Question:

What sort of doctor diagnoses you with something, and then tells you to look it up on the Net? Jeez…

– Hide quoted text — Show quoted text – Hi, everyone! I’m new to reading this group as my doctor just gave me a tentative diagnosis of "runner’s colitis."  He told me to look it up on webmd, but I can’t find anything about a disease under that name on the web anywhere.  A search of this newsgroup yielded nothing under that particular name.  I’m hoping that someone here has heard of it and can give me some information. The way he described it to me is that the runner dehydrates and blood is diverted from the colon to the large muscles of the legs, causing inflammation in the colon.  My symptoms only show up on my long runs of over an hour (1:15-1:35 or so).  It’s variable — I’ve only had it happen 5 times over the last 8 months.  (Yes, and I just went in for it, because I thought it was internal hemorrhoids or something.)  He says that remaining well hydrated is the key to preventing the attacks. This sounds like a form of ischemic colitis, and I can find resources for ischemic colitis on the web, but I’m not sure if that’s what it is.  I also found an interesting article called "Exercise as Disease Detector," which briefly mentions gastro problems, including colitis. http://www.physsportsmed.com/issues/1998/03mar/eichner.htm I have a colonoscopy scheduled for May.  He didn’t seem very concerned, but I’m very nervous.  I have a list of questions for him which is growing by the day, and I’m going to see if I can get an earlier colonoscopy. If you’ve heard of this disease and know something about it, could you please write back?  If not, if you can think of any questions I might want to ask my doctor, please pass those along as well.  Here are the issues I’m planning on discussing with him: *If he does believe it’s caused only by the long runs and can’t become serious, then I’m going to ask what’s the best way to hydrate. *If it can lead to a serious bowel disease, or if it is itself more serious than I’m thinking, then I’m cutting out the long runs, period.  :-(  Better than an IBD, of course. *I obviously want to know if it’s a more serious illness (than he seems to think runner’s colitis is), and how he can tell the difference. *I want to know if I am now predisposed for ulcerative colitis or something else. *I want to know under what conditions I come back for another visit and/or colonoscopy. If you can think of any other issues I should raise, I appreciate your input!! Thanks very much, Maggie

Response:

Thanks, Nancy, for the suggestion.  That’s a great resource. Maggie

Response:

Hi Tom, This was posted to another ng . Seems to be well known by some .

On what news group was this posted? Just an update — I did speak with him today, and he said that runner’s colitis is "ischemic colitis from athletic causes," as in the article I referenced in my initial message.  He’s doing the colonoscopy to distinguish (hopefully) whether I have ulcerative colitis or runner’s colitis.  I worked out with him that I won’t do any long runs for two weeks prior to the exam, and that should give "runner’s colitis" time to heal, if that’s what I have.  Other options:  ulcerative colitis, hemmorhoids (he didn’t mention this before, maybe he didn’t want me to become complacent, or maybe he thought it unlikely). I’m not confident at all!  I think this is going to be a big question mark now, because what if it’s ulcerative colitis being unmasked by my running — will it just get me in the future?  Oh, well, I guess our futures are never certain.  I find this typically MD — he almost seemed to want it to be ulcerative colitis, because that would be easy to diagnose and then he can "treat" it.  :-( Maggie

Response:

Hi, everyone! I’m new to reading this group as my doctor just gave me a tentative diagnosis of "runner’s colitis."  He told me to look it up on webmd, but I can’t find anything about a disease under that name on the web anywhere.  A search of this newsgroup yielded nothing under that particular name.  I’m hoping that someone here has heard of it and can give me some information.

This was posted to another ng . Seems to be well known by some . It seems exercise is well known to ‘thicken’ the blood. Hyperviscosity .. and as I said before I thought this might be related to the lack of circulation through the small microvessels in the gut which would then either cause a lack of blood .. necrosis .. gangrene .. or simply cause the microvessels to .. blow out .. bleed .. The second is a list of diseases treated with ‘aspheresis’ .. or glorified bloodletting .. See if you recognize any of them .. Strenuous exertion causes an increase in plasma volume, without a corresponding increase in red blood cell production–primarily from the blood vessels being more "open."  In addition, prolonged exercise can cause hidden gastrointestinal bleeding (as well as hidden blood loss in other tissues) which can further deplete the blood supply.

