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When Things Are Falling Down

November 19, 2015

Tags: order, herbs, movement, water, abdomen, aging, amalaki, antibiotic, antibiotic resistance, anus, ayurvedic, bacteria, balance, bastard myrobalan, bathroom, bibhitaki, bladder infection, bladder wall, birthing, bloating, bowel movement, child birth, comfort, complications, constipation, corn silk, cramps, cranberry, curse, diarrhea, death, diabetes, discomfort, Emblica officinalis, essential oil, eye, fatigue, female affliction, fluids, gastro-intestinal tract, germ, haritaki, India, Indian gooseberry infection, intercourse, internal organs, invasive procedure, Kegel exercises, kidney infection, medical advance, mesh, microbiome, olive oil outcome, pelvic muscles, perineum, pessary, plumbing, preventing falls, private parts, probiotic, prolapse, prophylaxis, rosemary, sepsis, sexual muscles, standing on one leg, surgery, susceptibility to infections, Terminalia bellirica, Terminalia chebula, thyme, toilet, triphala, urinary tract infection - recurrent, usnea, UTI, uva ursi, vulva, water - running, sanitation, side-effects, vagina, vaginal probiotics, washing hands, weight gain, When Things Are Falling Down, wiping, World Toilet Day, worst case scenario, yellow myrobalan

Today is World Toilet Day, and most writers today will talk about the importance of hygiene – which is indeed more valuable than all the other medical advances combined, in my opinion. Every person in the world deserves running water and good plumbing, and so many don’t have it: 2.4 billion people worldwide lack access to decent sanitation!

But the things I am want to talk about are internal organs, and when they fall, or droop, physicians call it prolapse. It is, of course, a female affliction (curse?). Often it results from child births (and I wonder if modern medicine that wants to speed up the birthing process, has given us more prolapses – we never will be seeing a study about this, I fear). Prolapse can be uncomfortable when you walk, and even hurt outright. But the worst part is that they might cause recurrent urinary tract infections (UTIs). There’s the connection to toilets, when you are running to the bathroom twenty times a day, and the whole middle of your being hurts like hell.

Recurrent UTIs are dangerous because a simple bladder infection can rise into the kidneys and eventually even leading to sepsis (an infection of the whole body), and at its worst, death. And death doesn’t seem to be the worst outcome: The many courses of antibiotics – often the doctor tells the patient that they have to be on antibiotics for the rest of their lives to prevent the worst case scenario – damage the precious bacteria in the intestines, and lead to all sorts of complications: weight gain, susceptibility to other infections, fatigue, bloating, cramps, constipation, diarrhea, and so on. The last few years has brought us so many studies about the microbiome (the beneficial bacteria in our bowels) that it is hard to exaggerate its importance to your health. And every course of antibiotics will damage that healthy balance in your belly. - Hear that I am not altogether against antibiotics; they have saved lives (mine, for instance). But they can have grave side-effects, notably now antibiotic resistance.

Conventional medicine recommends, besides Kegel exercises, surgery. Particularly, the insertion a special mesh down there to keep organs up, has not been very successful; women are suing the manufacturer in droves, and the mesh has been abandoned. But since every surgery carries a risk of infection and death with it – and repairing prolapse might make symptoms worse – surgery should be your last resort. You could also insert a pessary into your vagina to provide structural support. It works for some women.

Here are the natural alternatives to invasive procedures; combined – can make a huge difference in the discomfort or comfort you feel in your most private area:

1. Standing on one leg whenever you think of it – while brushing your teeth, waiting for the bus, chopping an onion. This will strengthen your pelvic (and sexual) muscles – and is not as boring as Kegel exercises. It is also good exercise for your legs and good for balance – very important to prevent falls when you get older.
2. Inserting vaginal probiotics every evening into your vagina.
3. Oral probiotics. They heal your bowels after a course of antibiotics, and have shown to decrease the number of recurrent urinary tract infections prophylactically.
4. Washing your hands after each bowel movement religiously and then pampering your private parts (wipe from the front to the back - vulva to perineum to anus; never the other direction!) with a mixture of olive oil and a few drops of an essential oil like rosemary or thyme; they are antibacterial. Make sure you always wash your hands and use essential oil before you, for instance, insert the nightly vaginal probiotic capsule. It is tiny, and no, it won’t interfere with intercourse.
5. Taking triphala, the ayurvedic herb, which will prevent constipation. Naturally, if your problem is diarrhea, don’t take triphala on top of it. Triphala is an ancient combination of three Indian herbs: Amalaki or Indian gooseberry (Emblica officinalis), Bibhitaki or bastard myrobalan (Terminalia bellirica), and Haritaki or yellow myrobalan (Terminalia chebula). Triphala is actually a balm for the gastro-intestinal tract, and is also good for your eyes. Besides it works against diabetes.
6. Take a zinc supplement to boost your immune system.
7. Prophylaxis with cranberry, uva ursi, usnea, corn silk, and so on, if needed every day. Especially after sex. Cranberry prevents bacteria to latch onto your bladder wall, so they are flushed out easier.

