-8. Google Scholar6. STEWARTAHLQUISTMCGILLILSTRUPSCHWARTZOWEN JDDDSR. Gastrointestinal blood loss and anemia in runners. Ann Intern Med. 1984; 101:843-5. LinkGoogle Scholar7. CANTWELL J. Gastrointestinal disorders in runners [Letter]. JAMA. 1981;246:1404-5. CrossrefMedlineGoogle Scholar8. ADNER M. Hematology. In: STRAUSS RH, ed. Sports Medicine. Philadelphia: W. B. Saunders Co.; 1984:120-9. Google Scholar9. CONVERTINOBROCKKEILBERNAUERGREENLEAF VPLEJ. Exercise training-induced hypervolemia: role of plasma albumin, renin, and vasopressin. J Appl Physiol. 1980;48:665-9. CrossrefMedlineGoogle Scholar10. BUCKMANPEAKE MG. Hormonal regulation of fluid and electrolytes during exercise. In: APPENZELLER O, ATKINSON R, eds. Sports Medicine: Fitness, Training, Injuries. 2nd ed. Baltimore: Urban & Schwarzenberg; 1983:117-29. Google Scholar11. SULLIVAN S. The gastrointestinal symptoms of running [Letter]. N Engl J Med. 1981;304:915. CrossrefMedlineGoogle Scholar12. PORTER A. Marathon running and the caecal slap syndrome. Br J Sports Med. 1982; 16:178. CrossrefMedlineGoogle Scholar13. PORTER A. Non-steroidal anti-inflammatory drugs and ethanol [Letter]. Br J Sports Med. 1982;16:265. CrossrefMedlineGoogle Scholar14. BUNCH T. Blood test abnormalities in runners. Mayo Clin Proc. 1980;55:113-7. MedlineGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Veterans Administration Medical Center University of New Mexico School of Medicine Albuquerque, New Mexico PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byHeat Sepsis Precedes Heat Toxicity in the Pathophysiology of Heat Stroke—A New Paradigm on an Ancient DiseaseAcute Abdominal Pain and Hematochezia in a Long-Distance RunnerThe Roles of Exercise-Induced Immune System Disturbances in the Pathology of Heat StrokeAnemias hemolíticas de patogenia mecánica. anemias hemolíticas por efectos tóxicos de mediadores biológicos de origen microbiano, venenos y otros tóxicosIron, transferrin, and haptoglobin levels after a single bout of exercise in menSport et carence en ferCatastrophic medical events with exhaustive exercise: “White collar rhabdomyolysis”Cimetidine reduces running-associated gastrointestinal bleedingGastrointestinal bleeding during an ultramarathonIron status in Winter Olympic sportsManagement of Exercise-Induced Gastrointestinal ProblemsThe Anemias of AthletesAcute Upper Gastrointestinal Hemorrhage in Long-Distance RunnersD. PAPAIOANNIDES, M.D., CH. GIOTIS, M.D., N. KARAGIANNIS, M.D., C. VOUDOURIS, M.D. 1 July 1984Volume 101, Issue 1Page: 127-128KeywordsHemorrhageMenarcheMucusMusculoskeletal injuryOligomenorrheaProteinuriaRhabdomyolysisRunningSudden cardiac deathVomiting Issue Published: 1 July 1984 PDF downloadLoading ...