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Written by Sam Murphy   
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Running annoyances and how to deal with them
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Preventing and treating common problems

While runner’s trots, jogger’s nipple, blisters and stitches are never going to be taken as seriously as ITB syndrome or shin splints, these everyday afflictions can be quite debilitating. But don’t suffer in silence – there is usually a way of minimising the risk of them occurring, or at least limiting the damage.

Here’s how to cope with some of the most common problems – along with some advice on avoidance tactics…

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Runner’s trots

Half of all runners have experienced some kind of bowel or stomach problem during training or racing, from stomach cramps to diarrhoea and nausea. Among the many and varied causes are dehydration, sensitivity to a particular food, reduced blood flow to the intestines (due to eating too close to running) and the jolting action of running. If you can identify what caused your tummy trouble, so much the better – simply avoid the trigger, if you can, when important training runs or races are approaching. If, however, you aren’t sure what’s causing the problem, consider the following strategies:

  • Avoid eating too close to a run – allow two to three hours’ break between your last meal and the start of your run. Some runners can only avoid the dreaded trots by running on an empty stomach.
  • Ensure you are well hydrated at the start of your run.
  • See if it helps to run more slowly.
  • Consider taking Immodium or the prescription-only Lomotil before important training sessions or races.
While causes of gastrointestinal discomfort are a very individual thing, the following are some of the most common irritants:

Caffeine. This can irritate the gastrointestinal tract (which is why we often need to go to the toilet after drinking coffee or tea).

Sugar. Highly concentrated sugar solutions – such as sports drinks – can cause GI distress in some people. That’s why it’s vital you experiment in training with sports drinks that have different sugar concentrations, to see what works for you.

Fibrous foods. Prior to a race or training run is one of the rare times when you shouldn’t opt for fibrous foods, as they take a long time to digest and absorb a lot of water, making you feel bloated and heavy.

Dairy products. Some people find dairy products hard to digest.

Fruit. The high acid content can cause stomach cramping.

Aspirin and ibuprofen. Non-steroidal anti-inflammatories can cause stomach upsets and even bleeding if taken too often, or when taken on an empty stomach.

Stitches
Although there can be few runners who aren’t familiar with the pain of a stitch, the science bods still don’t really know what causes it. Some experts believe that the pain is caused by the jolting of the diaphragm and the internal organs connected to it by ligaments, while others argue that if this were the case then cyclists and swimmers wouldn’t suffer from stitches (which they do).

Another theory relates to the outer sheath of the diaphragm muscle becoming fatigued and rubbing on the outside of the abdominal wall. If this is correct, then strengthening the ‘core muscles’ may help. Regardless of the cause, researchers from the University of Newcastle in Australia suggest you avoid big meals prior to running – particularly foods that are high in fat and sugar – and warm up thoroughly. If you do get a stitch, then slowing down or stopping and kneading the painful area is the simplest solution.



 
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The material contained on this website is in no way intended to replace professional coaching or medical advice and should not be used as a basis for diagnosis or choice of treatment or training