Women and their doctors often think that prolapse is an inevitable part of aging. It shouldn’t be! - Happy Toilet Day!

Bike Month

May 19, 2012

Tags: movement, accidents, back rack, balance, basket, bicycling, bike bell, Bike Month, biking, biking rules, bowel movement, car, cardiovascular health, cello, constipation, coordination, cycling, Earth, endurance, handlebar, heart health, helmet, Google Maps, immune system, Italy, Kegel exercises, longevity, May, muscle strength, muscle tone, National Biking Month, neck strain, obesity, overweight, pelvic area, racing, recuperating, reflector, rental bike, Romans, Rome, stamina, traffic, Via Appia antica, health benefits of bicycling, outdoors, mood booster, light, sunshine, vitamin D, weight problem

May is “National Biking Month”. I celebrated today to pick up my cello from the string shop (it had needed re-hairing) by bike – something I had not done before.

I had not used my bike on that route before because most of the 2.8-mile drive there is on a very busy – to me meaning: dangerous – road, with horrendous traffic. I set out anyway, and found out that there is a path along the highway, mostly hidden in the bushes, much safer than riding on the highway itself. Although it was narrow and overgrown – I had twigs whipping my face and lots of distracting dirt and debris underfoot, oh, underwheel.

But it was doable. Google Maps thought I should be able to paddle the 2.8 miles in 16 minutes. It took me about 25. But the weather was as gorgeous as one expects of May, and it gave me a wonderful work-out.

Here are my rules I stick to:

• I never go without helmet.
• I don’t bike two days in a row because I want to give my muscles a day for recuperating in between.
• I don’t bike when I am in a hurry – because that’s when accidents happen.

My bike needed a few adjustments before I could use it for errands like shopping. I had a rack installed in the back, with a basket. And I needed an old-fashioned handlebar. The original one seemed to be made for a racer – which I am not. The new one is comfortable and does not strain my neck. The other day, when we were in Rome, we took bikes along the Via Appia antica – the old road build by the Romans more than two thousand years ago. My Italian bike had one of those comfortable handlebars. And, by the way, those bikes were rented – free of charge. Wish we would have that system here! The Via Appia ride will be unforgettable!

And for the very occasional use during dusk (I don’t anticipate driving at night), I plastered the bike with a set of reflectors. And I bought a fun bike bell – just like I had as a child!

These are some of the health benefits of bicycling:
1. Gets you outdoors.
2. Improves your mood.
3. Gives you light and sunshine for vitamin D repletion.
4. Fights overweight.
5. Moves your bowels better.
6. Strengthens your heart.
7. Builds up your muscles – strength as well as muscle tone.
8. Tones your pelvic area (and is more fun than Kegel exercises!).
9. Improves coordination and balance.
10. Promotes longevity.
11. Increases endurance and stamina.
12. Boosts your immune system.

Riding a bike is one of the healthiest choices you can make for yourself and for our Earth – as long as you avoid being run over by a car!

Minimal Exercise Program

December 5, 2011

Tags: movement, anti-aging, arm exercise, back exercise, balance, ball – weighted, barefoot walking, bedridden, Black Beach, body pampering, bone mass, boredom, Boston, bowels - massaging, brushing teeth, cello, California, Chinese, constipation, daily exercise program, death, double chin, elderly, exercise program, exercises en-passant, falls in the elderly, family, fire, Five Tibetans, friends, garden, gentle exercise, German, gluten intolerance, gym machine, hip fracture, hypothermia, imbalance, immune-stimulating, immune system, injury, jogging, Kegel exercises, knee bends, leg strengthening, lower back pain, marathon, marriage, mindfulness, mindless exercise, minimal, Minimal Exercise Program, muscles, neck strengthening, osteopenia, osteoporosis, overexertion, painting, pelvic muscles, pinyin, pneumonia, pool, posture, reading, ruptured muscles, San Diego, sex, shadow boxing, soul pampering, spine, sports medicine, squeezing of shoulder blades, standing on one leg, swimming on dry, tai chi, tai ji, talking, tongue exercise, toning, traveling, triathlon, TV, upper back muscles, walking, warmth, writing, yoga

Reasons why I keep my exercise program as minimal as possible:

1. Exercise is boring.
2. Too much exercise may easily lead to injuries: We now have a medical specialty called “sports medicine”. If we didn’t overdo exercises, we would not need sports medicine. Using those modern gym machines while watching TV is a mindless enterprise. And as things go around, they come around – you could end up hurting yourself.
3. Definitely, there are more interesting things to do – playing cello, writing a book, reading tons of books, dabble with colors and brushes, being with family and friends, learning Chinese – to name a few.

On the other hand, I do have bad posture – inborn (many years of unrecognized gluten intolerance that weakened my muscles), and from years of being bedridden as a young person. Movement creates fire and warmth inside, without which we would not be alive. We need to move yes, but nowhere is it written that we need to jog or overexert ourselves in bad ways.