   http://www.wws.princeton.edu/cgi-bin/byteserv.prl/~ota/disk3/1983/8318    /831804.PDF.    Apheresis       Table I.-Reported Use of Therapeutic Apheresis    Acute necrotizing hemorrhagic encephalomyelitis    Acute disseminated encephalomyelitis    Acute post-streptococcal glomerulonephritis    Acute rheumatic fever    Addison’s disease    Adenocarcinoma of the colon    Adenocarcinoma of the breast    Allergic granulomatosis and angiitis    Amyloidosis    Amyotrophic lateral sclerosis (ALS)    Ankylosing spondylitis    Aplastic anemia    Atopic dermatitis    Atrophic gastritis type A    Autoimmune infertility & gonadal insufficiency    Autoimmune hemolytic anemia (AIHA)    Autoimmune hypogammaglobulinemia    Autoimmune neutropenia    Behcet’s syndrome    Bone marrow transplant    Bronchial asthma    Bronchogenic carcinoma    Bullous pemphigoid    Cardiac allograft rejection    Chronic membranoproliferative hypocomplementemic    glomerulonephritis    Chronic active hepatitis    Circulating anticoagulant (Anti-Factor Vlll)    Cold agglutinins    Colon carcinoma    Crohn’s disease    Cryogenic fibrosing alveolitis    Cryoglobulinemia    Cutaneous vasculitis    Dermatitis herpetiformis    Dermatomyositis    Discoid lupus erythematosus    Disseminated intravascular coagulation (DIC)    Dressier’s syndrome    Eaton-Lambert syndrome    Endomyocardial fibrosis    Erythema multiform    Fabry’s disease    Felty’s syndrome    Gastric carcinoma    Gaucher’s disease    Giant cell arteritis    Glomerulonephritis in subacute bacterial endocarditis    Goodpasture’s syndrome    Graft versus host disease    Graves’ disease    Graves’ ophthalmopathy    Guillain-Barre syndrome    Acute    Chronic    Relapsing    Hashimoto’s thyroiditis    Hemolytic uremic syndrome    Henoch-Schonlein purpura    Hepatic coma    Herpes gestations    Hodgkins disease    Hypercholesterolemia    Hyperglobulinemic purpura    Hypersensitivity pneumonitis    Hypersensitivity angiitis    Hypertension    Hypertriglyceridemia    Hyperviscosity syndrome    Idiopathic membranous glomerulopathy    Idiopathic thrombocytopenic purpura (ITP)    Idiopathic hypoparathyroidism    Insulin resistant diabetes mellitus due to    anti-receptor antibody    Juvenile onset diabetes mellitus    Lipoid nephrosis    Lymphomas    Malignant melonoma    Mixed connective tissue disease    Multiple sclerosis    Multiple myeloma    Myasthenia gravis    Necrotizing cutaneous angitis    Neuroblastoma    Other neoplasms    Pemphigus vulgaris    Pernicious anemia    Poisoning or overdose (paraquat, mushroom, digitalis)    Polyarteritis nodosa    Polymyositis    Post-transfusion purpura    Primary cardiomyopathy    Primary biliary cirrhosis    Proliferative/membranoproliferative glomerulonephritis    Psoriasis    Pure red cell aplasia    Rapidly progressive glomerulonephritis    Raynaud’s disease    Refsum’s syndrome    Reiter’s disease    Renal allograft rejection    Reye’s syndrome    Rhesus iso-immunization    Rheumatoid arthritis    Sarcoidosis    Scleroderma    Sjogren’s syndrome    Subacute bacterial endocarditis    Systemic lupus erythematosus (SLE)    Takayasu’s arteritis    Thrombotic thrombocytopenic purpura (lTP)    Thyroid storm    Ulcerative colitis    Viral hepatitis    Waldenstrom’s macroglobulinemia    Wegener’s granulomatosis    White cell isoantibodies Who loves ya. Tom — Jesus was a Vegetarian! http://www.nucleus.com/watchman Moses was a Mystic! http://www.nucleus.com/watchman/light.html

Response:

Hi Maggie, You might want to try the CCFA (Crohn’s & Colitis Foundation of America) website’s "Ask the Specialist" feature at….. http://www.ccfa.org/medcentral/specialist.   You can post your questions for the "resident specialist", Dr. May.   Good luck, Nancy; UC ‘86

