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Tuesday, October 31, 2017

“Unmasking Digestive Myths!”




MYTH: IT TAKES YEARS TO DIGEST GUM - It may seem possible that gum could stay in your stomach for a long time, since it doesn't dissolve in your mouth like other foods and your stomach can't break it down like other foods, but there's no truth to this claim. Gum doesn't stick to your insides; your digestive system moves it along, just like everything else passing through, and it is eliminated in your stool in a few days.

MYTH: SPICY FOODS CAUSE ULCERS - In the past, spicy foods were thought to increase the risk of developing an ulcer. But this is no longer considered true. The majority of stomach ulcers are caused either by infection with a bacterium called Helicobacter pylori (H. pylori) or by use of pain medications such as aspirin, ibuprofen, or naproxen, (NSAIDs). Spicy foods may aggravate existing ulcers in some people, but they do not cause ulcers.

MYTH: HEAVY LIFTING CAUSES HERNIAS - Lifting heavy objects is not the sole cause of hernias. Hernias are caused by a combination of pressure and an opening or weakness in muscles lining the abdominal cavity. An organ or fatty tissue then bulges out through the opening. The most common types of hernias are: inguinal (inner groin), femoral (outer groin), umbilical (belly button), and hiatal (upper stomach).

MYTH: ONLY ALCOHOLICS GET CIRRHOSIS - We may associate alcoholism and cirrhosis -- a condition in which healthy cells in the liver become damaged and replaced by scar tissue. It is true that alcoholism is the most common cause of cirrhosis cases in the U.S., but there are other causes, too. And although excessive alcohol consumption almost always leads to some liver damage, it does not always lead to cirrhosis. Other frequent causes of cirrhosis are hepatitis B and C.

MYTH: NUTS LEAD TO DIVERTICULITIS - In the past, people with diverticulitis, a condition in which pouches in the wall of the colon become inflamed and infected, were told to strictly avoid nuts, corn, and popcorn, and food with small seeds, like strawberries. The fear was that indigestible pieces of these foods would lodge in the pouches and cause pain. But a 2008 study suggests the opposite -- that people who eat a high-fiber diet actually have a lower risk of the disease.

MYTH: BEANS CAUSE THE MOST GAS - Despite the many jokes about beans and flatulance, beans are not the No.1 culprit of gas. Dairy foods actually have that honor, particularly as we age and our bodies are less able to absorb the sugar in milk (lactose). So if you find yourself "tooting" after eating dairy, you're not alone. Look for lactose-free products or take the over-the-counter enzyme lactase before you eat dairy foods.

MYTH: NO DAIRY FOR LACTOSE INTOLERANT - People with lactose intolerance differ in their ability to tolerate dairy products. While one person may get symptoms from one glass of milk, others may be able to drink up to two. Some people can tolerate yogurt or ice cream, but never straight milk. Aged cheeses, such as Swiss and cheddar, are often better-tolerated dairy choices. It's often a matter of trial and error to find out which dairy foods -- and how much -- are "safe" for you.

MYTH: SMOKING RELIEVES HEARTBURN - Contrary to the popular belief about a calming smoke, cigarette smoking may actually contribute to heartburn. Nicotine can relax the lower esophageal sphincter, a muscle between the esophagus and stomach, allowing the acidic contents of the stomach to splash back (reflux) into the esophagus. This increased acid reflux is the basis of heartburn.

MYTH: AGING CAUSES CONSTIPATION - People are more likely to experience constipation as they get older, but the aging body itself is not to blame. Older adults are often taking medications to treat other conditions that can be constipating. They're also less likely to be exercising enough, eating well, and taking in sufficient fluids, all of which contribute to constipation.

MYTH: FIBER NO HELP WITH DIARRHEA - On the surface, it seems counterintuitive that fiber, which is so well-known for improving constipation, could also aid with the flip side -- diarrhea. But it's true. Eating fiber-rich foods helps regulate the stool so that it's not too hard or too loose. Fiber in the body works by either pulling more water from the colon to loosen stools (for constipation) or absorbing some of the fluid that is in the intestine to firm up stools (for diarrhea).

