CLASSIFYING THE IRRITABLE BOWEL SYNDROME: TRYING THE COMMON-SENSE APPROACH – MASSAGE EXTERNAL & WIND – MOUNTING PRESSURE

by admin on January 28th, 2011. Filed under Gastrointestinal: (Comments 0)
Massage External
Massage with oil (olive is good) from the right groin up and above the navel then down the left side; continue for ten minutes. This also helps to break down and eliminate toxins. Another way is to rub the abdomen with the lightest possible touch in a clockwise circle; there is no need to undress. It is surprising how much gas is released from the stomach with this simple exercise.
Internal
Laughing is a good internal massage, but if you are full of wind your sense of humour will probably have deserted you. Controlled abdominal breathing is also helpful.
Wind – Mounting Pressure
It is not only trying to pass a hard motion that causes pain; a colicky pain can be experienced when the bowel is trying to move the hard faeces through the colon, or when wind which cannot escape causes the bowel to stretch to a point where it contracts in protest and causes a sharp pain.
In a Yorkshire churchyard apparently there is a headstone which offers words of wisdom on this subject:
Wherever ye be let the wind go free For stoppage of it was the death of me
Sound advice, but not always possible when you are constipated.
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CLASSIFYING THE IRRITABLE BOWEL SYNDROME: TRYING THE COMMON-SENSE APPROACH – MASSAGE EXTERNAL & WIND – MOUNTING PRESSUREMassage ExternalMassage with oil (olive is good) from the right groin up and above the navel then down the left side; continue for ten minutes. This also helps to break down and eliminate toxins. Another way is to rub the abdomen with the lightest possible touch in a clockwise circle; there is no need to undress. It is surprising how much gas is released from the stomach with this simple exercise.InternalLaughing is a good internal massage, but if you are full of wind your sense of humour will probably have deserted you. Controlled abdominal breathing is also helpful.Wind – Mounting PressureIt is not only trying to pass a hard motion that causes pain; a colicky pain can be experienced when the bowel is trying to move the hard faeces through the colon, or when wind which cannot escape causes the bowel to stretch to a point where it contracts in protest and causes a sharp pain.In a Yorkshire churchyard apparently there is a headstone which offers words of wisdom on this subject:Wherever ye be let the wind go free For stoppage of it was the death of meSound advice, but not always possible when you are constipated.*14\326\8*

HOW WE DIAGNOSE A SEIZURE AND DECIDE WHAT IT WILL MEAN FOR YOUR CHILD: WAS IT A SEIZURE?

by admin on January 24th, 2011. Filed under Diabetes: (Comments 0)
After a careful, detailed history, the physician should be able to say one of three things:
1. “That episode was clearly a seizure.”
OR
2. “That was clearly not a seizure. It sounds to me like a fainting spell (breathholding spell, etc).”
OR
3. “I’m not sure what that episode was. I don’t think it was a seizure, but let’s wait and see if it recurs. If it does recur, I want you to observe him carefully and look for …”
Even if a single episode was a seizure, it may not be important for your child’s future since most single seizures do not recur or require treatment. If episodes are recurring, it should not take long for careful observation to determine their true nature. If infrequent and not interfering with the child’s life, they are less important. Rare episodes will either disappear as mysteriously as they appeared, or they will become sufficiently obvious and frequent to allow proper diagnosis.
Many people have been told they have seizures and, subsequently, have been treated with medication because of incorrect interpretation of single events, such as fainting. When in doubt about an event or about the circumstances of it, it is usually better to wait to see if a similar event recurs. It is better to live with uncertainty than to allow yourself or your physician to be too eager to label the event and begin your treatment. If there is doubt about the nature of the event or events, whether or not your child is on medication, you should explore this further with your doctor. Even when your child clearly has had a seizure, different seizures will have different meanings for the child’s future. The meaning may well depend on the context in which the seizure occurred. He may not need extensive evaluation and medication. Decisions about these may depend on the circumstances in which the seizure or seizures occurred.
*18\208\8*