My exercise program changes all the time – I am always on the lookout for something faster and better. You might remember how much I liked the Five Tibetans – until I developed lower back pain. Recently I had to abandon my laps in the unheated Californian pool; the temperature got too low. I still jump in from time to time, just to get the immune-stimulating jolt of the cold water. But I can’t get my exercise that way anymore - danger of hypothermia and ruptured muscles.

Of course, back in Boston, I work in the garden and go to yoga classes, and have a house to tend to. Here, in this tiny apartment, I had nothing comparable – so far. Until last week , when I joined tai chi classes – or as it is called in proper pinyin Chinese: tai ji. In German, tai chi is called “shadow boxing” – and that describes well those flowing, artful movements I now try to learn. Emphasis on “try”: This is not my first time; in the past, I always had trouble remembering the sequence of movements. This time around, I will not even try to learn the sequence; I will just mimic my teacher and lose myself in the flow of gestures. Because, in the two more months we will stay in San Diego, how much can I really learn? Not much.

But in the first lesson, I already learned an important movement, which I now practice every time I pass by a mirror and notice how bent I have gotten up from my studies. Which makes two little exercises which I do in en-passant, not putting in extra time:

1. This squeezing of my shoulder blades that immediately makes me more upright. Firstly, it is a simple reminder; secondly, the squeezing loosens the muscles of the upper back and prevents that my head slowly vanishes between my shoulders like the head of a turtle in its shell.
2. Standing on one leg – especially while brushing my teeth, or waiting and whiling time away. This is good for balance, and for strengthening leg and pelvic muscles. Imbalance is what kills the elderly: Imbalance – fall – hip fracture – pneumonia – death; we physicians see it all the time. This exercise also increases bone mass in legs and spine, thus counteracting osteopenia and osteoporosis, thus preventing those nasty hip fractures. Standing on one leg is far more interesting and effective than Kegel exercises! Keeps your sex alive!

Not everything can be done on the go. So, I have this daily program – and don’t hold your breath! - each of these exercises takes less than a minute, and presently, I am doing six of them, each of them repeated 21 times. Twenty-one: That is the number of repetitions I have kept from the Five Tibetans. You can’t overdo much in twenty-one times, and twenty-one brings me just to the border of utter boredom.

1. Knee bends: Done wrongly, knee bends can hurt your knees. Therefore make sure that you are doing them right: Keep feet and knees together, keep knee caps over your toes, and don’t go deeper than you can easily do, but challenge yourself to go deeper with time. 21 times. Or, in the beginning, you might want to do this by holding on to something stable.
2. Arm exercise: Done with a small heavy ball. I have one of those weighted exercise balls – six pounds. When traveling, I am using my whale of a laptop – has nearly six pounds, too. Fill a plastic bottle with water (this is lighter), or find a heavy book. Slowly lift the ball (or whatever) with both hands and arms out-stretched, and bring it up above your head. Then bend your arms backward and down. Bring up your arms again, over your head and then down in front. Repeat this 21 times. It is good against arm flab, and strengthens the muscles of your upper back.
3. Back exercise: Stand tall. Take the ball in both hands behind you back and lift it upward 21 times. That will squeeze your shoulder blades and improves posture.
4. Swimming on dry: I started this after I had to leave the pool, because I missed the exercise that built up my upper back muscles. Come down on the floor on your belly, lift arms and legs slightly from the ground, and make swimming movements 21 times. A boon is that you are massaging your bowels in this position, which is good against constipation. Getting down on the floor daily acts also anti-aging.
5. Neck strengthening: This I do mornings and evenings in bed: Dig your heels and the lower part of your back head into the mattress. It feels like you arch your back in this position. Breathe in and out. It strengthens all back muscles, especially the upper back. It also works like a charm against a double chin.
6. Tongue exercise: This also helps to eliminate a double chin. Stretch out your tongue, 21 times.

One would think that a program this trifling would do nothing for the health of your body. On the contrary – I was never as toned and nimble as I am now, on this program. If however you are already doing triathlons or marathons: Stick with it, don’t listen to me … at least not until you come home injured. Then turn to my gentler method.

A big part of why this works is the mindfulness you practice all day: You stand on one leg while waiting for the bus. You get up from the computer and squeeze your shoulder blades. You are in the bathroom and stick out your tongue a few extra times. This program keeps you aware that you have a body, and your body needs attention and pampering, too. Moving your body gently pampers it. Lying down and doing nothing pampers your soul. There needs to be a balance between the two!

The other activity we do as often as we can, is walking. Here in San Diego, we have the beautiful Black Beach. If one removes shoes and socks and walks at the water line, in and out of the waves, it is great fun, and another great provocation to the immune system! And by walking and talking we keep our marriage afresh and alive.

