Q+A: Why this post-race toilet problem?

Our experts answer real-life questions


Posted: 15 August 2004
by Alison McConnell

Q Please help. After every race I complete, I experience an excruciating urge to go to the toilet – and I don’t mean a quick pee! This really does ruin my enjoyment of most events. What’s my problem?

A You are experiencing what is commonly (and rather unceremoniously) known as ‘runner’s trots’. This is very common – somewhere between 20 per cent and 40 per cent of runners experience the condition during or after running. Count yourself among the lucky ones, though – you don’t experience severe symptoms until after the race!

Although the precise cause is unknown, current thinking favours a mechanism linked to the mechanical ‘insult’ of running, rather than the exercise itself. The bouncing up and down, combined with increased levels of some of the hormones that stimulate bowel mobility, are thought to produce the symptoms. This is supported by the observation that the ‘trots’ are much less common in cyclists or swimmers.

The fact that not all runners experience the symptoms suggests that some people are more susceptible than others, and one factor that has been suggested to contribute to susceptibility is food intolerance. For example, some runners have systematically excluded certain foods from their diets and found that their symptoms disappear completely. A frequent ‘culprit’ is dairy produce, which can be excluded from the diet for as little as 24 hours before racing.

When doing this, though, it’s important to remember that food groups can include unexpected products. For instance, dairy products include not only milk and cheese, but also chocolate – a favourite source of convenient pre-race energy.

What can be done? The symptoms are more common in runners who become dehydrated during competition, so maintaining your fluid intake during exercise is essential. You could also try cutting out dairy produce for 24-48 hours before a long run. Finally, if you can’t find any dietary resolution, using an anti-diarrhoea treatment before exercise is a safe strategy that works for most people.

Alison McConnell, exercise scientist and sports physiologist


Previous article
Promotion: Win a place at Red Bull Steeplechase 2013
Next article
Race Pace

toilet
TwitterStumbleUponFacebookDiggRedditGoogle


Discuss this article

I TOO HAVE THE COMMON PROBLEM OF RUNNERS TROTS!BUT MINE ISNT AT THE END OF A RACE BUT AT THE START OF EVERY RUN I DO!!-EVEN IF I THINK MY BOWELS HAVE MOVED B4 I GO OUT YOU CAN GUARANTEE I WILL HAVE THE URGE TO GO WITHIN THE FIRST 10MINS OF MY RUN AND IT IS SO ANNOYING AND INCONVENIENT AS THERE ARENT MANY BUSHES TO HIDE BEHIND WHEN YOU CHOOSE A ROAD RUN!!
I DO NOT EAT WHEAT AS I FOUND IT MADE ME BLOATED AND GAVE ME DIARRHOEA AND I DONT EAT LARGE AMOUNTS OF DAIRY PRODUCE EITHER!! ANYONE ELSE GOT THIS BOTHER AS IT RUINS MY RUNNING!!!
Posted: 08/09/2004 at 09:32

The motion of running ( no pun intended) can spark off the need to go to the toilet.

Try to suss out some routes with a toilet of two in the way? Also consider diet, and when you run during the day?

Before a half or full marathon I take immodium.


Nice use of the caps lock, by the way!
Posted: 08/09/2004 at 09:36

Quite a common problem I'm afraid. If you're planning for a race then try to do a little jog first to hopefully get things moving before the race. Otherwise carry loo roll and plan your routes carefully.

I find the problem worse first thing in the morning and find that not having any breakfast first helps.
Posted: 08/09/2004 at 10:14

I do not run in the morning anymore as I suffered from this problem. I also try to drink as much water as possible throughout the day to encourage movement downstairs so that my bowels are empty before I go for my run.
Posted: 08/09/2004 at 12:39

i am so glad it's not just me, although i wouldn't wish this problem on anyone! i get it so often when i go out jogging. i tend to go jogging first thing in the morning before breakfast and it's become a real problem. it's fine when i run in the park as i have certain spots i can go to or there's toilets, but when i run round my neighbourhood it's a huge problem.

sometimes it feels like my body has got in the habit of wanting to go just when i'm too far from home! luckily it's not happened to me during a race so far.

any more tips will be greatly appreciated!
Posted: 14/10/2004 at 23:32

If you look on your left hand side of the screen, you will find a section called Best of the forums. Click on Best of Injury & Health.
On that page if you scroll down, you will find 4 threads about Runner's Trots.
They should give you a bit more information and knowledge that you are not the only ones out there.
Posted: 15/10/2004 at 00:23

1. If you always need to go 10 minutes into a run then go for a 10 minute warmup 15 minutes before you plan to start your real run.

