An Ease for Morning Sickness?

Morning sickness, which is kind of a misnomer as it can happen at any point during the day and may come and go sporadically, is very common during the first couple of months of pregnancy. Some people are able to dig deep and get through it because their symptoms are quite mild, whereas other people can have very severe nausea associated with their pregnancies.  For those with milder to moderate symptoms, a group of HCPs (Healthcare Practitioners) created Preggie Pops and Preggie Drops to help alleviate the symptoms of morning sickness.

PreggiepopsWhat are they made of?

These HCPs created the Preggie Pops using some alternative therapies based upon some accepted alternative therapies and some old wives tales. For example, they are made with a sour flavored base, as this has been handed down by generations of childbirth educators as a treatment for a sour stomach and to squelch a nauseous stomach. As well, they are made with mint and lavender which are aromatic and thought to promote relaxation (lavender) and aid in digestion (mint) along with ginger, which has long been known as a treatment for nausea, to help settle an irritated stomach lining. They are made with sugar, and sometimes nausea can start to occur in pregnancy when the blood sugar starts to get low, almost like a signal that you need to be eating some more because your body (and the baby) need nourishment, and because you are sucking on these pops/drops slowly, you are getting small amounts of sugar, instead of eating large quantities at one time, which totally makes sense!

Do they Work and are they Safe?

They have many testimonials stating that people have used them not only for morning sickness but also for nausea associated with surgery and other illnesses. But, they are a homeopathic treatment that is not FDA approved; they do not contain any drugs, but they are using homeopathic treatments that are untested. On their website they state that they are safe because they are all natural….there are many things that are all natural but they are not safe for your unborn child, or for you. So I urge people to take heed and caution, check with your HCP before using this product or any other for morning sickness/nausea associated with pregnancy, just to really make sure it is safe and you are under the care of an HCP, in case there are any side effects.

At the risk of your health, and your unborn child’s health, it is best to consult with an HCP before taking any sort of supplementation while pregnant.

Yours in Good Health

B

Another reason to know the source of your food…

There have been numerous times that we have consumed products and then found out there were different additives or harmful substances present, which is usually due to a lack of adherence to regulations, or knowingly contaminate the product to make a larger profit.  This has recently become a rather hot issue is because of contaminated found in the UK, Ireland, and a few countries in the EU.

horse meat

What was the contamination?

Some rather large quantities of commercially sold hamburger (“beef”) meat in Ireland was tested for DNA, per regular testing standards, and meat that was labelled as beef was found to actually have the DNA of pigs and horses present.  The meat was found to have come from suppliers in France and Ireland that have then supplied major retailers such as Tesco (for Americans, Tesco is like Stop & Shop, Winn Dixie, or Ralph’s, a pretty major chain of grocers) which produces its own foods.  Since the contaminated meats were found at one source, they were traced back to the sources and the issue was found to be much more widespread.  Tesco products such as Bolognese sauces, lasagna, and other products have been contaminated with horse meat.  Not only is the pig and horse meat contamination an ethical issue for many people, but there are also certain religious groups (such as Muslim or Jewish groups) that don’t eat porcine products due to beliefs, which makes this a huge issue.

One of the other issues is that the horse meat was found to have phenylbutazone (also known as bute) present in it.  Phenylbutazone is a non-steroidal anti inflammatory drug (NSAID) that is used for short-term pain control in animals.  It has been banned in both the US and the EU due to issues of aplastic anemia which results from suppressed bone marrow, so your white and red blood cells are not adequately produced, to properly clot or fight off infection. Even ingesting these meats, which were found to be up to 60% horse meat that was contaminated with phenylbutazone, which can be absorbed by humans and cause this bone marrow suppression and anemia.

Up to 16 countries in the UK and EU that have been affected by this meat contamination, not to mention that these suppliers also sent contaminated meat to large fast food retailers such as Burger King in the UK/EU, thus numerous people have been exposed to these different meats and the phenlybutazone. If you think you have been exposed, you should go to see your Healthcare Practitioner (HCP) and get assessed, but you should know that they are currently making the statement that ingesting these small amounts of the drugs through horse meat is presumed to not have an impact on your health, but it truly is unknown. If you feel unwell, and have been at risk, it is best to see your HCP and get checked out, especially if you have any other medical issues.  For a list of affected foods check here.

