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The Running Doc on antacids … the elite advantage

The Running Doc on antacids … the elite advantage

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Dear Running Doc:

I get nauseous every time a run. I have tried Maalox before I run and it seems to help. Is this a placebo effect or is there something wrong that I need to address?

Artie G., Bronx, NY.

You are definitely asking the right questions Artie. I hope I can help with the following explanations:

A few years ago at San Diego Rock ‘N’ Roll Marathon expo, I was privileged to be on an expert panel led by Runner’s World columnist John “The Penguin” Bingham, with Frank Shorter (the only American Gold Medalist in the Olympic Men’s Marathon). Usually questions come from the audience. But this time, Frank Shorter had the best question of the day:

“I used to take some antacid before I ran and it made me feel better when I finished. Any reason for this?”

This was such a GREAT question that I thought I would share the answer here since you asked it as well!

One reason that high-performance athletes are so great is that they intuitively know what to do, how to train, and how to make their bodies maximize their ability. They don’t know the science but there is usually science to back them up.

When anyone runs long distance, blood naturally is redirected to the legs. You know this because if you try to feed a runner after a race, what happens? They ruin your shoes! They vomit because blood has been re-directed away from the stomach and normal peristaltic movement forward ceases or slows down. (Note: This is why the first rule of running medicine is always to stand to the side of a runner, never directly in front!)

Shorter used to feel nauseous at the end of runs because, with blood flow directed away from the stomach, the stomach lining had decreased blood flow and could not handle the acid load. Taking an antacid like Rolaids, Tums, Mylanta or Maalox in a tablet or one teaspoon prior to the run helps buffer that acid and make you feel better at the end.

Thanks, Artie. Now everyone can benefit from this tip. And to those who are already doing it like you, kudos …. you are as intuitive as Shorter!

That said, the probability that this is something else is very small. Especially if after running is the ONLY time this happens and is cured by Maalox. Artie, if you feel you need Maalox at any other time, please see a doctor and get checked out so you don’t miss an ulcer, gastritis, etc.

Let me know how you are doing.

Enjoy the ride!

* * *

Lewis G. Maharam, MD, FACSM is one of the world’s most extensively credentialed and well-known sports health experts. Better known as Running Doc™, Maharam is author of Running Doc’s Guide to Healthy Running and past medical director of the NYC Marathon and Rock ‘n’ Roll Marathon series. He is Medical Director of the Leukemia & Lymphoma Society’s Team in Training program. He is also past president of the New York Chapter of the American College of Sports Medicine. Learn more at runningdoc.com.

Want your question answered in this column? Write to running doc at running doc@nydailynews.com or write your questions or comments in the comments section below.

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