Retired competitive eater Don "Moses" Lerman said that he would "stretch his stomach until it causes internal bleeding" in competitions. Discomfort following an event is common with nausea, heartburn, abdominal cramping, and diarrhea. Other medical professionals contend that binge eating can cause stomach perforations in those with ulcers and gulping large quantities of water during training can lead to water intoxication, a condition caused by diluted electrolytes in the blood. Others combine the consumption of water with large quantities of low calorie foods such as vegetables or salads. Vomiting, also known as a "reversal", or, as ESPN and the Nathan's Hot Dog Eating Contest call it, a "reversal of fortune", includes obvious signs of vomiting as well as any small amounts of food that may fall from the mouth deemed by judges to have come from the stomach. Excess debris after the contest results in a deduction from the eater's final totals.
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- A countdown from 10 usually takes place at the end of the contest, with all eating coming to an end with the expiration of time.
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- Retired competitive eater Don “Moses” Lerman said that he would “stretch his stomach until it causes internal bleeding” in competitions.
- Competitive eating contests often adhere to an 8, 10, 12, or 15 minute time limit.
Bob Shoudt "Notorious B.O.B." won the largest prize ever in a professional eating contest in the 2017 Philadelphia Wing Bowl – $50,000 in prizes (Hyundai Santa Fe, $10,000, ring and medallion). Chestnut also holds the record for most hot dogs consumed in the contest, with 76 in 2021. The recent surge in the popularity of competitive eating is due in large part to the development of the Nathan's Hot Dog Eating Contest, an annual holiday tradition that has been held on July 4 every year since 1916 at Coney Island. There are some notable examples of early eating contestants, such as Joe McCarthy, who consumed 31 pies in a competition held at Charles Tanby's Saloon in 1897. Contests are typically eight to ten minutes long, although some competitions can last up to thirty minutes, with the person consuming the most food being declared the winner.
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- While the origins are debated, it is believed to have begun as a result of four immigrants who tried to eat as many hot dogs as possible to show off their patriotism.
- Competitive eater Patrick Bertoletti has compared competitive eating itself to an eating disorder, stating “It’s like controlled bulimia. It’s bulimia where you get paid for it. It’s me trading on an eating disorder for money.”
- He was a local celebrity in Kent and performed at fairs, festivals, and accepting eating challenges from wealthy patrons.
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Many professional competitive eaters undergo rigorous personal training in order to increase their stomach capacity and eating speed with various foods. In many contests, eaters are allowed to dunk foods in water or other liquids in order to soften the food and make it easier to chew and swallow. If chipmunking is allowed in a contest, eaters are given a reasonable amount of time (typically less than two minutes) to swallow the food or risk a deduction from their final totals. Judges will also be called upon to count or weigh each competitor's food and certify the results of the contest prior to the winner being announced.
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