Difference between revisions of "Fixing problems in Ultramarathons"
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=Nausea or vomiting= | =Nausea or vomiting= | ||
See [[Nausea]]. | See [[Nausea]]. | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause stripped''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause stripped''' | ||
! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ||
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* Avoid [[Electrolyte Capsules]]. | * Avoid [[Electrolyte Capsules]]. | ||
|- | |- | ||
− | | style="background-color: #E7E8D8;" | + | | style="background-color: #E7E8D8;" [[NSAIDs and Running| NSAIDs]] |
| style="background-color: #E7E8D8;" | | | style="background-color: #E7E8D8;" | | ||
* Avoid NSAIDs | * Avoid NSAIDs | ||
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|} | |} | ||
=Fatigue and sleepiness= | =Fatigue and sleepiness= | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ||
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|} | |} | ||
=Depression= | =Depression= | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ||
|- | |- | ||
| style="background-color: #E7E8D8;" |Low blood sugar | | style="background-color: #E7E8D8;" |Low blood sugar | ||
− | | style="background-color: #E7E8D8;" | + | | style="background-color: #E7E8D8;" |
* Take something sweet or a [[Comparison of Energy Gels| Gel]] | * Take something sweet or a [[Comparison of Energy Gels| Gel]] | ||
'''Prevention''' | '''Prevention''' | ||
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|} | |} | ||
=Headache= | =Headache= | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ||
|- | |- | ||
| style="background-color: #DFF1F2;" |Low blood sugar | | style="background-color: #DFF1F2;" |Low blood sugar | ||
− | | style="background-color: #DFF1F2;" | + | | style="background-color: #DFF1F2;" |
* Take something sweet or a [[Comparison of Energy Gels| Gel]]. | * Take something sweet or a [[Comparison of Energy Gels| Gel]]. | ||
'''Prevention''' | '''Prevention''' | ||
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|- | |- | ||
| style="background-color: #DFF1F2;" |Altitude sickness | | style="background-color: #DFF1F2;" |Altitude sickness | ||
− | | style="background-color: #DFF1F2;" | + | | style="background-color: #DFF1F2;" |
* [[Viagra, Exercise and Altitude| Viagra for Altitude]]. | * [[Viagra, Exercise and Altitude| Viagra for Altitude]]. | ||
* Descend. | * Descend. | ||
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|} | |} | ||
=Heartburn= | =Heartburn= | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ||
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=Are we there yet?= | =Are we there yet?= | ||
In ultras it's common to get the sense of not making progress, or that the miles have become longer. This is because they have, at least in time terms. | In ultras it's common to get the sense of not making progress, or that the miles have become longer. This is because they have, at least in time terms. | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ||
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|} | |} | ||
=Bloating or gas= | =Bloating or gas= | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ||
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=Diarrhea= | =Diarrhea= | ||
See [[Running and Lower GI Problems]]. | See [[Running and Lower GI Problems]]. | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ||
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=Weak or painful legs= | =Weak or painful legs= | ||
Other pain – ITBS, shin splints, cramps | Other pain – ITBS, shin splints, cramps | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ||
|- | |- | ||
− | | style="background-color: #E7E8D8;" | + | | style="background-color: #E7E8D8;" [[Delayed Onset Muscle Soreness| DOMS]] |
| style="background-color: #E7E8D8;" | | | style="background-color: #E7E8D8;" | | ||
* [[Caffeine]] | * [[Caffeine]] | ||
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* [[Downhill Running]] | * [[Downhill Running]] | ||
|- | |- | ||
− | | style="background-color: #FEFFF2;" | + | | style="background-color: #FEFFF2;" [[Glycogen| Glycogen depletion]] |
− | | style="background-color: #FEFFF2;" | + | | style="background-color: #FEFFF2;" |
* Take something sweet or a [[Comparison of Energy Gels| Gel]] | * Take something sweet or a [[Comparison of Energy Gels| Gel]] | ||
* Increase carbohydrate intake | * Increase carbohydrate intake | ||
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=Cramping= | =Cramping= | ||
See [[Cramps]] | See [[Cramps]] | ||
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ||