Another reason to eat local and support local agriculture when you can, you know what kind of meat and the source!

Yours in Good Health

B

Have an annoying bump in your mouth? It may be a mucocele!

I bet many of you have had a mucocele and maybe didn’t know what it was, and by the time you think to figure out what it is, it’s gone! I tend to be a teeth grinder when I am stressed, much to the chagrin of my dentist, but every now and again, I will bite my inner lip, so I tend to be really sensitive to any sorts of bumps and lumps in my mouth because I usually just assumed I have done some damage during my midnight teeth mashing! Instead of the trauma caused by teeth grinding, you can get some small bumps on the tissues in your mouth that are little fluid filled bumps that may be a little painful, but more annoying than anything else, and that, my friend, is a mucocele!

What exactly is a mucocele?

Mucoceles are painless thin little cysts (fluid filled sacs which has clear fluid once popped but can look almost bluish inside your mouth) usually on the inside of the lips and/or cheeks, and are quite common. The can also occur on the roof of the mouth, the tongue, or on your gums. They can vary in size, and the larger they are, the more annoying they can be, but they usually do not cause any pain, but they can just be irritating depending where they are (especially if on the tongue).  They are thought to occur due to sucking the tissue from your lips/cheeks between the spaces of your teeth (it’s a working theory), so the size of the mucocele would depend on the size of the space between your teeth. Although, they are especially common around an sort of oral piercing sites, so I am not sure how that works with the teeth sucking theory!

credit: oralmaxillo-facialsurgery.blogspot.com

credit: oralmaxillo-facialsurgery.blogspot.com

How are they diagnosed and treated?

The good news is that Healthcare Practitioners (HCPs) can just visualize it to diagnose it, and once we diagnose it, I am sure you will recognize it in the future (to save yourself a co-pay and trip to the HCPs office!) That being said, sometimes they become large and will keep coming back, which would require them to be removed by an oral surgeon or a dentist (depending on size, placement, and their level of comfort). Often, smaller mucoceles will just rupture on their own, spontaneously, and then not come back. If they are big and causing a lot of irritation, an HCP may have to rupture it for you using a sterile needle (which sounds painful, but it’s not.) I do not suggest rupturing them with any sort of sharp object on your own, as you risk an infection….and oral infections are neither fun, nor easy to treat!

How can I prevent them?

There’s nothing you can do other than remove oral piercings that you may have that there are commonly mucoceles around, and trying not to suck on your teeth.  I am not sure if people really intend to suck on their teeth, I don’t think it’s a conscious thing….but if you do, try to stop!

The important things to know is that they are common, and if they become uncomfortable go to see your HCP to get them removed.  They are in no way detrimental to your health, but to make sure that if they do need to be ruptured or removed it is done under the care of an HCP to make sure it is as clean as possible and prevent the risk of infection. So, next time you might feel a little annoying bump in your mouth, you have a little more insight as to what it is!!

Yours in Good Health

B

 

How to add calcium to your diet!

I know a lot of people that are lactose intolerant, or just tend to really dislike dairy, and want to add more calcium to their diet. Calcium adheres to the bones and helps to prevent osteoporosis. It can be a bit tricky to know how much you might need to eat of various foods to get the amount of calcium that you need each day. Calcium is also a bit of a tricky supplement to take because you need vitamin D to absorb the calcium, without vitamin D, you only actually absorb about 10-15% of the calcium you ingest.  Vitamin D can be taken in supplement form but the best way to get Vitamin D?  Spend 30 minutes in the sun, outside of the most intense sunlight times (10am-2pm) with only light sunscreen on (and it’s best absorbed without any on).

How much calcium do I need?

From the ages of 10 to 20 your body absorbs the most calcium to the bones, and slows significantly after the ages of 30. It is suggested that the Recommended Dietary Allowance (RDA)  for the ages of 9 to 18 is 1300mg, ages 18 to 50 is 1000mg, and ages 51+ is 1200mg per day. If you think that an 8oz serving of yogurt has around 400mg of calcium, and an 8oz glass of milk has around 350mg, cheese has about 300mg per 1.5oz serving, eating three servings of dairy, really help you to hit that RDA for calcium.  If you can’t tolerate dairy, or just don’t like it, fear not, there are other ways to get in enough calcium, you just need to pay attention to your diet.

milk, muesli, beans, tahini..sources of calcium!

milk, muesli, beans, tahini..sources of calcium!

