Increased stool frequency or volume often accompanied by lower abdominal cramping or urge to defecate associated with strenuous physical activity:
Normal physical examination
Increased stool frequency or volume, or loose stools after exercise
Often accompanied by abdominal cramping and urge to defecate
May occur just with competition and not with training
Treatment is generally conservative and should include 1,2,3[C]:
Increase volume and intensity of training slowly.
Try to evacuate prior to exercise.
Stay well hydrated.
Avoid caffeine, which is both a diuretic and a cathartic.
Avoid foods that exacerbate symptoms (e.g., lactose in lact...
Green GA. Gastrointestinal disorders in the athlete. Clin Sports Med. 1992;11(2):453–470.
Swain RA. Exercise-induced diarrhea: when to wonder. Med Sci Sports Exerc. 1994;...
Exercise-induced diarrhea is associated with strenuous exercise and can worsen with increasing distance or intensity.
Symptoms are self-limited, and patients are often asymptomatic afte...
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