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* Relaxed [[Running Form]] | * Relaxed [[Running Form]] | ||
|} | |} | ||
− | = | + | =Chafing= |
− | {| class="wikitable" | + | {| class="wikitable" |
! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ||
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|- | |- | ||
| style="background-color: #E7E8D8;" |Monkey butt<ref>Monkey butt is a euphemism for chafing between buttocks. This condition is more serious than you might expect as it can be surprisingly painful. This is also sometimes called "the ring of fire."</ref>. | | style="background-color: #E7E8D8;" |Monkey butt<ref>Monkey butt is a euphemism for chafing between buttocks. This condition is more serious than you might expect as it can be surprisingly painful. This is also sometimes called "the ring of fire."</ref>. | ||
− | | style="background-color: #E7E8D8;" | + | | style="background-color: #E7E8D8;" |
* Clean the area using moist wipes, making sure it's really clean. Any unwanted residue will act as an abrasive. | * Clean the area using moist wipes, making sure it's really clean. Any unwanted residue will act as an abrasive. | ||
* Diaper (nappy) treatment can help relieve the pain. [http://www.amazon.com/Desitin-Maximum-Strength-Paste-4-Ounce/dp/B003O32P8U Desitin] (or a [http://www.amazon.com/ZINC-OXIDE-OINTMENT-RUG-Size/dp/B000PHZ8W8 generic Zinc Oxide ointment]) is recommended by some runners, but does tend to leave white marks. Smothering the area with Desitin can help if things are bad. | * Diaper (nappy) treatment can help relieve the pain. [http://www.amazon.com/Desitin-Maximum-Strength-Paste-4-Ounce/dp/B003O32P8U Desitin] (or a [http://www.amazon.com/ZINC-OXIDE-OINTMENT-RUG-Size/dp/B000PHZ8W8 generic Zinc Oxide ointment]) is recommended by some runners, but does tend to leave white marks. Smothering the area with Desitin can help if things are bad. | ||
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* Cleanliness is critical. Make sure the areas is thoroughly clean, using wet wipes if you have to go mid-race. | * Cleanliness is critical. Make sure the areas is thoroughly clean, using wet wipes if you have to go mid-race. | ||
* Lubricate before the race, clean and lube after you go and periodically through a longer race. | * Lubricate before the race, clean and lube after you go and periodically through a longer race. | ||
− | * [[A review of graduated compression wear| Compression shorts or tights]] that are too tight around the buttocks can hasten the | + | * [[A review of graduated compression wear| Compression shorts or tights]] that are too tight around the buttocks can hasten the Chafing |
|} | |} | ||
=Fainting= | =Fainting= | ||
Also near fainting (light headed, dizzy) | Also near fainting (light headed, dizzy) | ||
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! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ! style="background-color: #03476F; color:#FEFFF2;" |'''Action''' | ||
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|- | |- | ||
| style="background-color: #DFF1F2;" |Altitude sickness | | style="background-color: #DFF1F2;" |Altitude sickness | ||
− | | style="background-color: #DFF1F2;" | + | | style="background-color: #DFF1F2;" |
* [[Viagra, Exercise and Altitude| Viagra for Altitude]] | * [[Viagra, Exercise and Altitude| Viagra for Altitude]] | ||
* Descend | * Descend | ||
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|} | |} | ||
=Trouble staying warm= | =Trouble staying warm= | ||
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! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Possible Cause''' | ||
! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ! style="background-color: #8A713B; color:#FEFFF2;" |'''Action''' | ||
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|} | |} | ||
=Sore feet= | =Sore feet= | ||
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! style="background-color: #03476F; color:#FEFFF2;" | | ! style="background-color: #03476F; color:#FEFFF2;" | | ||
! style="background-color: #03476F; color:#FEFFF2;" | | ! style="background-color: #03476F; color:#FEFFF2;" | |
Latest revision as of 09:29, 4 November 2015
The table below lists some of the possible problems you may encounter during an ultramarathon, along with possible causes, treatments and preventions. Continuing a race when you have a problem entails some degree of risk, and these problems can impair your judgment, so use caution. This list is not comprehensive, and is expected to change over time. With all these suggestions, never forget The Golden Rule of Racing, "Never do something in a race you have not practiced in training".
