gi/stomach pain after tough training

14-11.-2006, 07:27 AM	#1
jamesstout Registered User Join Date: Nov 2006 Posts: 91	gi/stomach pain after tough training i have just come back from a weekend riding in the isle of wight and i have a terrible terrible shooting pain in my lower stomach/abdomen area and its hard to straighten out my back also hurts. i often find i get this after hsrd training, any ideas why? i had to ride to the back of the bunch and eat paracetamol which got me some wierd looks form car drivers!

14-11.-2006, 07:35 AM	#2
matagi Registered User Join Date: Mar 2006 Location: In a parallel universe Posts: 4,159	Re: gi/stomach pain after tough training Get thee to a doctor and get it checked out.

14-11.-2006, 07:37 AM

jamesstout

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Join Date: Nov 2006

Posts: 91

Re: gi/stomach pain after tough training

Quote:

Originally Posted by matagi

Get thee to a doctor and get it checked out.

what if they say stop riding!

14-11.-2006, 07:52 AM	#4
matagi Registered User Join Date: Mar 2006 Location: In a parallel universe Posts: 4,159	Re: gi/stomach pain after tough training Well the only reason they would say that is if it is a degenerative condition which would be worsened by continuing to cycle. It needs to be checked - it could be something musculoskeletal which could benefit from specialised exercises and physiotherapy but it could also be an indicator of something more serious and that is what needs to be ruled out.

14-11.-2006, 07:53 AM

jamesstout

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Join Date: Nov 2006

Posts: 91

Re: gi/stomach pain after tough training

Quote:

Originally Posted by matagi

Well the only reason they would say that is if it is a degenerative condition which would be worsened by continuing to cycle.

It needs to be checked - it could be something musculoskeletal which could benefit from specialised exercises and physiotherapy but it could also be an indicator of something more serious and that is what needs to be ruled out.

i guess i could ring the gp tomorrow they dont really understand though, if you tell them you ride for 6hrs they tell you to expect to get ill or say its obsessive or say your lying

14-11.-2006, 08:16 AM

matagi

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Join Date: Mar 2006

Location: In a parallel universe

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Re: gi/stomach pain after tough training

Quote:

Originally Posted by jamesstout

i guess i could ring the gp tomorrow they dont really understand though, if you tell them you ride for 6hrs they tell you to expect to get ill or say its obsessive or say your lying

Hmm, ok, any docs with an interest in sports medicine near you? Do you belong to a cycling club, maybe some of the other members could recommend an understanding GP.

And 6 hours on a bike is no worse than running a marathon or doing ironman type triathlons. However, unless your doctor is a keen sportsman/woman they are just like any other non-exercising member of the public and won't have a clue about why you do this.

14-11.-2006, 08:29 AM	#7
OldGoat Registered User Join Date: Nov 2006 Location: Connecticut Posts: 116	Re: gi/stomach pain after tough training Stomach pain may be attributable to relative gut ischemia. I used to encounter this when training hard as a distance runner in a former life. Here's a link which may prove informative: http://findarticles.com/p/articles/..._16/ai_98542872 Abstract Athletes participating in intense physical activity, especially long-distance running, commonly have a low hemoglobin and hematocrit. This "sports anemia" has been attributed to a physiologic response to exercise due to expansion of plasma volume that dilutes red blood cells. However, stool samples taken after intense workouts or post-race have revealed occult bleeding in 7-30% of marathoners with occasional reports of major upper GI or lower GI hemorrhage also reported in runners. Exercise may decrease visceral blood flow to 20-50% of baseline, increasing risk of ischemic damage to stomach and intestine. Aerobic activity also decreases lower esophageal sphincter pressure, increasing risk of erosive esophagitis. Trauma of running may produce bleeding from hemorrhoids or anal fissures. Direct trauma to viscera may also cause injury. GI blood loss or iron deficiency anemia in runners is multifactorial. In selected individuals, treatment may include dietary changes, acid-supressing medication, and avoidance of potentially injurious drugs. Since GI bleeding due to running is a diagnosis of exclusion, caution is needed in attributing blood loss to running-related causes without considering underlying digestive tract pathology."

14-11.-2006, 10:53 PM

jamesstout

Registered User

Join Date: Nov 2006

Posts: 91

Re: gi/stomach pain after tough training

Quote:

Originally Posted by OldGoat

Stomach pain may be attributable to relative gut ischemia. I used to encounter this when training hard as a distance runner in a former life. Here's a link which may prove informative:

http://findarticles.com/p/articles/..._16/ai_98542872

Abstract Athletes participating in intense physical activity, especially long-distance running, commonly have a low hemoglobin and hematocrit. This "sports anemia" has been attributed to a physiologic response to exercise due to expansion of plasma volume that dilutes red blood cells. However, stool samples taken after intense workouts or post-race have revealed occult bleeding in 7-30% of marathoners with occasional reports of major upper GI or lower GI hemorrhage also reported in runners.

Exercise may decrease visceral blood flow to 20-50% of baseline, increasing risk of ischemic damage to stomach and intestine. Aerobic activity also decreases lower esophageal sphincter pressure, increasing risk of erosive esophagitis. Trauma of running may produce bleeding from hemorrhoids or anal fissures. Direct trauma to viscera may also cause injury.

GI blood loss or iron deficiency anemia in runners is multifactorial. In selected individuals, treatment may include dietary changes, acid-supressing medication, and avoidance of potentially injurious drugs. Since GI bleeding due to running is a diagnosis of exclusion, caution is needed in attributing blood loss to running-related causes without considering underlying digestive tract pathology."

aha! i kno i have low iron and heamatocrit so you could be onto something. what were the dietary changes made? what are acid reducing foods?

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