Richard I. Andron, MD
To the Editors: Schwartz and colleagues (1) documented occult gastrointestinal bleeding in 9 of 41 marathon runners. The source of bleeding was found in 3 of 7 patients who had endoscopy. Although all runners in the study completed a questionnaire, no mention is made of medications used during training and before the race itself.
Distance runners experience many musculoskeletal injuries and frequently use nonsteroidal anti-inflammatory drugs (NSAIDs) in their treatment programs. Because the lesions found by upper endoscopy in the patients described by Schwartz and colleagues (1) are similar to those produced by NSAIDs, it would be helpful to know
Andron RI. Gastrointestinal Bleeding in Runners. Ann Intern Med. ;114:429. doi: 10.7326/0003-4819-114-5-429
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Published: Ann Intern Med. 1991;114(5):429.
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