My Neighbor Is Sick

June 22, 2011

Tags: food, order, abdominal pain, addictive, aging - premature, appreciating, artificial molecules, book, bowel, cancer, car, cell phone, chewing, cholecystitis, colors, computer, constipation, conversation, dairy, diet, dinner table, dispute, distraction, eggs, fiber, fish, flavors, food - inflammatory, fork, fruit drink, gallbladder inflammation, game, grace, HFCS, high blood pressure, high fructose corn syrup, high-protein diet, hunger, inflammation, iPod, iron-fortified, kidneys - compromised, kidney stones, meal, meat, mindful eating, mouth, My Neighbor Is Sick, Nature, neighbor, newspaper, osteoporosis, pounds, preservatives, protein, public transportation, radio, religion, roughage, savoring, sitting down at the table, soft drink, spoon, starch - white, stress, sugar, supermarket, table – set the, taste enhancers, Tibetans Alternative, TV, vegetable, vitamin-enhanced, water – drinking enough, weight gain, weight loss

My neighbor suddenly has abdominal pain – on the right, under his rib cage. Now there are many reasons to have that kind of pain, and he of course needs a check-up with his doctor – very soon. Today.

The doctor will hopefully soon find out what ails the neighbor - but here are some ideas. Because the other piece of information is that he has been on a diet for a while - a high-protein diet.

After having made sure he sought an immediate appointment with his doctor, I gave him a piece of my mind: No diet is a short-cut for good, healthy, everyday eating habits. “But I already lost eight pounds!” he said.

Eight pounds lost weight does not prove that one is healthy! It always puzzles me: People who would never feed their car the wrong octane fuel, seemingly give little thought to what is healthy fuel for their own bodies and thus constantly violate the laws of Nature.

These are the most frequent bad consequences of the ill-advised high-protein diet (and I have seem them all!):

• Constipation. The bowel needs roughage to function according to plan. Protein is digested more thoroughly than fiber, leaving little substance in the intestines lumen to push matters forward, which will lead to impaction can lead to a plugging-up of the whole plumbing system.
• Gallbladder inflammation (cholecystitis). High protein diets are often also high in fat, which may drive the gallbladder into overdrive. This can cause inflammation and/or move stones.
• Kidney stones. High protein can lead to kidney stones, especially in already somewhat compromised kidneys – which come naturally with aging. At any rate, drinking enough water is always advisable.

A high-protein in the long one has been shown to promote premature aging, high blood pressure, osteoporosis and cancer – neither of which plays a likely role in my neighbor’s present affliction.

Whatever he has, he needs to reassess what he is doing to his health. And I am sure after this scare, he will. We have talked about diet and healthy eating here often, so I can make this short:

• Vegetables, vegetables, vegetables!
• No artificial molecules (sweeteners, flavors, colors, high fructose corn syrup, preservatives, taste enhancers, vitamin-enhanced, iron-fortified, soft or fruit drinks, etc.).
• No dairy – because it is the most ubiquitous inflammatory and unnecessary food there is.
• No sugar and white starch; they are addictive and put the pounds on you.
• Have a modest intake of meat, fish and eggs.

In order to turn around your eating habits, it is useful to practice mindful eating – the way of slowly savoring and appreciating everything that goes into your mouth.

• Sit down at a table when you eat – set the table in a nice way, even if you are alone. Especially if you are alone.
• Say grace for your food - even if you are not a religious person. Because millions of people go hungry every day.
• Have no distractions – no TV, computer, cell phone, game, radio, newspaper, or book.
• Have no stress – avoid disputes at the dinner table. But have a lively conversation about important things in your life.
• Never ever eat in the car or on public transportation; teach your children that NOTHING can be eaten in the supermarket because it has not been paid for (and one should sit down for eating).
• Chew thoroughly; put fork or spoon down between bites.

The How you eat might be more important than the What you eat – at least for a while.

If you live alone, go back to the Tibetans Alternative: Where one eats one food at each meal, and rotates, instead of filling the plate with everything at the same time.

Whatever the neighbor has, let’s wish him a speedy recovery!

Nobody Wants To Talk About Poop

October 23, 2010

Tags: food, cat, bloating, bowel, constipation, corn, cramps, defecation, diarrhea, diet, digestion, dry food, feces, heartburn, intestines, laxative, litter box, nutrition, pet food, pets, poop, Nobody Wants To Talk About Poop, probiotic, SAD (Standard American Diet), sores – mouth, stomach pain, stool – smell, stool - consistency, toilet, waste products, wheat

When we come back from traveling, our cat’s litter box usually is a mess.

Sorry, I bring up this stinky subject – but it has relevance not only for cats and pets, but also for humans.

Of course, bodily waste products don’t smell like roses. But they also should not smell THAT disgustingly. If they do – in pets and people – chances are something is wrong with the digestive tract.

Now the hardest part is to compare your bowel movements with everybody else’s because we usually are discrete about our defecation results. We don’t know how other people smell or look … in the toilet bowl.

Feces definitely should not reek that it turns one’s stomach. The smell should make you want to flush the toilet – not to run away. And stool should not float, nor should it be excessively sticky, large, or gray-colored.

So, what had happens with our tomcat Otto when we travel? A kind neighbor comes over to feed him. To make it not too complicated for her, we switch to commercial – mostly dry – food. Commercial food contains all kinds of substances unhealthy for a cat, especially wheat and corn products. Predictably, every time our Otto gets extremely stinky on that kind of nutrition.

