You鈥檝e put in the long runs. You鈥檝e shown up for sunrise speed work. You even turned in early a few nights to make sure you got enough shut-eye.听
Today is my day, you think as you approach the starting line.听
Not so fast, rumbles your stomach, the archenemy of so many runners.
Take comfort in knowing that you鈥檙e not alone in your poop plight.听A in the Human Kinetics Journal found that, during a 30-day period, male runners reported at least one symptom of GI distress on 84 percent of runs. Women, meanwhile, faced GI issues 78.3 percent of the time. Why? Because running, unlike cycling or swimming, includes a whole lot of jostling, says Patrick Wilson, an assistant professor of human motion sciences at Old Dominion University, in Virginia,听and the lead author of the paper. 鈥淚n addition, gut blood flow is compromised during high-intensity and prolonged exercise, which can ultimately cause dysfunction and damage to the GI tract.鈥 The gut-wrenching trio of vigorous movement, compromised听blood flow, and race-day nerves signals your body to rid itself of excess weight the only way it knows how. Before you know it, you鈥檙e looking for a tree to duck behind.听
While GI distress is common鈥攅specially in runners鈥攊t鈥檚 also highly individual, both in how it presents and in how severely you suffer. Wilson says that a range of factors, including anatomy, genetics, propensity for nerves, and even some lifestyle choices such as听diet and sleep patterns听contribute to your own personal likelihood of uncomfortable (and highly inconvenient) stomach issues. This is why some lucky souls crush burritos at ultra aid stations听while others are left to looking on longingly,听knowing that even a single bite could wreak havoc on their insides all the way to the finish line.听
For races longer than an hour, : consuming fuel, especially carbohydrates, improves performance and is key to keeping your body revved. And while racing without fuel may alleviate your GI woes, bonking has its own set of miserable consequences. And the worst part is that you may not know until it鈥檚 too late.听
Thankfully, there鈥檚 hope. According to Wilson, you don鈥檛 have to be at the mercy of your intestines. You can, at least to some degree, train your gut like you train your glutes and听your lungs. Getting it right, however,听takes time, work, and possibly some unpleasant experimentation. Here鈥檚 how to do it.听
Step One: Play the Long Game
When you exercise, blood is directed away from your intestines to provide oxygen to听muscles. Digestion is a lower听priority. But how much blood is shunted听from your gut can be altered by your level of fitness. Experienced runners lose less blood from their innards than newbies do, according to听.听In theory, just logging frequent training runs should help soothe your stomach. 听
Intensity factors in here, too. The harder you鈥檙e working, the more blood your legs, heart, and lungs demand. That, in turn, means there鈥檚 little left to help keep your digestive system humming. Speed work听and听racing at听peak ability听are much more likely to cause GI distress. That's why Eric Orton, an ultrarunning coach and author of , advocates eating during a race when your heart rate isn't approaching 鈥渙verexcited jackhammer.鈥 Having a good base of fitness means that you can recover听much easier and get back below your lactate threshold,听to an intensity where you can safely consume food, without jeopardizing your stomach鈥檚 ability to handle your fuel of choice.听
Step Two: Practice with Carbs
Consuming carbs while training can make it easier to take them in on race day,听according to . Two听groups started the experiment by doing a 鈥済ut-challenge test,鈥 which paired relatively high-intensity running with the ingestion of carbs. Rates of GI distress were similar in the two groups. One group then spent two weeks training while ingesting mid-run glucose. The other group got a placebo without added fuel. At the end of the two weeks, the groups did a second gut-challenge test,听which consisted of running while sucking a gel disk. The group that received the sugar boost in training reported fewer GI symptoms than their placebo-consuming peers, proving that practicing regular mid-workout carb infusions could actually strengthen your stomach. Wilson adds that some limited data shows that听your gut can adjust to taking in fluids during exercise, too, although it's important to pick a drink with sugars that help your body function rather than cause further听distress.听
While the Applied Physiology study听used a two-week interval听to get runners accustomed to gels, Orton feels that it makes sense to start prepping during the first weeks of your training, when the runs are slower. 鈥淭hese are generally base-building runs, which is the time to try this,鈥 he says, adding that experimenting with gels on a high-intensity-interval day is going to lead to ugly results. In other words, it鈥檚 never too early to start practicing even with small doses of mid-race fuel, to give your body ample time to adapt. 听
Step Three: Be Ready for It to听Suck听
Because it will. 鈥淭here was a period when I hated every run, because I was experimenting with fuel.听I felt like I was going to vomit every time I went out,鈥 says Crystal Seaver, a Maine听ultrarunner and the blogger behind . In her first ultra, she听felt so sick when she tried to eat that she didn鈥檛 take in any fuel at all.听鈥淎nd that was a huge mistake,鈥 she says. She needed a different听strategy.听
This is another reason why gut conditioning needs to happen early in a training cycle. A string of bad runs in the weeks before a race or even a few DNF results can听screw with the mind of any athlete. Seaver says she听had to remind herself that these bad runs were not a reflection of her fitness听but simply a necessary evil she had to push through.听
“It鈥檚 trial and error, and it鈥檚 not fun,鈥 Seaver says. Orton agrees. A current client hopes to eat pizza at his next event, but his stomach hasn鈥檛 quite bought into the idea. 鈥淚t worked for him one week but didn鈥檛 work so great the next week. Which is why you should try these things more than once.鈥澨
Step Four: Set Yourself Up for Success听
鈥淧oor nutritional choices definitely play a role in GI upset, and there are many potentially problematic strategies,鈥 says Wilson. Too much of anything is one of those. Seaver found she could alleviate her misery if she ate only a single bite of food at a time instead of slamming a bar and powering on. 听
Not all carb-delivery methods are created equal, either. 鈥淪ome runners have more issues with carbohydrate gels than liquids, and there is growing research to support the idea that gels cause more symptoms in a select group of athletes,鈥 says Wilson. A found that听triathletes had more GI complaints when taking in gel-based energy instead of liquid fuel. However, there were no performance differences between the two groups.听
If,听like many endurance athletes, you get gel overload听and often find the idea of sucking down one more sticky-sweet packet unbearable, it鈥檚 OK to branch out. Seaver knows that she can handle pretzels, and Orton says that chicken soup, broth, and salted potatoes can be reliable options, too. Try a few out听at home; it鈥檚 really about finding what works for you.听
Step Five: Don鈥檛 Do Anything Stupid on Race Day听
If you鈥檙e prone to digestive woes, you鈥檙e probably never going to have an iron-clad stomach even with training. In fact, 鈥渢he most consistent predictor of GI symptoms during a race is a history of those symptoms,鈥 says Wilson. So听practice听the听techniques above,听but know that being careful on and before race day is important, too.听
Stay away from听nonsteroidal听anti-inflammatory drugs听like Aleve, which have been shown to . (Plus, they may actually slow down your recovery time.)听
Excess fiber, fat, and protein, all of which slow digestion, should probably be avoided听close to a race, too, says Wilson. He adds that some runners may also need to avoid Fodmaps, or short-chain carbohydrates that many people struggle to digest well. Surprise: a lot of the foods runners love fall into this category, including things like garlic, onions, wheat, cashews, and many types of fruit. And听while coffee is fine before a听race, just make sure you drink it early enough to, well, you know.听