Contents
1 Diagnostic Test
Try the Jimbo Test. Picture three things in your mind; a cold drink, a cheeseburger, and a slice of cake.
- If the cold drink appeals, then you're probably thirsty/dehydrated. (Remember, drink to thirst as over-hydration kills.)
- If the cheeseburger appeals, then you're either after fat or salt.
- If the cake appeals, then you'll probably have to some carbohydrate.
You can vary the items to suit your taste. For instance, if a doughnut generally appeals more than cake, then think of a doughnut instead of cake. This test is not foolproof, but it is a good, simple way of evaluating want your body probably wants.
2 Nausea or vomiting
See Nausea.
Possible Cause stripped | Action |
---|---|
Overheating |
Prevention |
Overeating |
Prevention
|
Going too fast |
Prevention
|
Too little fluid intake
Even without dehydration, if you're not drinking enough to maintain urine production then you may become nauseated. This is because the hormone that reduces urine output also causes nausea. |
Prevention |
Excessive fluid intake/too little salt
One of the symptoms of Hyponatremia is nausea. |
Prevention
|
Too much salt
It's unclear how likely this is to happen in practice. |
Prevention
|
style="background-color: #E7E8D8;" NSAIDs |
|
Infection |
Prevention
|
Change in intestinal bacteria (due to traveling) |
Prevention
|
Constipation
It's unusual for constipation to cause nausea, but it can happen. |
|
Tight waist band |
|
3 Fatigue and sleepiness
Possible Cause | Action |
---|---|
Low blood sugar |
Prevention
|
Low blood fat[1] |
Prevention
|
You're running an ultra (what did you expect?) | |
Thinking about the time |
|
4 Depression
Possible Cause | Action |
---|---|
Low blood sugar | style="background-color: #E7E8D8;"
Prevention
|
You're running an ultra (what did you expect?) |
|
5 Headache
Possible Cause | Action |
---|---|
Low blood sugar | style="background-color: #DFF1F2;"
Prevention
|
Tight hat |
Prevention |
Lack of sleep |
|
Caffeine withdrawal |
Prevention |
Overheating |
|
Dehydration (only if accompanied by thirst and dry mouth) |
|
Altitude sickness | style="background-color: #DFF1F2;"
Prevention |
6 Heartburn
Possible Cause | Action |
---|---|
Eating 'wrong' foods |
|
Stress |
Prevention
|
7 Blisters
See Popping Blisters, Taping, and Blister Prevention.
8 Are we there yet?
In ultras it's common to get the sense of not making progress, or that the miles have become longer. This is because they have, at least in time terms.
Possible Cause | Action |
---|---|
It's an ultra |
|
9 Bloating or gas
Possible Cause | Action |
---|---|
Overeating |
Prevention
|
Eating beans or other gassy foods |
Prevention
|
Antibiotics |
Prevention
|
10 Diarrhea
See Running and Lower GI Problems.
Possible Cause | Action |
---|---|
Infection |
Prevention
|
Gastrocolic reflex[11] |
|
Too much Fiber |
Prevention
|
Change in intestinal bacteria (due to traveling) |
Prevention
|
Too much isolated Fructose |
|
Dairy (lactose intolerant) |
|
Ischemic colitis |
|
Antibiotics |
Prevention
|
Magnesium supplements |
Prevention
|
Excessive fluid intake[12] |
|
11 Weak or painful legs
Other pain – ITBS, shin splints, cramps
Possible Cause | Action |
---|---|
style="background-color: #E7E8D8;" DOMS |
Prevention |
style="background-color: #FEFFF2;" Glycogen depletion | style="background-color: #FEFFF2;"
Prevention |
Muscle spasm |
|
Low blood fat[1] |
Prevention
|
12 Cramping
See Cramps
Possible Cause | Action |
---|---|
Sodium Deficiency |
|
Muscle fatigue |
|
13 Chafing
Possible Cause | Action |
---|---|
Skin on skin |
|
Skin on clothing |
|
Monkey butt[13]. | style="background-color: #E7E8D8;"
Prevention
|
14 Fainting
Also near fainting (light headed, dizzy)
Possible Cause | Action |
---|---|
Heart problems |
|
Dehydration (only if accompanied by thirst and dry mouth) |
|
Stopping suddenly[15] |
|
Hypothermia |
|
Altitude sickness | style="background-color: #DFF1F2;"
Prevention |
15 Trouble staying warm
Possible Cause | Action |
---|---|
Exhaustion[16] |
|
Sweating through[17] |
Prevention
|
Sunset[18]. | Prevention
|
Sunburn[19]. |
Prevention
|
16 Sore feet
Continual pounding |
Prevention
|
Muscular fatigue |
Prevention
|
Stone bruises |
|
17 Notes
- ↑ 1.0 1.1 Low fat availability is less well researched than low blood sugar/Glycogen depletion, but there is some anecdotal evidence that ultrarunning can deplete the available fat sources. This is not to say that you run out of body fat, just that you can't mobilize those fat stores quickly enough, combined with depleted intramuscular triglycerides.