Response:

If you are bleeding than there is something wrong.  You are right there.  I have never heard or seen this terminology and I have been doing a lot of research on both CD and Colitis and asking my doctors a list of questions when I come in.  They know they can not leave the room until all my questions are answered and I understand.  And they like it, that I am trying to find ways to help myself.   I wish you well and hope you get some answers soon.  Please let me know what happens.  UM MOM Susan

Dear Susan,

– Hide quoted text — Show quoted text – Unfortunately there are doctors out there that have no idea what they are talking about. There are good ones too but when you find a doctor who tells you to look it up instead of taking the time and educating you, that to me is of great concern. I agree, there is definitely a range of doctors.  This guy took a lot of time with me, and explained exactly what was happening, talked to me quite a bit about my running, just used this odd term which nobody seems to have ever heard.  The article which I found describes it exactly as he described it, but referred to it as "ischemic colitis" from "athletic causes," as opposed to clogged arteries, which is the usual cause. He told me to look on WebMD for further information, and said he had access to a private physician’s resource and would give me his password if I couldn’t find information on WebMD.  I took this as him recognizing me as the kind of person who was going to research the topic,  giving me suggestions on how to go about it. I have a call in to his office and he is supposed to call me back tomorrow, so I can ask some questions about this odd term, ask for his resource, and find out if he really wants me to do long runs before I see him (he said he wished I could do a 10-mile run the day of the colonoscopy, but it would be too dangerous). I am wary, though, of a doctor who would use a term that nobody, not even the nurse in his office, had ever heard.  My husband has already said that he wants me to get a second opinion, and I think he’s right.  It’s obvious to me that this is not something you mess around with, and I don’t think there’s any answer he’s going to give me that I’m going to be comfortable with.  (Even "You’re fine, no inflammation in your colon — keep running."  Well, only if I can do it without blood, and if there’s blood, I’m not convinced it’s safe.) Thanks for your message, Maggie

Response:

Dear Susan, Unfortunately there are doctors out there that have no idea what they are talking about. There are good ones too but when you find a doctor who tells you to look it up instead of taking the time and educating you, that to me is of great concern.  

I agree, there is definitely a range of doctors.  This guy took a lot of time with me, and explained exactly what was happening, talked to me quite a bit about my running, just used this odd term which nobody seems to have ever heard.  The article which I found describes it exactly as he described it, but referred to it as "ischemic colitis" from "athletic causes," as opposed to clogged arteries, which is the usual cause. He told me to look on WebMD for further information, and said he had access to a private physician’s resource and would give me his password if I couldn’t find information on WebMD.  I took this as him recognizing me as the kind of person who was going to research the topic,  giving me suggestions on how to go about it. I have a call in to his office and he is supposed to call me back tomorrow, so I can ask some questions about this odd term, ask for his resource, and find out if he really wants me to do long runs before I see him (he said he wished I could do a 10-mile run the day of the colonoscopy, but it would be too dangerous). I am wary, though, of a doctor who would use a term that nobody, not even the nurse in his office, had ever heard.  My husband has already said that he wants me to get a second opinion, and I think he’s right.  It’s obvious to me that this is not something you mess around with, and I don’t think there’s any answer he’s going to give me that I’m going to be comfortable with.  (Even "You’re fine, no inflammation in your colon — keep running."  Well, only if I can do it without blood, and if there’s blood, I’m not convinced it’s safe.) Thanks for your message, Maggie

Response:

just wish i could stay out-a-da-head as long as you run!!!!!!!  

Me too, Jeff, I wish that for you.  I’ll be perfectly honest — colitis and crohns frighten me and I don’t want them.  From the article I referenced, I hope that my exercise isn’t unmasking some sort of IBD. i have a feeling someone is pulling your leg.