It takes only a few days and my self-cooked meals that his litter box s ias unobtrusive again as it usually is: His intestines heal, obviously.

What constitutes a healthy bowel? Once a day, at least, one should have a bowel movement. If you don’t have one every day, don’t reach for the laxative. Look instead into what you are eating. Do you eat enough vegetables? Leave out sugar, trans-fats and dairy. And don’t eat what your body tells you hurts it: Stomach pain, heartburn, bloating, cramps, diarrhea, constipation, sores in your mouth – they are not cause for embarrassment but they all are signs that something is wrong with your digestion.

SAD – the Standard American Diet – is not healthy for people’s bowels. And commercial pet food – even the so-called “natural” and “scientific” - are not healthy for your pets’.

P.S. Taking a probiotic does not make up for a lousy diet, but helps reestablishing bowel health.

Gluten-Related Symptoms and Diseases

September 24, 2010

Tags: order, abdominal pain, acanthosis nigricans, Addison’s disease, ADHD, alcoholism, alkaline phosphatase (bone) elevated, allergic rhinitis, alopecia areata (patchy hair loss), amenorrhea (absence of menstrual period), anemia, anemia – iron deficiency, anemia – refractory, anemia - vitamin B12 deficiency, anti-endomysium antibodies (EMA), anti-gliadin antibodies (AGA), anti-tissue-transglutaminase antibodies (tTG), antiphospholipid syndrome (frequent miscarriages and other problems), anxiety, aortic vasculitis, apathy, aphthous ulcers, appetite – poor, arthritis, arthritis – enteropathic, arthritis - juvenile idiopathic, asthma, ataxia, ataxia - progressive myoclonic, atherosclerosis, Attention Deficit Hyperactive Disorder (ADHD), autism, learning disorders, autoimmune cholangitis, autoimmune diseases, autoimmune hepatitis, autoimmune thyroid disease, balding – premature, bipolar disorder, Bitot’s spots (foamy patches on whites of eye), bleeding – unexplained, blepharitis, bloating, blurred vision, bone fracture, bone pain, brain atrophy, brain fog, bronchiectasis, cachexia (general wasting), calcium – low, cancer - small cell of the esophagus, cancer (adenocarcinoma) of the small intestine, cancer of the esophagus, cancer of the pharynx, Candida infections – recurrent, cardiomegaly, casein intolerance, cataracts, cerebral perfusion abnormalities, cheilosis (cracked lips and corners of mouth), cholesterol – low, chorea, chronic bullous dermatosis, chronic fatigue syndrome, colitis, common variable immunodeficiency, complications during pregnancy – labor - delivery and post-partum period, congenital anomalies, constipation, copper deficiency, coronary artery disease, cortical calcifying angiomatosis, cow mill “allergy”, cutaneous vasculitis, cutis laxa, cystic fibrosis, dairy intolerance, delusions, dementia, depression, dermatitis herpetiformis, dermatomyositis, diabetes Type I, diabetes Type II, diarrhea, disorientation, Down syndrome, dry eyes, duodenal ulcers, dysmenorrhea (painful menstrual periods), dyspareunia (painful sexual intercourse), dysphagia (difficulty swallowing), early menopause, easy bruising, ecchymosis, eczema, edema, Enteropathy Associated T-cell Lymphoma (EATL), epilepsy, erythema nodosum, esophageal motor abnormalities, eyes – dry, eyes – bloodshot, erythema elevatum diutinum, failure to thrive, fatigue, fatty liver, folic acid (folate) deficiency, food allergies - blood-mediated and cell mediated, food cravings, gall bladder – impaired motility, gas, gastric emptying – delayed, gastritis, GERD - Gastro-Esophageal Reflux Disease, glucose abnormalities - too low or too high, gluten, Gluten-Related Symptoms and Diseases, Grave’s Disease, growth retardation, gums – bleeding and swollen, hair loss, hallucination, headache, heartburn, heart disease, hemochromatosis, hemosiderosis - idiopathic pulmonary, hepatic granulomatous disease, high blood pressure, homocysteine elevated, hyperactivity, hyperkeratosis – follicular, hyperparathyroidism, hypertension, hyperthyroidism, hypocalciuria, hypogonadism, hypoparathyroidism, hyposplenism (atrophy of spleen), hypothyroidism, hypotonia, ichthyosis – acquired, pulmonary hemosiderosis – idiopathic, IgA deficiency, IgA nephropathy, impotence, inability to concentrate, infertility, insomnia, intrauterine growth retardation, iron deficiency anemia in pregnancy – severe, irritable bowel syndrome, keratoconjunctivitis sicca, keratomalacia, kidney stones, lactose intolerance, lassitude, late menarche (late start of menstrual periods), leaky gut syndrome, liver enzymes elevated, loss of memory, lymphadenopathy, lymphoma - B-cell non-Hodgkin’s, lymphoma - cryptic intestinal T-cell (refractory sprue), lymphoma – non-Hodgkin, macroamylasemia, macrocytosis (red blood cells larger than normal), macrolipasemia, magnesium - low, malabsorption, melanoma, memory loss, migraine, miscarriage, monoarthritis – recurrent, multiple sclerosis (MS) – a possible link, muscle pain and tenderness, muscle spasms and cramps, muscle wasting, muscle weakness, nail problems, nausea, nervousness, neuropathy – peripheral, neutropenia (low white blood cells), nightblindness, nosebleeds – unexplained, obesity, occult blood in stool, ocular myopathy, osteitis fibrosa, osteomalacia, osteomalacic myopathy, osteonecrosis, osteopenia, osteoporosis, pancreatic insufficiency (poor digestion), panic attacks, parathyroid carcinoma, penicilllin V impaired absorption, phosphorus – low, pityriasis rubra pilaris, plasma proteins low, Plummer-Vinson Syndrome, PMS, pneumococcal septicemia, pneumonia – recurrent, polyglandular syndrome, polymyositis, potassium - low, premenstrual syndrome, primary biliary cirrhosis, primary sclerosing cholangitis, progressive multifocal leukoencephalopathy, prolactinemia, prothrombin time prolonged, prothrombinemia, prurigo nodularis, psoriasis, psoriatic arthritis, puberty – delayed, purpura – idiopathic thrombocytopenic, rhabdomyolysis – hypokalemic, rheumatoid arthritis, rickets, sarcoidosis, Schizophrenic Spectrum Disorders, scleroderma, seborrhea, short stature, Sjögren’s syndrome, skin rash – itchy, small intestinal bacterial overgrowth, smell - loss of, sperm abnormalities, spina bifida, sprue – refractory (see: gluten), steatorrhea (pale, malodorous, floating, hard-to-flush stools), stomach ulcer, stroke – premature, sugar intolerance, swelling, Systemic Lupus Erythematosus (SLE), taste - loss of, tetany, thrombocytopenic purpura – idiopathic, thyroid disease - juvenile autoimmune, tongue – red and/or burning, tremors, tuberculosis - increased susceptibility to, Turner’s syndrome, urinary tract infections – recurrent, urticaria - chronic hives, uveitis, vaginitis, vasculitis, vasculitis of the CNS (Central Nervous System), vitiligo, volvulus (twisted intestines), vomiting, weight gain – unexplained, weight loss – unexplained, xerophthalmia (dry eyes), zinc – low