2. Run Every day at the same time and see if you can't adjust your pre-run eating patterns so that you empty your bowels before you go for your run.

3. I used to find that on very long runs my bowels would tend to relax at the point when I was really tired. This occasionally happened in marathons. I'm not sure that there is much you can do about this and I personally wouldn't mess about with immodium as I'm not sure what the side effects might be.

BO

Posted: 15/10/2004 at 11:46

I agree with Burnt Out! Taking Immodium is not something I would recommend for runner's trots. It can make you feel tired, nauseous and dizzy, which it certainly did with me.

I don't suffer with the trots, as such, as I am constantly flying to the loo before a run. My problem is that I am an IBS sufferer, and sometimes after a long run (perhaps when the body is stressed), within a few minutes of finishing a run, I end up going through hell, until the episode passes. I've tried every possible course of action, ie, avoiding wheat and dairy, being fully hydrated, taking Kaolin and morphine, then Immodium. Just think that it's something I've to live with. Glad it doesn't happen with every run, or I'd hang up my trainers for good!
Posted: 23/10/2005 at 21:27

I go through this too but now going through the opposite - can't go at all even after over 9 miles today, gallons of fresh orange/grapefruit and water, and it's been nearly 2 weeks

Suggestions??
Posted: 23/10/2005 at 21:30

Only just started getting a problem recently now I've started running in the morning again. I'd suggest having a large lunch and smaller dinner to allow the system to 'clear out'. Of course that isn't what I did yesterday, and consequently suffered on this morning's plod.
Also, if you're regular, it's worth 'training' yourself to go before you run (6am seems to work for me).

HB - see a doc?
Posted: 24/10/2005 at 09:21

Try a glass or two of warm water about hour or so before you run or leave house for race, it should help things along.
Posted: 24/10/2005 at 09:30

Tequilla - I heard that one. Can also be done with a wee squeeze of lemon juice in it.
Posted: 24/10/2005 at 09:36

Luan - you are not alone by a long chalk. If you look at the "who has pooed outside" thread you will see that over 70 runners from this forum have the urge and have pooed outside. I will enter your name on the list if you don't mind:O)
Posted: 24/10/2005 at 09:39

2T - yes you're right, lemon does add a bit of flavour! I always forget to buy the lemon though!I have problem in that i can't even do a wee outside never mind anything else - i get this mental block no matter how much i need to go!
Posted: 24/10/2005 at 11:38

I have this problem whenever I run. Our town has no public loos so I spend most of my time looking for a suitable spot! I carry a bumbag with toilet paper. Even if I have been before a run, it doesn't stop it. Wish it could, but it's very rare that I go for a full run without the problem. Funnily enough, it doesn't seem to happen during a race; now that is strange!
Posted: 25/02/2007 at 11:34

hi
Just to add i had this problem when i first started running, i did look on this site at someone has mentioned for tips!

I have to say fibre was my problem,, too much! running seemed to "fasten" my system out and was awfull. So no more brown bread for me, I have started to eat bagals, white again.

Its definatly down to diet and what triggers you have, if it happens now i can pinpoint what i had eaten to cause me to need the loo!

I get nervous for races so on the toilet all the time!
good luck with stopping the trotts becouse one you have control you can run for miles!
liz
Posted: 25/02/2007 at 15:57

I had terrible problems with my tummy when running to the point of wanting to drop out in races, having to stop for pit stops when doing long training runs and spending hours in the bathroom when I got home, wondering whether it was really worth it.
I was also passimg small amounts of blood (too much info sorry!)but after researching found that this is not uncommon amoung female runners who run over a certain distance, which my Dr agreed with.
Now if out for a long run I always take a pack of kleeneze, dont eat anyting before hand except a mars bar and just apologise loads to other members of my group, when on long runs, for holding them up and having to know the ins and outs of my bowel habits.
Posted: 25/02/2007 at 17:58

There is hope....

My difficulties were as good as resolved three months ago after two years' of problems.

I finally decided to take the logical approach and deliberately took certain steps each week for 48 hrs before my long run:-
Week 1 - Cut out dairy products - didn't help!
Week 2 - Took on board extra water - didn't help!
Week 3 - Cut out high-fibre... and BINGO!!
Week 4 - Put dairy back in - STILL BINGO!!
Week 5 - Reduced excessive water intake - STILL BINGO!!