The gastroenterologist, really?  That would be pretty unprofessional, to say the least.  Maybe Deb’s right, and it’s "runner’s trots," and "runner’s colitis" is his name for bloody "runner’s trots."  I’m not satisfied with that, because I find it hard to believe that blood in your stool is harmless.  I wonder if the small percentage of runners who have bloody trots don’t actually have something a little more dangerous.  I guess I’ll find out, at least in my case. Maggie

Response:

Unfortunately there are doctors out there that have no idea what they are talking about. There are good ones too but when you find a doctor who tells you to look it up instead of taking the time and educating you, that to me is of great concern.  UM MOM Susan

– Hide quoted text — Show quoted text – just wish i could stay out-a-da-head as long as you run!!!!!!! Me too, Jeff, I wish that for you.  I’ll be perfectly honest — colitis and crohns frighten me and I don’t want them.  From the article I referenced, I hope that my exercise isn’t unmasking some sort of IBD. i have a feeling someone is pulling your leg. The gastroenterologist, really?  That would be pretty unprofessional, to say the least.  Maybe Deb’s right, and it’s "runner’s trots," and "runner’s colitis" is his name for bloody "runner’s trots."  I’m not satisfied with that, because I find it hard to believe that blood in your stool is harmless.  I wonder if the small percentage of runners who have bloody trots don’t actually have something a little more dangerous.  I guess I’ll find out, at least in my case. Maggie

Response:

just wish i could stay out-a-da-head as long as you run!!!!!!!  i have a feeling someone is pulling your leg. jeff

– Hide quoted text — Show quoted text – Hi, everyone! I’m new to reading this group as my doctor just gave me a tentative diagnosis of "runner’s colitis."  He told me to look it up on webmd, but I can’t find anything about a disease under that name on the web anywhere.  A search of this newsgroup yielded nothing under that particular name.  I’m hoping that someone here has heard of it and can give me some information. The way he described it to me is that the runner dehydrates and blood is diverted from the colon to the large muscles of the legs, causing inflammation in the colon.  My symptoms only show up on my long runs of over an hour (1:15-1:35 or so).  It’s variable — I’ve only had it happen 5 times over the last 8 months.  (Yes, and I just went in for it, because I thought it was internal hemorrhoids or something.)  He says that remaining well hydrated is the key to preventing the attacks. This sounds like a form of ischemic colitis, and I can find resources for ischemic colitis on the web, but I’m not sure if that’s what it is.  I also found an interesting article called "Exercise as Disease Detector," which briefly mentions gastro problems, including colitis. http://www.physsportsmed.com/issues/1998/03mar/eichner.htm I have a colonoscopy scheduled for May.  He didn’t seem very concerned, but I’m very nervous.  I have a list of questions for him which is growing by the day, and I’m going to see if I can get an earlier colonoscopy. If you’ve heard of this disease and know something about it, could you please write back?  If not, if you can think of any questions I might want to ask my doctor, please pass those along as well.  Here are the issues I’m planning on discussing with him: *If he does believe it’s caused only by the long runs and can’t become serious, then I’m going to ask what’s the best way to hydrate. *If it can lead to a serious bowel disease, or if it is itself more serious than I’m thinking, then I’m cutting out the long runs, period.  :-(  Better than an IBD, of course. *I obviously want to know if it’s a more serious illness (than he seems to think runner’s colitis is), and how he can tell the difference. *I want to know if I am now predisposed for ulcerative colitis or something else. *I want to know under what conditions I come back for another visit and/or colonoscopy. If you can think of any other issues I should raise, I appreciate your input!! Thanks very much, Maggie

Response:

try searching google for runner’s trots.  That’s when  you get an attack of diarrhea after running heavily. Deb Librarians have the power to hide your dissertation behind a pile of old Field and Stream magazines. (to email me, remove the "nospam" from my address)

Response:

Well with running you are gonna be causing a lot of oxidative stress and with Free radicals playing a part in this disease it’s not hard to see how it would effect you negatively….. Most runners know the importance of keeping oneself from being dehydrated….A dehydrated runner will never be at there best.What most runners fail to recognise is the role Oxidative stress plays on ones well being… L. Lih-Brody, et al. Increased oxidative stress in decreased antioxidant defenses in mucosa of inflammatory bowel disease. Digestive Diseases and Science 41, no. 10 (October 1996); 2078-2086. I. Beno, et al. Ulcerative colitis: Activity of antioxidant enzymes of the colonic mucosa. Presse Med 26, no. 31 (October 18, 1997): 1474-1477. S. J. McKenzie, et al. Evidence of oxidant-induced injury to epithelial cells during inflammatory bowel disease. Journal of Clinical Investigation 98, no. 1 July 1, 1996): 136-141. Ken.W  6 Years Med Free Proud Member of the USANA Family