HOW WE DIAGNOSE A SEIZURE AND DECIDE WHAT IT WILL MEAN FOR YOUR CHILD: WAS IT A SEIZURE?After a careful, detailed history, the physician should be able to say one of three things:1. “That episode was clearly a seizure.”OR2. “That was clearly not a seizure. It sounds to me like a fainting spell (breathholding spell, etc).”OR3. “I’m not sure what that episode was. I don’t think it was a seizure, but let’s wait and see if it recurs. If it does recur, I want you to observe him carefully and look for …”Even if a single episode was a seizure, it may not be important for your child’s future since most single seizures do not recur or require treatment. If episodes are recurring, it should not take long for careful observation to determine their true nature. If infrequent and not interfering with the child’s life, they are less important. Rare episodes will either disappear as mysteriously as they appeared, or they will become sufficiently obvious and frequent to allow proper diagnosis.Many people have been told they have seizures and, subsequently, have been treated with medication because of incorrect interpretation of single events, such as fainting. When in doubt about an event or about the circumstances of it, it is usually better to wait to see if a similar event recurs. It is better to live with uncertainty than to allow yourself or your physician to be too eager to label the event and begin your treatment. If there is doubt about the nature of the event or events, whether or not your child is on medication, you should explore this further with your doctor. Even when your child clearly has had a seizure, different seizures will have different meanings for the child’s future. The meaning may well depend on the context in which the seizure occurred. He may not need extensive evaluation and medication. Decisions about these may depend on the circumstances in which the seizure or seizures occurred.*18\208\8*

GOALS OF MEDICAL NUTRITION THERAPY FOR TYPE II DIABETES

by admin on January 18th, 2011. Filed under Diabetes: (Comments 0)
Blood glucose and lipid goals join weight loss to a reasonable weight as the focus of therapy for overweight patients with diabetes. This recognizes the fact that modification for fat intake, spacing and size of meals, exercise, and reasonable weight loss can be effective in achieving blood glucose and lipid goals in patients with type II diabetes.
The primary goal for patients with type II diabetes should be to achieve and maintain near normal blood glucose levels. Making healthy food choices, especially modifying calorie intake, can be beneficial. A moderate caloric modification (250-500 calories less than the average daily intake) and increase in physical activity may lead to improved weight control. In addition, modifying fat intake may be associated with a reduction in energy intake and weight loss. A nutritionally adequate meal plan with a modification in fat, especially saturated fat, should be implemented. Research has shown that even a weight loss of 5% to 10% is sufficient for improving glycemic control. Weight loss appears to increase insulin sensitivity and normalizes hepatic glucose production.
The research on the efficacy of very low-calorie diets (VLCDs) is inconclusive. Both VLCDs and low-calorie meal plans lead to weight loss and weight regain. VLCDs may be slightly beneficial to patients with type II diabetes because caloric restriction has been shown to improve insulin resistance and blood glucose response. It is unclear, however, if this makes a difference over an extended period of time. More studies need to be conducted investigating other creative alternatives to VLCDs, such as intermittent fasting which may achieve improved insulin resistance without the varying effects of weight loss and regain.
Due to the impaired insulin secretion in patients with type II diabetes, smaller meals and snacks spaced more frequently throughout the day may prevent exaggerated post-meal hyperglycemia. Also, regular exercise can promote improved metabolic control and weight management. In addition, learning new behaviors and attitudes can promote long-term lifestyle changes.
Monitoring blood glucose, glycosylated hemoglobin, lipids and blood pressure is essential to evaluate nutrition-related strategies. If metabolic parameters do not improve, oral glucose-lowering medication, insulin, or lipid-lowering or antihypertensive drugs may be required. Other than the quantity of food, we need to change the quality to make it more balanced.
*4/356/5*