It appears that I'd been eating 'too healthily' if that's possible. I'd been stacking my plate with piles of vegetables and eating wholemeal bread. Since cutting these out for two days before a long run, my problem now occurs 5% of the time as opposed to 95%. I still eat 'healthily' the rest of the week without problems.

The point I'm trying to make is that there is almost certainly a solution out there for everyone - it just boils down to experimenting properly to find your own answer. I just wish I'd taken the time to do this two years ago - running is now so much more fun!



Posted: 27/02/2007 at 11:57

Thanks Troyus Maximus. Tried most of those things and decided I'd just have to put up with it. This morning I thought I'd emptied myself (sorry about the details!) but still found the last mile very tricky! Made it, but it was very uncomfortable, which is par for the course, so to speak. I'd be happy for more advice if anyone has any.
Posted: 28/02/2007 at 19:46

Good to hear i am not the only sufferer out there!! i have just started running and have encountered this problem with every long run i have done so far. Cutting out dairy products for 2 days before and the immodium work for me but still sometimes have to find the public loos on my route!!
Posted: 28/03/2007 at 13:27

Hoosey, I didn't know your poo thread was still going, I thought the killjoys took it off! The bit about the Abba poo songs was hilarious!

Luan, I trained my bowels to go at the same time, same as Burnt Out did, that really helped. Apart from that, the only thing you can do is the same as I have to do on a long run - plan your route around secluded bushes and take a handy pack of antibacterial wipes. Sorry, but it's that simple, not exactly nice, but welcome to the world of running. A good trade off for dropping two sizes in clothes methinks!

My hubby, a non-runner thinks it's all rather disgusting, but who cares?!
Posted: 28/03/2007 at 17:08


Sky
Hi,
I'm new to this site and wanted to solve my problem. I have read all the messages on this site concerning this problem and have to say that I'm so jolly glad I'm not alone with my problem - though I obviously wouldn't wish it on my worst enemie! Or maybe I would!!!

I ran yesterday (4 miles) and cut out any dairy from my diet at least 5 hours before my run. I normally eat a salad and have soft cheese with this at lunch. I had ham instead. I still ate an apple though at morning break, (11ish) and I was fine. I wonder if it may be phsycological as some problems are and will keep everyone updated if the issue persists.
I have today been to town and looked at artichoke tablets and the price of them is huge, £9.99 a month. I am not a rich bird!!! I will though be buying them if all else fails . . . . I'll save that much in blushes and loo paper!

I am running in the 'Race for life' in a months time and have to solve the issue before them as there will obviously be limited toilet facilities and the embarrasement of it all on the day. . . After al who wants a 'GO FASTER' stripe on the back of their shorts in a nice / or not so shade!

Thanks everyone for your tips and I'm so glad I was passed a link to this site by a stranger - Thanks stranger.

Posted: 15/05/2007 at 18:24

In my experience, it's ALL about what you eat and drink.

If I eat the right foods, but eat loads of it, I'll still need to stop when I'm out running.

You just have to find a pattern that works for you.
Posted: 16/05/2007 at 18:29

I reckon the wholemeal bread has a lot to answer for, including giving a pb as you race home to get to the toilet!

I never had the problem until I started eating wholemeal bread, so its back to half and half and see what happens.
Posted: 18/06/2007 at 22:29

totaly agree i now eat white bread!
Posted: 19/06/2007 at 12:17

I am so glad there are so many fellow sufferers! Although the dr has told me its a common problem with runners I had never "met" anyone else before. I too go out with loads of loo roll & hope to find a convenient bush when needed! I run first thing in the morning & have trained myself to go before I also take the superdrug equivalent of Immodium but even so soemtimes it works sometimes it doesn't. I am doing the GNR in Sept & am hoping I don't need to go during it!

Gill

Posted: 12/07/2007 at 18:25

Really annoying problem that always gets you at the most incovenient times. I've noticed on some other threads that the wearing of two pairs of shorts, 1 lycra and normal shorts over the top seems to be bit frowned upon. I've always worn two pairs and frankly there have been a couple of times whilst running that I have been grateful that I do!
Thankfully it doesn't happen all the time.
Posted: 15/07/2007 at 10:47

I had to take 3 bush stops on my long run yesterday, luckily I had my trusty anti-bacterial wipes with me!