– Hide quoted text — Show quoted text – Hi, everyone! I’m new to reading this group as my doctor just gave me a tentative diagnosis of "runner’s colitis."  He told me to look it up on webmd, but I can’t find anything about a disease under that name on the web anywhere.  A search of this newsgroup yielded nothing under that particular name.  I’m hoping that someone here has heard of it and can give me some information. The way he described it to me is that the runner dehydrates and blood is diverted from the colon to the large muscles of the legs, causing inflammation in the colon.  My symptoms only show up on my long runs of over an hour (1:15-1:35 or so).  It’s variable — I’ve only had it happen 5 times over the last 8 months.  (Yes, and I just went in for it, because I thought it was internal hemorrhoids or something.)  He says that remaining well hydrated is the key to preventing the attacks. This sounds like a form of ischemic colitis, and I can find resources for ischemic colitis on the web, but I’m not sure if that’s what it is.  I also found an interesting article called "Exercise as Disease Detector," which briefly mentions gastro problems, including colitis. http://www.physsportsmed.com/issues/1998/03mar/eichner.htm I have a colonoscopy scheduled for May.  He didn’t seem very concerned, but I’m very nervous.  I have a list of questions for him which is growing by the day, and I’m going to see if I can get an earlier colonoscopy. If you’ve heard of this disease and know something about it, could you please write back?  If not, if you can think of any questions I might want to ask my doctor, please pass those along as well.  Here are the issues I’m planning on discussing with him: *If he does believe it’s caused only by the long runs and can’t become serious, then I’m going to ask what’s the best way to hydrate. *If it can lead to a serious bowel disease, or if it is itself more serious than I’m thinking, then I’m cutting out the long runs, period.  :-(  Better than an IBD, of course. *I obviously want to know if it’s a more serious illness (than he seems to think runner’s colitis is), and how he can tell the difference. *I want to know if I am now predisposed for ulcerative colitis or something else. *I want to know under what conditions I come back for another visit and/or colonoscopy. If you can think of any other issues I should raise, I appreciate your input!! Thanks very much, Maggie

Response:

I developed "runner’s Cd" because that’s all I did was "run" to the bathroom!!  Sorry, I have no info on this. Susan

Response:

Hi, everyone! I’m new to reading this group as my doctor just gave me a tentative diagnosis of "runner’s colitis."  He told me to look it up on webmd, but I can’t find anything about a disease under that name on the web anywhere.  A search of this newsgroup yielded nothing under that particular name.  I’m hoping that someone here has heard of it and can give me some information. The way he described it to me is that the runner dehydrates and blood is diverted from the colon to the large muscles of the legs, causing inflammation in the colon.  My symptoms only show up on my long runs of over an hour (1:15-1:35 or so).  It’s variable — I’ve only had it happen 5 times over the last 8 months.  (Yes, and I just went in for it, because I thought it was internal hemorrhoids or something.)  He says that remaining well hydrated is the key to preventing the attacks. This sounds like a form of ischemic colitis, and I can find resources for ischemic colitis on the web, but I’m not sure if that’s what it is.  I also found an interesting article called "Exercise as Disease Detector," which briefly mentions gastro problems, including colitis. http://www.physsportsmed.com/issues/1998/03mar/eichner.htm I have a colonoscopy scheduled for May.  He didn’t seem very concerned, but I’m very nervous.  I have a list of questions for him which is growing by the day, and I’m going to see if I can get an earlier colonoscopy. If you’ve heard of this disease and know something about it, could you please write back?  If not, if you can think of any questions I might want to ask my doctor, please pass those along as well.  Here are the issues I’m planning on discussing with him: *If he does believe it’s caused only by the long runs and can’t become serious, then I’m going to ask what’s the best way to hydrate. *If it can lead to a serious bowel disease, or if it is itself more serious than I’m thinking, then I’m cutting out the long runs, period.  :-(  Better than an IBD, of course. *I obviously want to know if it’s a more serious illness (than he seems to think runner’s colitis is), and how he can tell the difference. *I want to know if I am now predisposed for ulcerative colitis or something else. *I want to know under what conditions I come back for another visit and/or colonoscopy. If you can think of any other issues I should raise, I appreciate your input!! Thanks very much, Maggie

Response:

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