- ↑ Some runners recommend napping in a chair, others lying down with your feet elevated. I like the lying down option as it helps my legs recover more. It can be helpful to have something to eat and/or drink before you take a nap
- ↑ I've consistently found that if I'm moving at a good pace, I don't suffer from sleepiness. Picking up the pace might help with sleepiness, though this is often impractical
- ↑ There's a difference between having music playing in the background and actively focusing on music. Focusing on the music can be more effective than just having it in the background.
- ↑ I've found that in most ultras there are various low spots. Often it's enough to just keep moving and wait for it to pass.
- ↑ Sometimes crying can be cathartic and release some of the mental pressure.
- ↑ Other runners can provide moral support and a well needed distraction. I've had some wonderful experiences running with others on races. Pacers can also help, especially as they'll focus on your race. Company can be especially beneficial at specific times on a race. The latter part of a race is an obvious time, but also sunset is another critical time.
- ↑ If you have 20 miles to go, and you're moving at a 15 min/mile pace, think about the 5 hours rather than the distance.
- ↑ If you have 20 miles to go, and you're moving at a 15 min/mile pace rather than your usual 9 min/mile, convert to time (5 hours), then work out how far that would be at your usual pace (about 33 miles). This can be depressing, but it creates a more realistic expectation.
- ↑ 10.0 10.1 10.2 Imodium (Loperamide) is an anti-diarrhea mediation, but it works by slowing the progress of material through the digestive tract. Some runners find this makes the problem worse, acting like a cork.
- ↑ The Gastrocolic reflex is the urge to defecate after eating. This is not normally diarrhea, but the strong urge to defecate
- ↑ Drinking more than your intestines can absorb will produce inevitable diarrhea
- ↑ Monkey butt is a euphemism for chafing between buttocks. This condition is more serious than you might expect as it can be surprisingly painful. This is also sometimes called "the ring of fire."
- ↑ See http://www.aafp.org/afp/1999/1101/p2001.html and http://www.jfponline.com/Pages.asp?AID=5146
- ↑ The calf Muscle helps pump blood, so stopping suddenly can exacerbate low blood pressure.
- ↑ When you're exhausted, it is much harder to stay warm.
- ↑ If you wear too many clothes you will sweat and once your sweat has soaked your clothes you will become chilled.
- ↑ Hypothermia is a particular risk at sunset. In most ultras you've been running all days and you're depleted. When the sun goes down you lose the direct warmth of the sun and the air temperature drops. If you also slow up then you have the perfect storm for hypothermia.
- ↑ Sunburn prevents the capillaries in the skin from contracting to conserve body heat, making the cold worse.
- ↑ Amaya Viros, Berta Sanchez-Laorden, Malin Pedersen, Simon J. Furney, Joel Rae, Kate Hogan, Sarah Ejiama, Maria Romina Girotti, Martin Cook, Nathalie Dhomen, Richard Marais, Ultraviolet radiation accelerates BRAF-driven melanomagenesis by targeting TP53, Nature, volume 511, issue 7510, 2014, pages 478–482, ISSN 0028-0836, doi 10.1038/nature13298
- ↑ Dr. Gabe Mirkin, Sunscreen