How do I get my calcium on?

The good news is that we live in a world full of fortified foods, and soy, almond, and coconut milks all have around 300mg of calcium in an 8oz serving, as does Orange Juice fortified with calcium.  One serving of beans (1/2 cup) gives you around 100mg, 1/4cup of almonds (in any form) adds 80mg, and green leafy vegetables are chock full of calcium (1 cup of uncooked kale/spinach/etc has about 200mg).  And, if you are really into sardines, you are really in for a surprise, 8 medium-sized canned sardines has 370mg of calcium! And for all of you tofu lovers, 1/2 cup of tofu has 270mg of calcium.  Your after dinner treat of frozen yogurt? 100mg of calcium.  So pay attention to the foods you eat, most likely you are getting a good amount of calcium, and remember that most cereals and breads are fortified with calcium, so read the labels.

What else can I do?

Remember that your body can only really absorb a maximum of 500mg of calcium at a time, so if you are taking supplements, be aware of that!  Remember to get your sun for the Vitamin D to aid in absorption of calcium into your bones. Also doing low weight-bearing exercises, lifting low amounts of weights, ankle weights, helps to strengthen your muscles around your bones and keep the calcium in your bones instead of stripping off.  Too much calcium can cause some bad things, so make sure just to get the approximately the amount that you need! So get that calcium in and strengthen those bones!!

Yours in Good Health

B

A Happy and Healthy New Year!

I hear a LOT of chatter about “my diet starts tomorrow!”, “I think I’m going to go gluten-free to lose some weight”, and my favorite “Just signed up for a new gym, so I know I’m going to go every day, and 2013 will be my year.” I appreciate all of the gusto, and that people decide to make a change, with a definitive date in mind (i.e. New Years day), and I REALLY want everyone to be successful, so why don’t we make a resolution we can stick to?  Perhaps, being healthier in 2013! There are so many things you can do to be healthier without making ridiculous requests of yourself that you know you won’t be able to keep.

How do I go about being healthier?

Make a commitment to exercise: Try something new, something different, and something you aren’t committing to for a whole year! So don’t spend a ton of money at a gym, maybe get a pack of passes to a yoga and/or Pilates studio? Pole dancing? Spinning? Boot camp? Pick your poison; try something new, and stick to a two to three month commitment.  There’s no need to be married to it, if you like it, stick with it, if you don’t, you are not out a ton of money and you will find something new, but you are trying something new exercising, and you’re excited about it, which means you’re more apt to do it.  Paying a ton of money and signing a years contract to a gym does not mean you will actually be going there to run on that hamster wheel…right?

Take the time for nutrition: Make a food journal, if you feel that you need to step up your diet and eat healthier, and figure out where your calories are coming from.  Don’t cheat yourself, but write down everything (including beverages) that you ingest during the day, and try to find ways to make it healthier, or cut calories.  Do you snack on candy at work? Bring trail mix (full of fiber, some sweetness from dried fruits, and protein from nuts) which will keep you satiated longer than candy and you will feel better, or just bring some protein in the form of nuts, yogurt, jerky, etc. if you bring your own snacks that you enjoy and are healthy, it will cut down on the amount of mindless snacking, that can add up in calories! Plus making your own food, you have more control over the ingredients and the amount of fats/sugars added, so your nutrition is literally in your own hands.

Try to decrease refined sugars: It is difficult and definitely a commitment, but I am not a huge fan of people quitting things cold turkey, as it were. Watch the foods you are eating, and read nutrition labels, and try to cut out anything with extra sugars added and cut down on how much you add to your morning coffee (for example), or breakfast cereal.  Try Coconut palm sugar or agave, something that is not a chemical, with a low glycemic index that still makes your sweet tooth feel satiated!