Nearly one in one hundred people have gluten intolerance (gluten enteropathy, sprue, celiac sprue). In only fifty percent of them does the disease show with gastro-intestinal symptoms - the rest has non-intestinal symptoms.

Be aware that many of these symptoms can also have other causes - this list does not replace a doctor who sees you!

• Abdominal pain
• Acanthosis nigricans
• Addison’s disease
• Alcoholism
• Alkaline phosphatase (bone) elevated
• Allergic rhinitis
• Alopecia areata (patchy hair loss)
• Amenorrhea (absence of menstrual period)
• Anemia
• Anemia – iron deficiency
• Anemia - refractory
• Anemia - vitamin B12 deficiency
• Anti-endomysium antibodies (EMA)
• Anti-gliadin antibodies (AGA)
• Anti-tissue-transglutaminase antibodies (tTG)
• Antiphospholipid syndrome (frequent miscarriages and other problems)
• Anxiety
• Aortic vasculitis
• Apathy
• Aphthous ulcers (mouth sores)
• Appetite – poor
• Arthritis
• Arthritis – enteropathic
• Arthritis - juvenile idiopathic
• Asthma
• Ataxia
• Ataxia, progressive myoclonic
• Atherosclerosis
• Attention Deficit Hyperactive Disorder (ADHD)
• Autism, learning disorders
• Autoimmune cholangitis
• Autoimmune diseases
• Autoimmune hepatitis
• Autoimmune thyroid disease
• Balding – premature
• Bipolar disorder
• Bitot’s spots (foamy patches on whites of eye)
• Bleeding – unexplained
• Blepharitis
• Bloating
• Blurred vision
• Bone fracture
• Bone pain
• Brain atrophy
• Brain fog
• Bronchiectasis
• Cachexia (general wasting)
• Calcium – low
• Cancer - small cell of the esophagus
• Cancer (adenocarcinoma) of the small intestine
• Cancer of the esophagus
• Cancer of the pharynx
• Candida infections – recurrent
• Cardiomegaly
• Casein intolerance (cow mill “allergy”)
• Cataracts
• Cerebral perfusion abnormalities
• Cheilosis (cracked lips and corners of mouth)
• Cholesterol - low
• Chorea
• Chronic bullous dermatosis
• Chronic fatigue syndrome
• Colitis
• Common variable immunodeficiency
• Complications during pregnancy, labor, delivery and post-partum period
• Congenital anomalies
• Constipation
• Copper deficiency
• Coronary artery disease
• Cortical calcifying angiomatosis
• Cow mill “allergy”
• Cutaneous vasculitis
• Cutis laxa
• Cystic fibrosis
• Dairy intolerance
• Delusions
• Dementia
• Depression
• Dermatitis herpetiformis
• Dermatomyositis
• Diabetes Type I
• Diabetes Type II
• Diarrhea
• Disorientation
• Down syndrome
• Dry eyes
• Duodenal ulcers
• Dysmenorrhea (painful menstrual periods)
• Dyspareunia (painful sexual intercourse)
• Dysphagia (difficulty swallowing)
• Early menopause
• Easy bruising
• Ecchymosis
• Eczema
• Edema
• Enteropathy Associated T-cell Lymphoma (EATL)
• Epilepsy
• Erythema nodosum
• Esophageal motor abnormalities
• Eyes – dry
• Eyes - bloodshot
• Erythema elevatum diutinum
• Failure to thrive
• Fatigue
• Fatty liver
• Folic acid (folate) deficiency
• Food allergies - blood-mediated and cell mediated
• Food cravings
• Gall bladder – impaired motility
• Gas
• Gastric emptying – delayed
• Gastritis
• GERD - Gastro-Esophageal Reflux Disease
• Glucose abnormalities - too low or too high
• Grave’s Disease
• Growth retardation
• Gums – bleeding and swollen
• Hair loss
• Hallucination
• Headache
• Heartburn
• Heart disease
• Hemochromatosis
