Skip to main content
Log in

Gastrointestinal bleeding in competitive runners

  • Original Articles
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Abstract

Competitive runners have been shown to develop previously undescribed clinical conditions, including “runner's anemia.” This has been shown to be an iron-deficiency anemia of several etiologies including gastrointestinal bleeding. Although 8–23% of runners have been shown to have guaiac-positive stools after a marathon, the incidence of significant and prolonged bleeding is unknown. We report four cases of competitive runners with iron-deficiency anemia, gastrointestinal bleeding coinciding with running, and no definitive gastrointestinal pathology despite extensive evaluation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Dufaux B, Hoederath A, Streitberger I, Hollmann W, Assman G: Serum ferritin, transferrin, haptoglobin, and iron in middle- and long-distance runners, elite rowers and professional racing cyclists. Int J Sports Med 2:43–46, 1981

    Google Scholar 

  2. Hunding A, Jordel R, Paulev P: Runner's anemia and iron deficiency. Acta Med Scand 209:315–318, 1981

    Google Scholar 

  3. Clement DB, Asmundson RC: Nutritional intake and hematologic parameters in endurance runners. Physician Sports Med 10:37–43, 1982

    Google Scholar 

  4. Runyan WS, Puhl J: Relationships between selected blood indices and competitive performance in college women cross-country runners. J Sports Med 20:207–212, 1980

    Google Scholar 

  5. Puhl JL, Runyan WS: Hematologic variation during aerobic training of college women. Res Q Exercise Sport 51:533–541, 1980

    Google Scholar 

  6. Bunch TW: Blood test abnormalities in runners. Mayo Clin Proc 55:113–117, 1980

    Google Scholar 

  7. Plowman SA, McSwegin PC: The effects of iron supplementation on female cross-country runners. J. Sports Med 407–416, 1981

  8. Clement DB, Sawchuk LL: Iron status and sports performance. Sports Med 1:65–74, 1984

    Google Scholar 

  9. Siegel AJ, Hennekens CH, Solomon HS, VanBoeckel B: Exercise-related hematuria—findings in a group of marathon runners. JAMA 241:391–392, 1979

    Google Scholar 

  10. Ehn L, Carlmark B, Hoglund S: Iron status in athletes involved in intense physical activity. Med Sci Sports Exercise 12:61–64, 1980

    Google Scholar 

  11. Porter AMW: Do some marathon runners bleed into the gut? Br Med J 287:1427, 1983

    Google Scholar 

  12. McMahon LF, Ryan MJ, Larson D, Fisher RL: Occult gastrointestinal blood loss in marathon runners. Ann Intern Med 100:40–42, 1984

    Google Scholar 

  13. McCabe ME, Peura DA, Kadakia SC, Bocek Z, Johnson LF: Gastrointestinal bleeding in long distance runners. Gastro Abstr 86:1178, 1984

    Google Scholar 

  14. Stewart JG, Ahlquist DA, McGill DB, Ilstrup DM, Schwartz S, Owen RA: Gastrointestinal blood loss and anemia in runners. Ann Intern Med 100:843–845, 1984

    Google Scholar 

  15. Fogoros RN: “Runner's trots,” gastrointestinal disturbances in runners. JAMA 243:1743–1744, 1980

    Google Scholar 

  16. Rowell LB, Blackmon JR, Bruce RA: Indocynate green clearance and estimated hepatic blood flow during mild to maximal exercise in upright man. JCI 43:1677–1690, 1964

    Google Scholar 

  17. Clausen JP, Klausen K, Rasmussen B, Trap-Jensen J: Central and peripheral circulatory changes after training of the arms or legs. Am J Physiol 225:675–682, 1973

    Google Scholar 

  18. Finch CA, Miller LR, Person R, Seiler K, Mackler B: Iron deficiency in the rat—physiological and biomechanical studies of muscle dysfunction. JCI 58:447–453, 1976

    Google Scholar 

  19. Litsky F:In Salazar's Gait, An Echoed Glory. The New York Times, Section 5:1, June 31, 1984

Download references

Author information

Authors and Affiliations

Authors

Additional information

Dr. McMahon is the recipient of a National Fund for Medical Education Postgraduate Fellowship.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fisher, R.L., McMahon, L.F., Ryan, M.J. et al. Gastrointestinal bleeding in competitive runners. Digest Dis Sci 31, 1226–1228 (1986). https://doi.org/10.1007/BF01296524

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01296524

Keywords

Navigation