Commit to eat out LESS: Eating out or getting take out foods a lot, not only will cost a lot, but there are hidden fat and calories in take out food, that you wouldn’t add yourself.  If you don’t cook, maybe grab a friend and take a cooking class?  Or just teach yourself, as long as you make a commitment to learn to cook, you can do it…even if not burning toast is a feat for you, give yourself a pat on the back for getting it done! Some food items that seem like you have to buy them because they would be hard to make, are so easy to make and more delicious when you make them yourself, like: hummus and pita chips, salads, soups, etc..  So simple, and you can cut fat, calories, and extra sodium! I made a tomato basil bisque with 1/4 of the fat and calories that you would normally get at a restaurant- so easy, fast, and yumbos!

 

Easy, yummy, good for you, and cost friendly!

Easy, yummy, good for you, and cost friendly!

Try not to obsess about numbers: I am the opposite of most people and I don’t even own a scale.  I judge my weight based off of how I look and feel in clothes.  I roughly know what I weigh, but I am never certain until I go for a check up and I get weighed! But, if you are someone who weighs themselves a few tips: don’t do it daily (especially for women, hormones can really mess with that number), but weigh yourself at the same time weekly (this will give you a better average), and don’t be so obsessed with ONE number that you want to weigh.  Just be healthy, and exercise, and your weigh will come down to what it should be; if you starve yourself or workout like bonkers to hit a certain number, once you hit it, you will most likely won’t stay there: you set yourself up for failure.

Truly making a commitment to yourself and bettering your health is the first decision that you make, from there on, it is so easy to stick to it: buy healthy foods (buy groceries primarily from the outer aisles of the store), stock up on healthy snacks and keep them around (if you have easy access to healthy foods you are more apt to eat them), and try some new exercises, grab a buddy and go! The only person that can impeded your commitment to a healthier you IS you, so make that decision, go for it fully, and take charge over your own body.  It will feel good to be healthy, and starting off with healthy choices makes you feel good and will lead to a chain reaction of healthy choices.  So here’s to 2013 and a healthier version of you!!!

Yours in Good Health

B

Should I get my pollen on?

I have heard people suggest bee pollen to treat every single ailment! Seriously, you have a rash?  Bee pollen. Asthma?  Bee pollen. Digestive issues? Bee Pollen. Alcoholism? Yup, you guessed it! Bee pollen.  I was overhearing this conversation in public the other day, and I was just thinking, how can one supplement be able to cure everything and not everyone uses it? But, then I started to think maybe I had just overlooked it, which is completely possible; if I read about things, and I don’t somehow leave myself a reminder, it’s gone…or comes back at a random time, and I thought maybe this was one of those black holes of knowledge, so I decided to research it.

What is bee pollen?

Bee pollen is basically bunches of different pollens (considered the male sex cells of plants because it is needed to fertilize) that the worker bees go off to collect from various plants, trees, etc. and when it is brought back to the bee hive, it is mixed with various enzymes and bacteria present in the hive. It is basically packed into clumps in the hive.  The bees in the hive subside off of the bee pollen, as it has all the nutrients and vitamins they need to survive. Bee pollen is about 40% carbohydrate, 5% fat, and 5% protein, and filled with various amino acids, and nutrients (such as zinc, magnesium, etc) but the rest is all bee waste products (i.e. bee poop), fungus, bacteria, and insect parts. Yum! I know that makes you want to run out and grab some!

What can it help?

Bee pollen, as I stated before, purportedly is a fix all for all sorts of various maladies, such as:

– Colitis/ Digestive issues

– Arthritis (improves joint movements)

– Increases energy

– Decreases allergies (seasonal)

– Asthma

– Eczema

– Alcoholism

– Prevents bacterial infections

– Maintains wellness

– Weight loss

Does it actually work?

Despite some people being huge believers in Bee Pollen supplementation in your diet, and some say because of the carb/fat/protein ratio you can actually solely subside off of bee pollen alone, there are NO independent studies that show it actually heals or treats these issues.  Actually, there are numerous cases of people taking bee pollen supplements and having allergic reactions because they have a bee sensitivity OR a sensitivity to one of the plants pollens present in the bee pollen, and even going into anaphylaxis (a severe allergic reaction that leads to loss of airway, ability to exchange air, and can quickly lead to death without immediate treatment.) Also pregnant women and women that are breastfeeding should NOT take bee pollen due to risks of transference of the fungus/bacteria from the pollen to their babies.