Right pain it is, but I look on the bright side and see what a flat stomach I have afterwards!

Sorry if I'm getting a bit too near the knuckle.....
Posted: 15/07/2007 at 13:47

Not at all - there's no pleasant way of putting it.




Or pleasant place to put it, usually!
Posted: 15/07/2007 at 14:16

LOL!
Posted: 15/07/2007 at 14:17

Hi guys, what a subject, glad I'm not the only one too!!! It only happens to me on my long Sunday runs, so I had equated it with the energy drink I take with me. I have read a theory that the salts and carbohydrate in it are processed by your body as "food", effectively you are giving your body a mini detox with the combination of that and the running motion...there is a yoga cleansing ritual which works on similar principles - you drink a solution with a measured amount of sugar and salts, then perform a series of postures.

Anyways, a strange phenomenon. There have been a couple of times when I have ONLY JUST made it home....and 2 weeks ago I had to scoot into a field, being 5 1/2 miles from home and every step being agony. It has never happened before, during or after a race though. Bizarre
Posted: 30/07/2007 at 11:32

I've come across something that helps over the past couple of weeks.

I got fed up of being bit by nats on my long runs, so decided to eat hot hot hot curries a few days before so the pungent garlic fumes when sweating would see off the little gits.

Well, not only did that work, it also kept me more than regular a few days before. Providing I did a loo stop before I set off, I was ok on a long run, guess it was because there wasn't an awful lot left.

If you like hot food, try it!
Posted: 30/07/2007 at 11:45

yeah - this only happened to me once, but it was 10k into the bloody Barcelona Marathon! Had to hobble off and find a garage that had a public toilet. Very amusing for the guys I was running with who left me behind....
Posted: 30/07/2007 at 12:13

hi i found  i had this problem too  . fiber was an issue but looking deeper into it i had other food intolerences.. wheat, dairy,.. the list goes on .. upon looking into it i found out i had  candida a yeast overgrowth.  so anything with any type of sugar in it would upset my guts ..  now i know what i can and cant eat  i can eat anything thats left including fibre ..  fibre just exaggerated an underlying problem . all the intolerences were caused by candida ,each item on its own caused bowel sensitivity so fibre just makes it worse .  its worth while speaking to a doctor .. although alot dont even recognise candida as its different in everyone . there are a few sites that help just google candida ,

think about it most of you will eat alot more sugary or sweeter stuff wheather it is sugar or high carbs    which get turned to sugar !!   even fruit !

the worst things are these bars and gels which everyone buys...  for anyone with a simalar conditionits like having a pound of laxativs !!  

 hope this helps some of you !  andy
Posted: 02/02/2008 at 22:52

Hi all, I've recently developed this problem, and it's suddenly happening on 3 out of 4 runs a week so I've totally lost my confidence in going out, so I've rested all week and feel really down!

I have been reading all sorts on 'Runners Trots' and IBS. The IBS sites seems to sway towards soluble fibre - white bread and it seems a pretty unhealthy option, other sites I have come across have confirmed that soluble fibre is far from great but it can help IBS sufferers, I don't think I have IBS as this only happens when I run.

I have been running a good few years and have not changed my diet that much, I have milk, lots of fruit, veg and brown bread and pasta etc. I wonder whether it's stress related. Anyway, reading through this thread has been great and I will try eliminating dairy first then I'll swop bread for potatoes and try and reduce my insoluble veg and see what happens.

Any advice welcome thanks
Posted: 08/02/2008 at 23:19

This article on fibre is a bit heavy but there are a few interesting sections, scroll down to the fibre section if you fancy a read. I'm afraid I can't link off this lap top but you can copy and paste (If you have a spare half hour to read it!!) I'd be interested to hear anyones thoughts!

http://www.fibermenace.com/dis/chinashop.html


Posted: 08/02/2008 at 23:29

try  making a food diary .. then it will give you an idea if its an individual food (like wheat) or try a day with your souluble fibre diet  see if you can work it out that way .. i found this to be the best way to find out what was causing my problems .   if you eat bread and pasta on a regular basis it could be wheat .  mine started all of a sudden . 
Posted: 10/02/2008 at 18:42

We'd love you to add a comment! Please login or take half a minute to register as a free member

Smart Coach
Free, fully-personalized training plans, designed to suit your racing goals and your lifestyle.