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Why is There Blood in My Stool After Working Out?

Published in Gastrointestinal Health 2 mins read

The presence of blood in your stool after working out, especially after endurance events, could indicate ischemic colitis, a condition where the colon doesn't receive enough blood flow.

Here's a breakdown:

  • Ischemic Colitis: Vigorous exercise, particularly endurance activities like running or cycling, can divert blood flow away from the digestive system and towards the muscles. This reduced blood flow (ischemia) can damage the lining of the colon, leading to inflammation and bleeding.

  • Gastrointestinal Distress is Common: It's important to note that gastrointestinal (GI) issues are fairly common after intense exercise. However, blood in the stool is not a typical symptom and requires medical attention.

  • Other Possible Causes (Less Likely Related to Exercise Itself): While ischemic colitis is a significant concern after exercise, other causes of blood in stool exist and shouldn't be ignored. These are less directly related to the workout itself, but could be aggravated by it:

    • Hemorrhoids: Straining during bowel movements (perhaps due to dehydration and constipation sometimes associated with exercise) can irritate existing hemorrhoids or cause new ones.
    • Anal Fissures: Small tears in the anus can also bleed.
    • Inflammatory Bowel Disease (IBD): Conditions like Crohn's disease or ulcerative colitis can cause bloody stools. Exercise itself is unlikely to cause IBD but could potentially exacerbate symptoms in someone who already has the condition.
    • Infections: Certain intestinal infections can lead to bloody diarrhea.
  • When to See a Doctor: Any instance of blood in the stool warrants a visit to a doctor. This is especially important if the bleeding is significant, if you experience other symptoms like abdominal pain, cramping, dizziness, or fatigue, or if you have a history of GI problems.

In summary, while gastrointestinal problems are common after strenuous exercise, blood in your stool after a workout should be promptly evaluated by a physician to rule out potentially serious conditions like ischemic colitis.

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