New here - info on sodium intake & running?

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cdneh?
New Member


Date Joined Sep 2007
Total Posts : 2
   Posted 9/11/2007 2:26 PM (GMT -6)   
  Hi all.  I'm 47 yrs old and have had an ileostomy (due to UC) since 15th birthday.  I have always managed very well with it and it hasn't stopped me from doing anything I want to do - everything from sky diving to scuba diving  :-)    I've started running within the past 9 months or so - to lose weight and get in shape.  I ran a 1/2 marathon in March and am training for another one in Oct.  I know we ileostomates have to keep a good eye on hydration and sodium....and this leads me to my question....my fingers swell considerably during long runs (look like little sausages!) and from all the reading I've been doing it says that this can be caused by either de-hydration or over-hydration.  GREAT!  so which one is it?  I've been wondering if I should be taking salt tabs prior to long runs, or is Accelerade/gatorade type drink sufficient?  Should I alternate w/water as is suggested for "normal" runners?  ARGH!  so many questions and I can't seem to find any answers!  If anyone has any knowledge on this subject, or ideas where I can get info please let me know!
 
thanks so much!!!!

Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 9/17/2007 3:58 PM (GMT -6)   
Hi Cdneh,

I bike and run daily. I can relate to your question. I always swell when I exercise; I cannot wear my wedding rings and I have to loosen my watch before a race. Normally the swelling is your body's defensive way of trying to store the water you are sweating out. No matter if you are dehydrated or overly-hydrated your cells do not want to give up their water and your forcing them to sweat more than they are used to. This is the way blood cells react to long workouts. If your dehydrated, your mouth will be very thirsty and dry, you will have edema for days after your race and you will urinate a lot less. As long as I feel normal, I do not worry about the swelling. Once I drink water and replenish my cells, my body comes back to normal. This can take a couple hours or days depending on the length of the race. I am impressed that you can run so long with your bag. I have only had my ostomy for 4 weeks and I am nervous about it filling while I workout. I teach fitness classes and I keep thinking I am going to grow a "male body part" while I am teaching my classes. Seeing how I am a female, this would not look good for me. Fortuantely, I teach early in the morning before I eat breakfast so for the most part, I will stay empty.

Best Regards,
Amey

cdneh?
New Member


Date Joined Sep 2007
Total Posts : 2
   Posted 9/18/2007 2:14 PM (GMT -6)   
Thanks for the reply Amey.  Do you have an ileostomy or colostomy?  I'm usually exercising fairly early in the AM as well, and just have something light to eat prior - so my appliance filling isn't usually a problem.  During the 1/2 marathon in March I did have to find a port-a-potty as soon as i finished...but my bag wasn't full...just about 1/2 - but more then i usually let accumulate.  Re: the swelling and salt intake....do you think we should be taking in more Gatorade type stuff then H2O - or just go with the standard guidelines for "bagless" people?  Have you tried experimenting at all?  I know you said you've only had your ostomy for 4 weeks (wow by the way....your teaching fitness classes already???!!!!) but just wondering if you've tried any electrolyte supplements (since your surgery) that you feel help more then others...or if just water is fine with you. 
 
Thanks again for the input!!
 
Cdneh

suebear
Forum Moderator


Date Joined Feb 2006
Total Posts : 5691
   Posted 9/18/2007 2:30 PM (GMT -6)   
I have a j-pouch (lost my colon and rectum) and am a hiker. My fingers swell while exercising too but so do my friend's who all have their complete plumbing. Swelling is normal so I am confused about the article you read? I drink a lot more water and eat more salt. I also drink Hydralyte, a beverage invented by a marathon runner who also happens to be a chemist. It's the best of the commercial electrolyte drink without all the heavy sugar and salt. You can read more about it at www.gookinaid.com

Sue
dx proctitis in 1987
dx UC in 1991, was stable until 1998
1998 started prednisone, asacol, pentasa, nortriptylene, ativan, 6MP, rowasa enemas and suppositories, hydrocortisone enemas, tried the SCD diet, being a vegetarian, omega 3s, flax, pranic healing, yoga, acupuncture, probiotics
2000 lost all my B-12 stores and became anemic
2001 opted for j-pouch surgery- now living life med-free
 


Amey
Veteran Member


Date Joined Jul 2006
Total Posts : 942
   Posted 9/18/2007 2:45 PM (GMT -6)   
I have an ileostomy and I seem to be doing well with it. I add powder Propel to my water daily. It has electrolytes in it that help me stay hydrated. I am not at the point yet where I can start training for any races so the Propel is fine for me. However, if I find that once I start to train that I need more hydration, I will get some electrolyte tablets that dissolve in water (I refuse to take pill form of just about anything). You can find powder propel at Walmart for about $3. I pour a little into my 20oz bottle of water and off I go...I usually get about 10 bottles of water/propel per box so it is really cheap. Personally, I do not like Gatorade because of all the surgar content. It tastes too sweet to me. The propel is much lighter..

However, you may want to look into what Suebear recommends. I know I will once I start my training again. The race I do every year is 180-200 miles in 2 days! I need lots of hydration during this event. Last year I drank Gatorade and Vita Water but I still ended up in the hospital with an IV tube after the race was over.
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