MYTH: YOU’D KNOW IF YOU HAD CANCER - Colon cancer often has no symptoms at all until its later stages, which makes early detection so important. In general, screening of people at average risk begins at age 50. Routine colorectal screenings should include fecal occult blood tests annually, a flexible sigmoidoscopy every five years, and a colonoscopy every 10 years.

MYTH: COLONOSCOPIES ARE DREADFUL - The dreaded colonoscopy is actually not as dreadful as it's made out to be. A colonoscopy -- a procedure used to diagnose and treat problems in the colon and rectum -- typically only lasts about 30-60 minutes and the patient receives anesthesia or sedation. However, it's the colonoscopy preparation that might make people squirm, since the colon must be emptied, with the help of a liquid diet and a laxative drink a day or so before the procedure. Talk to your doctor to see what your preparation options are.

MYTH: HEARTBURN? SLEEP SITTING UP - There's no medical backing to the claim that heartburn sufferers must sit up in bed to avoid the symptoms of heartburn the next morning. You may find some relief in elevating your head and chest 4-6 inches, either with pillows under your head or with a block under your bed. But that's as upright as you need to go.

MYTH: IBS IS ALL ABOUT YOUR DIET - Although certain foods can trigger irritable bowel syndrome (IBS) symptoms, changes to the diet are generally not enough. Sometimes just the act of eating can cause the abdominal pain, bloating, diarrhea, or constipation that IBS is known for. And stress and anxiety are other key components of IBS, often just as responsible for triggering symptoms. Keep a food and symptom journal to help you identify your specific triggers.

MYTH: IBD IS CAUSED BY STRESS - While stress can aggravate many chronic conditions, the cause of inflammatory bowel disease, or IBD, remains unknown. IBD is a term that refers to both Crohn's disease and ulcerative colitis, conditions in which there is inflammation in the lining of the small and/or large intestines. Genetics appear to play some role, as do changes in the body's immune system, possibly from bacteria or a virus.

MYTH: CELIAC MEANS ONGOING PAIN - Although the best known celiac disease symptoms include bloating, gas, and diarrhea, many people with the condition never have any of these symptoms. Celiac disease -- an intolerance to the protein gluten -- is frequently misdiagnosed when a health professional only looks for the classic symptoms. Other symptoms, which are just as prevalent, but unrelated to the gut, include: anemia, osteoporosis, depression, growth problems, and a skin rash called dermatitis herpetiformis.

Reviewed by Brunilda Nazario, MD on March 04, 2014

REFERENCES:

MedicineNet
WebMD Medical Reference provided in collaboration with the Cleveland Clinic: "What Is Peptic Ulcer Disease?"
WebMD Medical Reference from Healthwise: "Peptic Ulcer Disease - What Increases Your Risk."
WebMD Medical Reference from Healthwise: "Celiac Disease - Topic Overview."
WebMD Feature: "Secrets to Gas Control."
WebMD Medical Reference: "Understanding Hernia - the Basics."
WebMD Feature: "Diarrhea and Diet: The Facts About Fiber."
National Heartburn Alliance: "Nighttime Heartburn."
WebMD Medical Reference provided in collaboration with the Cleveland Clinic: "Prevent and Manage Heartburn."
Irritable bowel syndrome: Controlling symptoms with diet
International Foundation for Functional Gastrointestinal Disorders, Inc.: "IBS Myths Interfere With Treatment."
WebMD Medical Reference: "Stress, Anxiety, and Irritable Bowel Syndrome (IBS)."
WebMD Health News: "Nuts Don't Up Risk of Diverticulitis."
WebMD Medical Reference from eMedicineHealth: "Constipation in Adults."
WebMD Medical Reference: "Understanding Cirrhosis - Basic Information."
WebMD Medical Reference provided in collaboration with the Cleveland Clinic: "Cirrhosis of the Liver."
WebMD Medical Reference provided in collaboration with the Cleveland Clinic: "What Is Lactose Intolerance?"
American Cancer Society web site.
WebMD Medical Reference provided in collaboration with the Cleveland Clinic: "Screening Guidelines for Colorectal Cancer."
KidsHealth: "What Happens to Swallowed Gum?"
American Gastroenterological Association: "Inflammatory Bowel Disease."