• Hemosiderosis - idiopathic pulmonary
• Hepatic granulomatous disease
• High blood pressure
• Homocysteine elevated
• Hyperactivity
• Hyperkeratosis - follicular
• Hyperparathyroidism
• Hypertension
• Hyperthyroidism
• Hypocalciuria
• Hypogonadism
• Hypoparathyroidism
• Hyposplenism (atrophy of spleen)
• Hypothyroidism
• Hypotonia
• Ichthyosis - acquired
• Pulmonary hemosiderosis - idiopathic
• IgA deficiency
• IgA nephropathy
• Impotence
• Inability to concentrate
• Infertility (in both sexes)
• Insomnia
• Intrauterine growth retardation
• Iron deficiency anemia in pregnancy - severe
• Irritable bowel syndrome
• Keratoconjunctivitis sicca
• Keratomalacia
• Kidney stones
• Lactose intolerance
• Lassitude
• Late menarche (late start of menstrual periods)
• Leaky gut syndrome
• Liver enzymes elevated
• Loss of memory
• Lymphadenopathy
• Lymphoma - B-cell non-Hodgkin’s
• Lymphoma - cryptic intestinal T-cell (refractory sprue)
• Lymphoma – non-Hodgkin
• Macroamylasemia
• Macrocytosis (red blood cells larger than normal)
• Macrolipasemia
• Magnesium low
• Malabsorption
• Melanoma
• Memory loss
• Migraine
• Miscarriage
• Monoarthritis – recurrent
• Mouth sores
• Multiple sclerosis (MS) – a possible link
• Muscle pain and tenderness
• Muscle spasms and cramps
• Muscle wasting
• Muscle weakness
• Nail problems
• Nausea
• Nervousness
• Neuropathy - peripheral
• Neutropenia (low white blood cells)
• Nightblindness
• Nosebleeds – unexplained
• Obesity
• Occult blood in stool
• Ocular myopathy
• Osteitis fibrosa
• Osteomalacia
• Osteomalacic myopathy
• Osteonecrosis
• Osteopenia
• Osteoporosis
• Pancreatic insufficiency (poor digestion)
• Panic attacks
• Parathyroid carcinoma
• Penicilllin V impaired absorption
• Phosphorus - low
• Pityriasis rubra pilaris
• Plasma proteins low
• Plummer-Vinson Syndrome
• PMS (premenstrual syndrome)
• Pneumococcal septicemia
• Pneumonia – recurrent
• Polyglandular syndrome
• Polymyositis
• Potassium - low
• Primary biliary cirrhosis
• Primary sclerosing cholangitis
• Progressive multifocal leukoencephalopathy
• Prolactinemia
• Prothrombin Time prolonged
• Prothrombinemia
• Prurigo nodularis
• Psoriasis
• Psoriatic arthritis
• Puberty - delayed
• Purpura – idiopathic thrombocytopenic
• Rhabdomyolysis - hypokalemic
• Rheumatoid arthritis
• Rickets
• Sarcoidosis
• Schizophrenic Spectrum Disorders
• Scleroderma
• Seborrhea
• Short stature
• Sjögren’s syndrome
• Skin rash – itchy
• Small intestinal bacterial overgrowth
• Smell - loss of
• Sperm abnormalities
• Spina bifida
• Sprue - refractory
• Steatorrhea (pale, malodorous, floating, hard-to-flush stools)
• Stomach ulcer
• Stroke – premature
• Sugar intolerance
• Swelling
• Systemic Lupus Erythematosus (SLE)
• Taste - loss of
• Tetany
• Thrombocytopenic purpura – idiopathic
• Thyroid disease - juvenile autoimmune
• Tongue – red and/or burning
• Tremors
• Tuberculosis - increased susceptibility to
• Turner’s syndrome
• Urinary tract infections - recurrent
• Urticaria - chronic hives
• Uveitis
• Vaginitis
• Vasculitis
• Vasculitis of the CNS (Central Nervous System)
• Vitiligo
• Volvulus (twisted intestines)
• Vomiting
• Weight gain – unexplained
• Weight loss – unexplained
• Xerophthalmia (dry eyes)
• Zinc - low

I will add to this list as I come across new links –keep checking!