GOALS OF MEDICAL NUTRITION THERAPY FOR TYPE II DIABETESBlood glucose and lipid goals join weight loss to a reasonable weight as the focus of therapy for overweight patients with diabetes. This recognizes the fact that modification for fat intake, spacing and size of meals, exercise, and reasonable weight loss can be effective in achieving blood glucose and lipid goals in patients with type II diabetes.The primary goal for patients with type II diabetes should be to achieve and maintain near normal blood glucose levels. Making healthy food choices, especially modifying calorie intake, can be beneficial. A moderate caloric modification (250-500 calories less than the average daily intake) and increase in physical activity may lead to improved weight control. In addition, modifying fat intake may be associated with a reduction in energy intake and weight loss. A nutritionally adequate meal plan with a modification in fat, especially saturated fat, should be implemented. Research has shown that even a weight loss of 5% to 10% is sufficient for improving glycemic control. Weight loss appears to increase insulin sensitivity and normalizes hepatic glucose production.The research on the efficacy of very low-calorie diets (VLCDs) is inconclusive. Both VLCDs and low-calorie meal plans lead to weight loss and weight regain. VLCDs may be slightly beneficial to patients with type II diabetes because caloric restriction has been shown to improve insulin resistance and blood glucose response. It is unclear, however, if this makes a difference over an extended period of time. More studies need to be conducted investigating other creative alternatives to VLCDs, such as intermittent fasting which may achieve improved insulin resistance without the varying effects of weight loss and regain.Due to the impaired insulin secretion in patients with type II diabetes, smaller meals and snacks spaced more frequently throughout the day may prevent exaggerated post-meal hyperglycemia. Also, regular exercise can promote improved metabolic control and weight management. In addition, learning new behaviors and attitudes can promote long-term lifestyle changes.Monitoring blood glucose, glycosylated hemoglobin, lipids and blood pressure is essential to evaluate nutrition-related strategies. If metabolic parameters do not improve, oral glucose-lowering medication, insulin, or lipid-lowering or antihypertensive drugs may be required. Other than the quantity of food, we need to change the quality to make it more balanced.*4/356/5*

REDUCING YOUR RISK OF CORONARY ARTERY DISEASE: HOW TO IMPROVE YOUR CHOLESTEROL LEVEL – DIET

by admin on January 5th, 2011. Filed under Cardio & Blood-Cholesterol: (Comments 0)
Three main avenues can be used to achieve and maintain cholesterol levels that minimize your risk of future coronary artery disease: diet, exercise, and medications. The first two are almost universally advisable and achievable, regardless of an individual’s LDL-cholesterol, HDL-cholesterol, and triglyceride levels (the lipid profile). It appears that risk can be reduced at least somewhat even for people whose lipid profile is not very “abnormal.”
On the average, dietary measures can reduce your cholesterol level by up to 15 percent. Some people may respond even more impressively. For others with a strong genetic influence on their cholesterol level, changes in diet and exercise may not be enough to improve blood cholesterol levels.
Diet. Dietary changes are the mainstay of cholesterol management. The key concepts in making dietary changes lower cholesterol are to reduce the total fat (especially saturated fat) and cholesterol that you eat and to lose weight (especially if your triglyceride level is elevated).
*249\252\8*

REDUCING YOUR RISK OF CORONARY ARTERY DISEASE: HOW TO IMPROVE YOUR CHOLESTEROL LEVEL   – DIETThree main avenues can be used to achieve and maintain cholesterol levels that minimize your risk of future coronary artery disease: diet, exercise, and medications. The first two are almost universally advisable and achievable, regardless of an individual’s LDL-cholesterol, HDL-cholesterol, and triglyceride levels (the lipid profile). It appears that risk can be reduced at least somewhat even for people whose lipid profile is not very “abnormal.”On the average, dietary measures can reduce your cholesterol level by up to 15 percent. Some people may respond even more impressively. For others with a strong genetic influence on their cholesterol level, changes in diet and exercise may not be enough to improve blood cholesterol levels.Diet. Dietary changes are the mainstay of cholesterol management. The key concepts in making dietary changes lower cholesterol are to reduce the total fat (especially saturated fat) and cholesterol that you eat and to lose weight (especially if your triglyceride level is elevated).*249\252\8*