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Fixing problems in Ultramarathons

314 bytes added, 19:02, 15 December 2013
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| rowspan="910"| [[Nausea]]/Vomiting/Stomach ache
| Overeating
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* Reduce calorie intake
* Ginger or mints may help
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* Eat what appeals
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| Going too fast
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* Slow up, possibly dramatically until things improve
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* Better pacing
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| Too little fluid intake<ref>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.</ref>|* Rehydrate|* Drink more|-| Excessive fluid intake/too little salt<ref>One of the symptoms of [[Hyponatremia]] is nausea. </ref>|
* Reduce fluid intake
* Increase salt intake|
* Drink to thirst
* Take enough salt to maintain thirst
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| Too much salt
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* Restrict salt intake
* Be careful with [[Electrolyte Capsules]] to balance them against fluid intake.
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* Balance salt intake with fluid intake
* Avoid [[Electrolyte Capsules]]
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| [[NSAIDs and Running| NSAIDs]]
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* Avoid NSAIDs
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* Avoid NSAIDs
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| Infection
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* Sorry, better luck next time
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* Careful hygiene, including keeping all your drinking containers sterile
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| Change in intestinal bacteria (due to traveling)
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* Sorry, better luck next time
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* Travel earlier
* Avoid non-bottled water.
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| Constipation<ref>It's unusual for constipation to cause nausea, but it can happen</ref>
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* Higher [[Fiber]] intake
* Stay hydrated
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* Higher [[Fiber]] intake
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| Tight waist band
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* Loosen anything around your waist or pressing on your abdomen
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* Avoid whatever caused the pressure
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| rowspan="3"| Fatigue/sleepiness
| Low blood sugar
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* Take something sweet or a Gel
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* Take carbs earlier
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| You're running an ultra (what did you expect?)
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* [[Caffeine]]
* Short nap (5-15 min)<ref>Some runners recommend napping in a chair, others lying down with your feet elevated.</ref>.
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| Thinking about the time
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* Ignore the time of day and focus on the hours
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| rowspan="2"| Depression
| Low blood sugar
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* Take something sweet or a [[Comparison of Energy Gels| Gel]]
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* Take carbs earlier
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| You're running an ultra (what did you expect?)
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* Music
* Positive thinking
| rowspan="7"| Headache
| Low blood sugar
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* Take something sweet or a [[Comparison of Energy Gels| Gel]]
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* Take carbs earlier
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| Tight hat
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* Loosen hat
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* [[The Golden Rule of Racing]]
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| Lack of sleep
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* Short nap
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| [[Caffeine]] withdrawal
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* Take [[Caffeine]]
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* Monitor [[Caffeine]] intake
* Consider abstaining from [[Caffeine]] for 1-2 weeks before the race
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| Overheating
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* Slow down or stop
* Remove excess clothing
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* See [[Running in the Heat]]
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| Dehydration
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* Drink more
* Keep salt intake high
* Slow down or stop
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* See [[Practical Hydration]]
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| Altitude sickness
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* [[Viagra, Exercise and Altitude| Viagra for Altitude]]
* Descend
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* [[Altitude Training| Altitude training]]
* [[Viagra, Exercise and Altitude| Viagra for Altitude]]
| rowspan="2"| Heartburn
| Eating 'wrong' foods
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* Antacid tablets
* Eat what appeals
* Avoid what triggered the heartburn
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* Avoid what triggered the heartburn
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| Stress
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* Try to relax
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* Visualization
* Preperation
| Blisters
| See [[Blister Prevention]]
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* [[Taping]]
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* See [[Blister Prevention]]
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| rowspan="3"| Bloating or gas
| Overeating
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* Reduce calorie intake
* Gas-x
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* Eat when hungry
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| Eating beans or other gassy foods
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* Gas-x
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* Change diet before and during the race
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| Antibiotics
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* Gas-x
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* Take yoghurt to help compensate
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| rowspan="7"| [[Running and Lower GI Problems| Diarrhea]]
| Infection
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* Consider Imodium<ref name="Imodium"/>
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* Careful hygiene
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| [http://en.wikipedia.org/wiki/Gastrocolic_reflex Gastrocolic reflex]<ref>Not normally diarrhea, but the strong urge to defecate</ref>
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* Some foods are a stronger stimulus of this reflex, so avoid those foods
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* Avoid triggering foods
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| Too much [[Fiber]]
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* Consider Imodium<ref name="Imodium"/>
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* Carefully reduce [[Fiber]] intake before the race
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| Change in intestinal bacteria (due to traveling)
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* Consider Imodium<ref name="Imodium"/>
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* Travel earlier
* Avoid non-bottled water.
