Running in particular creates a repetitive movement that can upset the stomach. Combining this with dehydration, heat and eating too close to competition can worsen symptoms, Read cautioned.
“This is why some athletes experience nausea, cramping, diarrhea or even vomiting during endurance events.”
Participants compete in the burpee broad jumps event during the HYROX fitness race at the Bangkok International Trade and Exhibition Centre in Bangkok on March 21, 2026. (Amaury Paul/AFP)
There is a “big difference” between working through normal discomfort and ignoring a medical warning sign, according to the trainer.
Elite athletes are often conditioned to push through pain, a mindset that can intensify during competition. Adrenaline can also make it harder to recognize when the body is in distress, Read said.
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Symptoms like vomiting, fainting, severe chest pain or extreme weakness “should not be treated as proof that someone is working hard enough.”
“Pushing through certain symptoms can turn a manageable problem into a medical emergency,” he emphasized. “Real toughness also means knowing when your body is telling you to stop.”
Read suggested that fitness organizations should have “clear rules” for when an athlete needs to be evaluated or removed from a competition, and medical staff should be easily accessible throughout the event.
“Equipment that becomes contaminated with vomit, blood or other bodily fluids should be taken out of use immediately,” he said. “Simply wiping it quickly and sending the next competitor through may not be enough.”
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Bodily fluids can contain germs that may spread through contaminated surfaces or direct contact, Read said.
“The exact risk depends on the fluid, organism and type of exposure. Competitor safety should come before keeping the event moving on schedule.”
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Article source: https://www.foxnews.com/health/champion-athlete-soils-herself-mid-race-keeps-going-prompting-fitness-competition-change-rules