The contents of the WebMD and Self-Care With Dr. Shermaine Sites, such as text, graphics, images, and other material contained on the WebMD and Self-Care With Dr. Shermaine Sites ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the WebMD and Self-Care With Dr. Shermaine Sites!

If you think you may have a medical emergency, call your doctor or 911 immediately. WebMD and Self-Care With Dr. Shermaine does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Sites. Reliance on any information provided by WebMD, WebMD employees, others appearing on the Site at the invitation of WebMD, and Self-Care With Dr. Shermaine or other visitors to the Sites is solely at your own risk. 


 Much Love, Dr.Shermaine #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)

"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

“You are what you eat. Every 28 days, your skin replaces itself. Your liver, 5 months. Your bones, 10 years. Your body makes these new cells from the food you eat. What you eat literally becomes you. You have a choice in what you’re made of.” (David Wolfe)

“Because we are what we eat, we can literally transform our bodies and minds by choosing an inspiring diet.” (Pinterest)

“Sometimes it’s not what you eat, but what you are Not eating.” (Jack Brown)

“Do not use your stomach as a trash can.” (Anonymous)

Monday, October 30, 2017

“Things That Can Affect Your Medication”





SOME THINGS DON’T MIX WELL: You may know that some medicines don’t work well together. But what you eat and drink can have an effect on some drugs, too. Before you take a medication for the first time, talk with your doctor or pharmacist to see if there’s anything you should stay away from.

GRAPEFRUIT: This citrus fruit changes the way certain cells in your gut take in and move medication through your body -- it can affect more than 50 drugs. It can make some, like fexofenadine (Allegra) for allergies, less effective and make others too strong, including ones that lower your cholesterol like atorvastatin (Lipitor).

MILK: This dairy product can make it harder for your body to process certain antibiotics. Minerals in milk like calcium and magnesium are part of the reason, along with the protein casein. If you’re taking antibiotics, make sure to find out about the foods or beverages you should stay away from.

LICORICE: Some people use this as an herbal remedy to help with digestion, and others use it to flavor foods. But glycyrrhizin, a chemical in licorice, can weaken the effect of some drugs, including cyclosporine, used to keep people who’ve had transplants from rejecting their new organs.

CHOCOLATE: Dark chocolate in particular can weaken the effects of drugs meant to calm you down or make you sleep, like zolpidem tartrate (Ambien). It also can boost the power of some stimulant drugs, like methylphenidate (Ritalin). And if you take an MAO inhibitor, used to treat depression, it can make your blood pressure dangerously high.

IRON SUPPLEMENT: This can lower the effects of levothyroxine (Synthroid), a medicine that gives you thyroid hormone when your body doesn’t make enough (a condition called hypothyroidism). If you take this medication and a multivitamin, check to see if the vitamin has iron in it. If you need an iron supplement, ask your doctor about taking it and your medication at different times.  

ALCOHOL: This makes certain drugs less effective or even useless, including some blood pressure and heart medicines. It also can make others stronger than they should be or cause dangerous side effects.  

COFFEE: It can weaken antipsychotic drugs like lithium and clozapine, but boost the effects -- and side effects -- of others. Those include aspirin, epinephrine (used to treat serious allergic reactions), and albuterol (taken by inhaler for breathing problems). It can also make it harder for your body to take in and use iron.

ANTIHISTAMINES: These help with the sneezing and runny nose caused by allergies, but some of them can make medication for high blood pressure less effective and raise your heart rate. Talk to your doctor about other ways to manage your allergies if you take blood pressure medicine.