Irritable Bowel Syndrome?

September 6, 2010

Tags: food, order, water, allergy - blood-mediated, allergy - cell-mediated, apple, allergies – fast and slow, autoimmune disease, back pain, blood test for allergies, cancer, chocolate, citrus, constipation, corn, craving, dairy, depression, diabetes type II, diarrhea, drugs – medical, eggplant, eggs, flavor enhancers food allergy, food colorings, food intolerance, fruit, gluten, heartburn, HFCS (High Fructose Corn Syrup), infection, irritable bowel syndrome, Irritable Bowel Syndrome?, joint pain, lectins, mental fog, MSG, nightshades, nuts, obesity, pain, peanut, peppers - bell and hot, pills, potato, preservatives, prescription medication rash, recreational drugs, runner’s diarrhea, seafood, skin problem, skin test for allergies, soy, stomach ache, stool – floating, thirst – excessive, tomato, yeast

In my thirty years in medicine, I have never diagnosed anybody with “irritable bowel syndrome.”

Not that I didn't want to make the diagnosis. But it always seemed to be the last resort - if there wasn't a better explanation for the patient's symptoms. And there always was.

If my patients came with the label, I quietly looked for a more appropriate diagnosis, mostly some kind of food intolerance and/or infections. And if they came with any of the myriad of gastrointestinal complaints, they deserved a thorough workup.

Food allergies: Physicians differ between food allergies and food intolerance. For the patient the difference is minimal: The only action that will help is leaving out the offending food.

Allergies are mediated either through blood – then they show up in blood tests. Or they are cell-mediated, which means they can’t be detected by blood tests; skin prick test is the way to go then.

If you usually feel good (or even just better) in the morning before you eat, food problems are likely. – Floating stools point to a food culprit, too.

There are rare and dangerous diseases, therefore a doctor should eliminate serious diagnoses. But this is what you can do yourself:

• Write a food journal. Everything that goes into your mouth should go in here – including beverages, pills and chewing gum. A pattern might become clear once you regularly record everything.
• In my experience, these are the most common food offenders: dairy, soy, nuts, gluten, corn – especially HFCS (High Fructose Corn Syrup), nightshades (tomato, potato, eggplant, bell and hot peppers), citrus, seafood, lectins, food colorings, preservatives, flavor enhancers (like MSG), eggs, apples and other fruit, chocolate (though probably less common than people think – it usually are the non-cacao ingredients that cause trouble), yeast. And don’t forget: prescription medication! Recreational drugs.
• Read labels! Of course, foods without labels – like kale and carrots – are healthier anyway because only processed food is required to be labeled.
• Has anybody in your family a bowel disease? You might have the same.
• Jot down pains, headache, heartburn, stomach ache, bloating, diarrhea, constipation, blurred vision, slow urination, skin rashes, blocked nose or ears,
• Don’t eat after dinner – and don’t have dinner late. The sheer bulk in your stomach may create the discomfort; besides it prevents the cell repair that should be taking place nightly – but can’t happen when your body is busy digesting.
• Are you very thirsty – especially during and after a meal? That might be a sign of a food allergy. Don’t suppress your thirst – this is how your body gets rid of the offending food: by diluting it.
• If you suspect food allergies, leave out the whole list above plus whatever you suspect for a week. Then one by one, every few days reintroduce another food from the list. – Sometimes only repeated exposure shows the problem – that happens mostly with cell-mediated allergies.
• Blood-mediated allergies are the quick ones – that can bring you to the emergency room - like peanuts. Never try to force your body into accepting any food that it doesn’t want!
• Slow allergies make you sick over time – by the chronic inflammation in your body. That causes for instance cancer in the long run.
• Take a probiotics regularly. I personally like Primal Defense (this is not an endorsement – only an idea to start with. Begin with a small dose, slowly take more. If a probiotic does not agree with you, change the brand.
• Most people benefit from fish oil – to counteract the constant inflammation that comes with food allergies.
• Chew well.
• Eat vegetables, vegetables, vegetables. Not only are they good for you – they also seem to cause fewer allergies.
• Serious runners suffer from a curious disease called “runner’s diarrhea” (about fifty percent of them.
• Obesity might be a sign for food allergies: We tend to crave exactly the foods that are worst for us.
• And most importantly: Don’t eat it if it hurts you!

Unfortunately, you can even have a bowel disease without any gastrointestinal complaints: About fifty percent of gluten intolerance (celiac sprue) patients never notice anything wrong with their belly. But they might have joint or back pain, diabetes, autoimmune disease, mental fog, depression – and a host of other problems.
Aspen eyes, by Peggy Peters

Iguazu Falls, by Xin Liu

Alexa Fleckenstein M.D. 2012, by Lolita Parker jr.

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