If you take bee pollen, and it works for you, I am not going to tell you to do any differently, but I would urge people with many allergies or on medications from chronic conditions to talk to their HCP before starting to take bee pollen.  Also, there are some eco and ethical issues with bee pollen supplements, in that there is a world-wide decline of honey bees due to their sensitivity to various pesticides, and they do subside off of their pollen, so maybe us humans can find something else to use, and let the bee populations boost up before we go back dipping into their pollen pots?

Yours in Good Health

B

Anxiety

In honor of mental health week, I thought that I would talk a little bit about anxiety: something that affects us all, in different ways, and totally different levels.  We all face stress, and we all get some form of anxiety, and every single person has a different way of dealing with it…some healthy, and some not so healthy.  I want people to know the difference between “normal” anxiety and “I really need some help” anxiety, and how we can treat it.  Anxiety disorders can start as a child and be a lifetime battle, or it can crop up at any point in your life.

What are some symptoms of anxiety?
Restlessness, feeling “on edge”
Constant worry about issues (small or large)
irritability
Difficulty concentrating
Poor sleeping (unable to get to sleep OR waking up in the middle of the night and unable to get back to sleep- constant exhaustion)
Constant muscle pains/strains (i.e. that tension that might occur in your back, shoulders, etc)
Rapid heartbeat
Shortness of breath
Sweating

What can put you at a higher risk for anxiety disorders?
-Simply being a woman (gross!): women have a 2 times higher rate of anxiety than men
-Personality: Some personality types are more prone to be anxious (hello Type A! I’m not judging, I am a Typer A’er!)
-Genetics: If you come from a family of worriers and stressed out people, you are much more likely to sweat the small stuff.
-Trauma: Anyone who has survived a trauma (childhood, adult) as either a bystander OR someone directly involved in the event, you are much more likely to develop an anxiety disorder if you don’t get help to cope with the situation.
-Chronic Illness: If you have a chronic medical problem which can have flare-ups or cause you to require medical treatment on and off, it can be a constant stressor.
-Substance Abuse: The use of drugs and alcohol can make general anxiety disorders worse, but people try to use the drugs and alcohol to treat the anxiety,and it leads to a very unhealthy cycle of “self treatment”.

What can happen to me when I have an anxiety disorder?
-Chronic headaches
-Substance abuse
-Depression
-Insomnia
-Digestive difficulty
-Teeth grinding (TMJ)

What will my HCP be looking for?
Just like a medical diagnosis, with anxiety disorders there are some criteria that HCP’s are looking for to “diagnose” you with a general anxiety disorder:
-Excessive worry or anxiety about numerous events several days out of the week
-Difficulty controlling your feelings of worry
-Anxiety or worry that interferes with your activities of daily living
-Anxiety that isn’t related to another mental health condition (like Post Traumatic Stress Disorder, Depression, etc)
-And at least three of the following symptoms: insomnia, restlessness, fatigue, difficulty concentrating, irritability, muscle tension.

OK. SO what do we do?  How do we treat this?
Alternative therapies:
-Exercise: Many studies have shown that daily exercise of 30 minutes (at least) can help reduce symptoms of anxiety and depression.
-Eat Healthy: cut out processed foods, fatty, and high sugar foods and add things that are high in Omega-3 fatty acids and Vitamin B
-Avoid Alcohol and other drugs: as I said before, they can make things worse!
-Use relaxation techniques: yoga, mediation, and take time for yourself to shut off your phone, TV, and all other stimulation if only for 20 minutes a day, or when anxiety is at it’s worst.
-Sleep: shut off your TV, set a bedtime, get into a routine to help your mind turn off.
-Kava*: can help to promote relaxation, but be careful if you have any liver disorders.
-Valerian*: It can help promote sleep and help with relaxation
*talk to your HCP before starting any new supplements!
Medications:
-Antidepressants: can help reduce anxiety and fight off the depressant hat can come with anxiety (i.e.Paxil, Zoloft, Effexor).
-Benzodiazepines: sedatives for SHORT-term relief of anxiety, they should only be used for anxiety attacks and for other sporadic treatment of anxiety, not every day and NOT for long-term use- they can make anxiety worse if taken long-term.
-Buspirone: Can take weeks to get full effect, but can be used for longterm or ongoing treatment of general anxiety disorders.
-Psychotherapy: AKA Talk therapy. For some people scheduling an hour a week of talking to someone who won;t judge you and can help to shape your behavior really works, and I suggest that anyone taking medication is also getting psychotherapy, they really enhance one another!

