Running-Associated Proximal Hemorrhagic Colitis
Authors: FRANK M. MOSES
Journal: Annals of Internal Medicine (1988)

Brief Reports1 March 1988Running-Associated Proximal Hemorrhagic ColitisFRANK M. MOSES, M.D., THOMAS G. BREWER, M.D., DAVID A. PEURA, M.D.FRANK M. MOSES, M.D., THOMAS G. BREWER, M.D., DAVID A. PEURA, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-108-3-385 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptGastrointestinal bleeding has been seen in long-distance runners (1), but the source of this bleeding, when not of gastric or anorectal origin, remains obscure. Intestinal ischemia has been postulated as a cause of intestinal bleeding (2, 3). We report an endoscopically documented case of proximal hemorrhagic colitis associated with running.A 42-year-old white man conditioned to run 5 miles daily was admitted for evaluation of abrupt abdominal pain and rectal bleeding after an 8-mile run. Aspirin, 1300 mg, had been taken 1 day before admission. Bilateral lower abdominal cramping pain occurred after he had run 5 miles. He continued running...References1. FOGOROS R. "Runner's Trots": gastrointestinal disturbances in runners. JAMA. 1980;243:1743-4. CrossrefMedlineGoogle Scholar2. PORTER A. Do some marathon runners bleed into the gut? Br Med J [Clin Res]. 1983;287:1427. CrossrefMedlineGoogle Scholar3. FISHERMCMAHONRYANLARSONBRAND RLMDM. Gastrointestinal bleeding in competitive runners. Dig Dis Sci. 1986;31:1226-8. CrossrefMedlineGoogle Scholar4. MCMAHONRYANLARSONFISHER LMDR. Occult gastrointestinal blood loss in marathon runners. Ann Intern Med. 1984;100:846-7. LinkGoogle Scholar5. MCCABEPEURAKADAKIABOCEKJOHNSON MDSZL. Gastrointestinal blood loss associated with running a marathon. Dig Dis Sci. 1986;31:1229-32. CrossrefMedlineGoogle Scholar6. CLAUSEN J. Effect of physical training on cardiovascular adjustments to exercise in man. Physiol Rev. 1977;57:779-815. CrossrefMedlineGoogle Scholar7. CANTWELL J. Gastrointestinal disorders in runners [Letter]. JAMA. 1981;246:1404-5. CrossrefMedlineGoogle Scholar8. SCHAUBSPICHTINSTALDER NHG. Ischamische Kolitis als Ursache einer Darmblutung bei Marathonlauf? Schweiz Med Wochenschrr. 1985;115:454-7. MedlineGoogle Scholar9. WILLIAMSWITTENBERG LJ. Ischemic colitis. Ann Surg. 1975;182:439-48. CrossrefMedlineGoogle Scholar10. SAKAIKELTNERKAMINSKI LRD. Spontaneous and shock-associated ischemic colitis. Ann Surg. 1980;140:755-60. CrossrefGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Walter Reed Army Medical Center Walter Reed Army Institute of Research Washington, D.C. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byGastrointestinal pathophysiology during endurance exercise: endocrine, microbiome, and nutritional influencesEndoscopic mucosal biopsy – histopathological interpretationPhysical Activity Benefits and Risks on the Gastrointestinal SystemMarathon-induced ischemic colitis: why running is not always good for youIschemic colitis in marathon runners: A case-based reviewCT findings in runner's colitisHematologic Disorders in the AthleteTraining Room Management of Medical Conditions: Sports GastroenterologyExercise-associated Intestinal IschemiaIschemic Colitis in a Young PatientThe role of gastrointestinal endoscopy in long-distance runners with gastrointestinal symptomsThe importance of clinicopathological correlation in the diagnosis of inflammatory conditions of the colon: histological patterns with clinical implicationsReversible ischemic colitis in a high endurance athletePortal Venous Thrombosis in a BackpackerEffect of activity level on apparent heat increment in Atlantic cod, Gadus morhuaGastrointestinal permeability following aspirin intake and prolonged runningMonoclonal Antibodies for Exercise-Induced Fecal Blood Detection-Comparison With HemofecExercise-Induced Gastrointestinal SymptomsOvercoming Runner's DiarrheaGastrointestinal Disorders in the AthleteEffect of cimetidine on marathon-associated gastrointestinal symptoms and bleedingIdiopathic myointimal hyperplasia of mesenteric veinsSubtotal Colectomy following Marathon Running in a Female PatientEtiology of gastrointestinal disturbances during endurance eventsEndoscopy To Evaluate Gastrointestinal Bleeding in Marathon RunnersAndrew E. Schwartz, MD, Arvydas Vanagunas, MD, Perry L. Kamel, MDOccult Gastrointestinal Bleeding in Endurance CyclistsGastrointestinal bleeding during an ultramarathonGastrointestinal Bleeding in Athletes 1 March 1988Volume 108, Issue 3Page: 385-386KeywordsAbdominal painAspirinCecumColitisColonGastroenterology and hepatologyHemorrhageIschemiaRunning Issue Published: 1 March 1988 PDF downloadLoading ...