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| Too much isolated [[Fructose]]
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* Stop [[Fructose]] intake
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* Avoid foods high in [[Fructose]]
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| Dairy (lactose intolerant)
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* Stop dairy intake (read the ingredients)
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* Avoid dairy
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| [http://en.wikipedia.org/wiki/Ischemic_colitis Ischemic colitis]
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* Stay hydrated
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* Stay hydrated
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| Antibiotics
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* Sorry, better luck next time
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| rowspan="2"| Weak legs
| [[Delayed Onset Muscle Soreness| DOMS]]
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* [[Caffeine]]
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* [[Downhill Running]]
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| [[Glycogen| Glycogen depletion]]
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* Take something sweet or a [[Comparison of Energy Gels| Gel]]
* Increase carbohydrate intake
* [[Caffeine]] to increase carbohydrate absorption
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* [[Carbohydrate Loading]]
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| rowspan="2"| [[Cramps| Cramping]]
| [[Sodium Deficiency]]
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* Add salt to your drink
* Eat something salty
* Drink pickle juice
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* [[Fellrnr%27s Go Juice| Fellrnr's Go Juice]]
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| [[Muscle]] fatigue
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* [[Stretching]]
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* [[Stretching]]
* Relaxed [[Running Form]]
| rowspan="3"| Chaffing
| Skin on skin
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* Wear something form fitting so the clothing rubs, not the skin
* Tape both surfaces so the tape is rubbing, not the skin
* Lubricants may help if used early enough, but often make things worse
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* Wear clothing that prevents the chaffing
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| Skin on clothing
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* Wear something form fitting so the clothing rubs, not the skin
* Tape the skin
* Lubricants rarely work
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* Wear clothing that prevents the chaffing
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| Monkey butt
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* 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.
* Lubricant can help if used early enough, but if the skin is damaged and rough it doesn't help as much. One of the best lubricants for this area is [http://www.amazon.com/2toms-Blister-Shield-SportShield-Roll-On/dp/B00905EBQU 2Toms Sport Shield]. You either need a roll-on dedicated to this area, or preferably use the [http://www.amazon.com/Sport-Shield/dp/B004453IH4 Sport Shield Wipes].
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* 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.
| rowspan="5"| Fainting, or near fainting (light headed, dizzy)
| Heart problems
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* Fainting or near fainting can be a warning sign of a serious health problem and it may be the only symptom that precedes a sudden cardiac death<ref>See [http://www.aafp.org/afp/1999/1101/p2001.html http://www.aafp.org/afp/1999/1101/p2001.html] and http://www.jfponline.com/Pages.asp?AID=5146</ref>.
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| Dehydration
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* Drink more
* Keep salt intake high
* Slow down or stop
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* See [[Practical Hydration]]
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| Stopping suddenly<ref>The calf [[Muscle]] helps pump blood, so stopping suddenly can exacerbate low blood pressure. </ref>
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* Slow up before coming to a stop
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| Hypothermia
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* See [[Hypothermia]].
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| Altitude sickness
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* [[Viagra, Exercise and Altitude| Viagra for Altitude]]
* Descend
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* [[Altitude Training| Altitude training]]
* [[Viagra, Exercise and Altitude| Viagra for Altitude]]
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=Notes=
<references>
<ref name="Imodium"> Imodium ([http://en.wikipedia.org/wiki/Loperamide 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.</ref>
</references>

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