So many people have anxiety, we live in a high stress world, and I see people all the time that try to combat their stress with drugs and alcohol, because they don’t understand that what they are doing is self-“treating” their anxiety. And I see other people that end up completely breaking down from stress and unable to live their lives. In times of high stress, like a family member is sick, or you are tight for money, etc these things might happen for a few days/weeks.  BUT is this your life?  Am I describing things that you feel every single day?  If so, you need to talk to your HCP to get help and it is not a sign of weakness, it is not something to be embarrassed about- EVERYONE needs a helping hand sometimes!If you have any of these symptoms, PLEASE GET HELP!  If you know someone who needs help, urge them to go to their HCP, bring them to the Emergency Room if it is life threatening; just make sure that your love ones get treated and ask for help- there are tons of people out there to help and support you.  You aren’t dealing with stress and anxiety alone, I promise, and it is nothing to be embarrassed about.  Please talk to someone, and your HCP, and just tell them what you are going through, we can help you!

Yours in Good Health
B

Watch out: the Norovirus is lurking!

Many people are coming down with rather similar symptoms lately: nausea, vomiting, diarrhea, & cramping.  There is a virus that is going around, which spreads quickly, and you could be at risk. I wanted to discuss what the Norovirus is, how to know you have it, treatments, and, most importantly, prevention!

What is the Norovirus?
It is actually the name for a group of viruses that all act similarly, if not the same, on the gastrointestinal (GI) tract and cause nausea/vomiting, diarrhea, abdominal cramping, etc. and are thought of as a gastroenteritis (an infection of the GI tract). They were once referred to as the “Norwalk Like” viruses after an outbreak of these viruses in Norwalk, Ohio in the early 1970’s. They also gained a lot of press after hundreds (if not thousands) of guests on cruise ships were getting infected, and ships had to go to port due to such high rates of illness (If I ever even ponder taking a cruise, I remember this fun time, and I’m all set; could you imagine how horrible that must have been? Gross!) The tough part of the Norovirus is that the virus strains are highly virulent, in that they spread from person to person quickly and easily, and infections from these viruses are usually at the highest during cold winter months. That is a true bummer for all of us living here in New England! Fun fact? Norovirus is the leading cause of food-related gastroenteritis in the United States.  Another fun fact: You will never forget how miserable you feel while infected!

What are the symptoms?
Nausea
Vomiting
Diarrhea
Stomach cramps
Low grade fever, chills
Headache
Muscle cramps
*the symptoms can occur very suddenly 12-24 hours after exposure to the virus, and normally last around 12 hours and people feel better within 48 hours (see below: you are still a carrier for much longer and can infect others)

How is it spread?
Most often it is spread from person to person through contaminated food and/or water, caring for an infected person, or through contact with contaminated surfaces. It can live on hard surfaces that are infected for around 12 hours and has been found in infected carpet fibers (i.e. an area that someone threw up on) for up to 12 days, plus it can withstand pretty high amounts of chlorine before being killed off. The viruses live in the stool (poop) and vomit from people with the virus, so when caring for children, elderly, or anyone who needs a lot of assistance with care/cleanup, there is a high rate of spreading the infection. You are contagious from the moment you are infected (even before you feel ill) until a full three days after your symptoms end! Which makes this virus so quick to spread especially in places where people live/work closely together, and it is hard to stop the spread once it starts.

