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Athletes experience gastrointestinal disorders during exercise, such as sudden cramping, nausea, diarrhea, and bleeding, especially during intense and prolonged workouts. This is due to changes in blood flow distribution during exertion, where more blood is directed toward the muscles and heart, and less to the intestines, weakening the function of their lining and increasing its permeability. This allows toxins and bacteria to pass into the bloodstream and triggers an inflammatory immune response. Other factors, such as dehydration, high temperatures, food quality, and the use of non-steroidal anti-inflammatory drugs (NSAIDs), increase the likelihood of symptoms occurring. Experts recommend training the gastrointestinal system during practice by testing suitable foods and portions to ensure the system can handle the demands of the race. They also note that recurring or severe symptoms require medical evaluation to rule out other conditions, as these disorders may be signs of underlying health issues that need treatment.
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