ANTI-EPILEPTIC DRUGS (AEDs): These control seizures in people who have epilepsy. But AEDs can make birth control pills less able to prevent pregnancy, and early research shows they may make other drugs stronger and cause potentially serious side effects.

VITAMIN K: If you take the drug warfarin -- used to treat and prevent blood clots -- be aware of how much vitamin K you take in. It can make the blood thinner less effective and put you at higher risk of a dangerous blood clot. Broccoli, Brussels sprouts, kale, parsley, and spinach are some of the most common foods high in vitamin K. Try to eat the same amount of these foods every day so the level of warfarin in your blood stays the same.

GINSENG: This can lower the effects of warfarin, too. And it can make you more likely to have internal bleeding if you take the blood thinners heparin or aspirin, as well as nonsteroidal anti-inflammatory drugs like ibuprofen or naproxen. If you take MAO inhibitors, ginseng can cause headaches, sleep problems, hyperactivity, and nervousness.

ST. JOHN’S WORT: Sometimes used to help people with depression, this herbal remedy isn’t a proven treatment for that or any other health condition. It can make your liver release enzymes (things that boost certain chemical reactions in your body) that can weaken some medications. Those include cholesterol drugs like lovastatin (Altoprev and Mevacor), the erectile dysfunction drug sildenafil (Viagra), and digoxin (Lanoxin), used to treat certain heart conditions.

GINKGO BILOBA: Some people use this herb to help with or prevent high blood pressure, dementia, ringing in the ears (tinnitus), and other conditions, but there’s no research that shows it does any of that. It can weaken the effect of drugs used to control seizures, including carbamazepine (Carbatrol, Equetro, and Tegretol), and valproic acid (Depakene, Depakote, and Stavzor).

TAKE AS DIRECTED: Only about 50% of medication is taken as it’s prescribed. People often take less than they need, take it at random times, or leave big gaps between doses -- all of which can weaken the effects. Make sure you understand your treatment plan and follow your doctor’s instructions. 

Reviewed by Melinda Ratini, DO, MS on February 25, 2017

FDA: “Why You Need to Take Your Medications as Prescribed or Instructed,” “Avoiding Drug Interactions,” “Grapefruit Juice and Medicine May Not Mix,” “Don't take this with that!” “Black Licorice: Trick or Treat?”
Harvard Health Publications: “7 things you can do to avoid drug interactions.”
National Institutes of Health: “Antiepileptic Drug Interactions - Principles and Clinical Implications,” “Mixing Alcohol With Medicines,” “Ginkgo,” “St. John's Wort and Depression: In Depth,” “Licorice abuse: time to send a warning message,” “Food-Drug Interactions,” “Warfarin (By mouth).”
Linus Pauling Institute Micronutrient Information Center.
Science Daily: “Licorice May Block Effectiveness Of Drug Widely Used By Transplant Patients.”
University of Wisconsin: “Food-Drug Interaction: (MAOI) Low Tyramine Diet.”

The contents of the WebMD and Self-Care With Dr. Shermaine Sites, such as text, graphics, images, and other material contained on the WebMD and Self-Care With Dr. Shermaine Sites ("Content") are for informational purposes only. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on the WebMD and Self-Care With Dr. Shermaine Sites!

If you think you may have a medical emergency, call your doctor or 911 immediately. WebMD and Self-Care With Dr. Shermaine does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Sites. Reliance on any information provided by WebMD, WebMD employees, others appearing on the Site at the invitation of WebMD, and Self-Care With Dr. Shermaine or other visitors to the Sites is solely at your own risk. 

Photo Credit: Vincent Desjardins

Much Love, Dr.Shermaine #InformativeRead #PleaseShare #HealthyBodySoulAndSpirit

"It's Not Selfish to Love Yourself, Take Care of Yourself and to Make Your Happiness a Priority. It's a Necessity." (Mandy Hale)


"Self-Care is Not Selfish. You Cannot Serve From an Empty Vessel." (Eleanor Brown)

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