My standard at home hydration "go to"

My standard at home hydration “go to”

What is the treatment?
There is no vaccine or antiviral for these viruses, unfortunately. And as we all know antibiotics only treat bacterial infections, so they are useless against the Norovirus. So you are really just trying to treat/prevent the dehydration that can occur after the diarrhea and vomiting; fluids such as gatorade and coconut water will help to replace fluids and nutrients lost, but really any fluids that you can get in and keep down will help to prevent severe dehydration. If your mouth and tongue are really dry and you cannot make saliva, you feel dizzy when changing positions, you aren’t urinating (or it is very dark), you are clinically dehydrated.  When dehydrated, if you are unable to take in fluids, you should go to the Emergency Department for intravenous (IV) fluids. With children, they often will become restless, cry without tears, and have dry oral cavities; they need treatment with IV fluids if they refuse, or cannot keep down, fluids. The best assessment of dehydration status is to watch your pee (frequency, amount, and color- if it appears on the darker side, drink more).

How do I prevent this from happening?
Wash your hands FREQUENTLY!!
Eat food that is thoroughly cooked if you are eating out (or unsure of food quality)
Wash fruits and veggies before eating them
Wash areas that have become contaminated with hot soapy water or bleach
Immediately wash all clothes, bed linens, etc that have become in contact with vomit or stool of an infected person
If you do get infected, avoid contact with others and preparing food until three days after symptoms are gone

Generally, the Norovirus is a nasty couple of days where you feel horrible (absolutely miserable), but it always ends and there are no long-term effects. But if you have chronic illnesses or other active diseases, it can be deadly because of the effects of dehydration and the electrolyte imbalances that can occur. In children, the elderly, and chronically ill, you need to make sure they are taking in fluids with nutrients (pedialyte, Gatorade, coconut water)and if they cannot, you need to seek medical assistance.  Even if you are vomiting, still try to push those fluids…even absorbing small amounts are better than nothing!

So wash your hands, cook that food, and steer clear of anyone with those symptoms and you will be Norovirus free this winter!

Yours in Good Health
B

Cold and Flu Prevention

Cold and flu season is now upon all of us; we are all at risk, we all know that we should be getting flu shots, especially if you are considered high risk, and ideally you should get the flu shot before December, when flu season starts to hit its hardest. The flu can be a very devastating illness and can lead to complications of other medical issues and cause death.  Colds?  You just don’t want to feel crappy, so we should really try our best to prevent both, right?  Prevent illness in yourself and others, and you will be a MUCH happier person this winter!

The Flu Virus

Who is considered High Risk?
Per the CDC (Center for Disease Control) it is:
Pregnant woman
Children 5 and under
People with chronic medical conditions
People older than 50 years old
Anyone living in a nursing home or long-term care facilities
People who care for those at high risk (healthcare workers, caregivers for elderly or very young)

What else can I do to prevent colds and flu?
Get adequate sleep: I have certain unnamed friends that claim exhaustion if they get less than 10-12 hours of sleep a night, I am really happy with the average person if they get 7-8 hours of sleep; because that will refresh your body and help to keep your immune system strong.  And, if you are sick, then try to get more like 10 hours of sleep, and relax as much as possible, your body is trying to tell you something, and you need to let it recharge.
Keep your hands off your face:  Try not to bite your fingernails, wipe your nose on your hands, touch your eyes, or anything of that nature; it can spread germs all over your face, and increase your risk of getting a cold or the flu.
Beware of others: Wash your hands (or use and antibacterial gel) after shaking hands, and clean others belongings before you use it yourself (like phones, clothes, etc)  You never know how well other people clean things, and even something as benign seeming as borrowing a pen, can end up in a cold later on!  Plus, if someone is sneezing or coughing (showing any sign of illness), I would keep away from a big bear hug and be a little more wary of spending time in an enclosed space with someone who seems under the weather.
Eat Fresh: Eating a healthy, well-balanced diet of fruits, veggies, proteins can support a strong immune system, and if you aren’t eating all that well, pop a multi-vitamin to keep your immune system working optimally, and try to prevent illness as best you can.
Get your sweat on: Working out regularly keeps your immune system strong, and your body working like a well oiled machine, not to mention that you look good and feel good too.  So, despite shorter days, and cooler weather, make time to exercise and get your body moving.
Quit smoking: Just another reason to ditch the butts, it creates changes in your respiratory tract, and decreases your immune system, leaving your lungs as prime target for viruses and bacteria to attack and cause illness.  Yuck! (Really, as if I needed yet another reason to get on my soap box about quitting smoking!!)

If you do get sick?
Keep it contained to yourself and try to sneeze or cough into your elbow area, as to prevent the spread to others. Use fresh tissues at all times; I mean I always thought it was a little creepy that my Nana would use a tissue, then shove it in the wristband of her sweater for later, but as an HCP, I now know how truly germ-y and gross that is, and you can actually reinfect yourself by using dirty or old tissues!  Drinks lots of water (and coconut water to replenish your electrolytes), and get plenty of rest and sleep. I know easier said than done, but don’t overstress yourself when you are ill….make some “me” time, for sure, and stay away from work!  And, if you start to get really high fevers, and the illness doesn’t start to get better after a couple of days, see your HCP to make sure that it isn’t something more serious.

There is always an excuse NOT to work out and eat healthy, but there is no reason to want to get sick. So be proactive about your health: live a healthy lifestyle, and you will be a healthier person.  You’ll thank me!

Yours in Good Health
B

Jellyfish Stings: Should I Pee on that?

For years people have been under the impression that if you get stung by a jellyfish, you are supposed to urinate on the other person as an antidote.  I think as far as the US is concerned, TV shows and movies have made it a bit of a joke; there was a particular episode of Friends, in which it was depicted that the only way to treat a jellyfish sting was to pee on the person. Good news, for those of us who love ocean swimming but don’t like to get peed on, it isn’t the only treatment, and it actually has never been shown to work in studies.  I’ve got some other home remedies that will help to prevent the burn and relieve symptoms faster.

How do Jellyfish sting?
Jellyfish have tentacles that are long and hang off of the bulbous “jelly” part and the tentacles are covered with nematocysts, which are coiled stingers that can become activated and cause a sting/burn.  The nematocysts that are on the tentacles can continue to sting for hours and sometimes days after the tentacles are no longer attached to the jellyfish.  The stinging ability is the jellyfishes defense mechanism and to ward off predators….it certainly wards me off!

Jellyfish

What are the treatments?
– Firstly, you need to remove the tentacles (and nematocysts) from your skin.  DON’T use fresh water or your hands, that activates the nematocysts to activate and sting your skin.  Try to brush the skin with a towel to remove the stingers from your skin, and pour salt water on your skin where the sting is occurring, it can help to get the nematocysts off without activating them.
– Try placing a towel soaked in warm water and vinegar (5% acetic acid solution)
– Unseasoned meat tenderizer or baking soda caked onto the areas can neutralize the stings (only leave on for about 15 minutes)
-If the stingers are still on the skin, put shaving cream on the skin and the tentacles will adhere to the shaving cream, and gently scrape the cream off with something hard-edged, but not sharp!
– After the stingers are removed, you can take 50mg of benadryl (for children give a children’s dose- age and weight appropriate) and for adults taking Ibuprofen can also help ease the discomfort, along with a hydrocortisone cream to decrease the swelling
– Ice packs can help to ease the pain
– Time is the only true treatment that will heal the stings….

*If you get stings near your eyes, flush your eyes out with Artificial Tears (or other saline solutions)
**Any stings in your eyes, mouth, or that cause trouble breathing, extreme swelling, etc. you should seek immediate medical attention and call 911 (or the emergency number where you live)

Why doesn’t urine work as a treatment?
Urine, depending on the person, is a majority of water, along with waste products from the body.  If someone has diabetes, dehydrated, on certain medications, on a low carb diet, etc. what the waste products in their urine are will be different and can actually make a jellyfish sting feel worse.  Ideally, if the urine is high in uric acid, it was thought that it would neutralize the stings but that has never been shown as true in research.

These treatments have been studied, but unfortunately all people’s skin reacts differently, so you have to try them out and figure out what works best for you.  The good news is that I gave you a bunch of other treatments, the bad news is that if you’ve had a stung and someone peed on you, you got peed on for no reason!  But, be safe, especially with children, and really look for jellyfish when swimming in warmer waters and ask locals about the ocean before swimming, just so you know what you’re getting into (pun intended).  So be safe and stay away from those pesky jellyfish!

Yours in Good Health
B