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Blog: On Health. On Writing. On Life. On Everything.

Ibuprofen And Aplastic Anemia

This is the story of a friend’s friend – no statistics behind it, no big scientific study double-blind, randomized, placebo-controlled - nothing but anecdotal evidence (and you won't see a study done on this soon!). But a poignant story anyway, and a reminder: A woman in her forties was in quite good health, as it seemed, until one day, she got weak and ill, and was diagnosed with aplastic anemia. Aplastic anemia is a very serious diagnosis. It means the bone marrow is not churning out the required number of blood cells necessary for survival, and her physicians recommend a bone marrow transplant to her. One of the doctors told her that her platelet count was so low that she might start bleeding anytime (most worrisome is bleeding into the brain), and said that, as a minimum, she should stop all aspirin or ibuprofen (or any drug in that family of painkillers) as those might increase the bleeding risk. Now this woman had taken high doses of ibuprofen on the advice of her GYN doctor for uterine fibroids and terrible cramps. She heeded the advice, stopped all pills, and slowly but surely, her blood cell count crept higher and higher, until it became clear that she did not need new bone marrow at all. When I came to this country many years ago, I found that in a drugstore one could buy bottles of a thousand aspirin or ibuprofen pills. In Germany, one bought them in little tubes with ten or twenty each. That’s not only a difference in size: It is a difference in cultures: When you have a headache in Europe, you ask why you have the ache (nagging husband, too much sun, too much TV, too much booze, too little sleep, no exercise – the list is endless). You try to change the root cause of the pain. Here, you take a pill. This woman had a good reason to take ibuprofen – her fibroid cramps – and took them under the supervision of a physician – and still, it nearly killed her. Ibuprofen can have bad effects on the kidneys, the liver, the stomach lining – and thousands people die each year of internal bleeding. Aplastic anemia is exceedingly rare. But this story illustrates that no drug is without side-effects and we need to have a healthy respect of any drug we put in our bodies. Most painkillers are taken against headaches and menstrual cramps. Why not try natural methods first? More sleep, more movement, healthy fresh foods, water instead of soft beverages, less sugar and salt before periods, skullcap tincture against cramps – one has so many healthier options! Read More 
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Nobody Wants To Talk About Poop

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. Read More 
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Food “Allergies”, Anyone?

What we often call food “allergies” might be forms of intolerance with different pathways, physiologically speaking. The poisonous effect of wheat gluten in gluten enteropathy worked via a different mechanism than dairy-induced asthma; or the poison ivy dermatitis; or likely immune-complex regulated arthritis. Science has not totally elucidated these mechanisms; food “allergy” might be the incorrect term but has become common. The diagnosis is difficult to make and to confirm; but if you don’t even think of allergy, the diagnosis can’t be made. Many physicians are not trained in this. However, you might need professional help if self-observation does not solve the problem. Since all of these conditions can also be caused by far more serious diseases, by all means work with your doctor. Here is a list of signs that should make you wonder if you have an unrecognized food issue: Food cravings: The more you like a food the more likely it is that you are allergic to that food. The more frequent you eat a certain food or a food group the more likely is that you will develop an allergy to it. Fatigue: After a meal you are tired. We all are tired after a heavy meal; but if you are extremely tired even after a smaller meal you should search for an allergy. Abdominal discomfort after a meal - often within minutes but unfortunately it can even take a day or two - you feel bloated and distressed in your stomach. Diarrhea is already a more severe sign and, if chronic or intermittently recurrent, should be evaluated by a physician. Heartburn seldom is recognized as stemming from food allergies – but it often goes away when you stop eating nightshades (tomato, bell and hot peppers, eggplant, potato), nuts or dairy. Weakness: About fifteen minutes after a meal lift your arms: If they feel heavy or ache more than usual - compared how light you felt in the morning - this might be a case of allergy. Musculo-skeletal system: joint, tendon and muscle problems, bursitis, etc. Leave out nuts and dairy. Get evaluated for celiac disease (gluten intolerance). Mouth: Burning in your mouth, tickling in your throat or sores in your buccal mucosa or on your tongue might signal an allergy. Bladder: Slow flow of urine can be a sign of food allergy, due to a swelling of the urethra. Or burning of the urethra in males. Or recurrent signs of urinary tract infections – with or without bacteria growing out in culture. Irritable bladder (interstitial cystitis) might respond to leaving out coffee and certain foods. Thirst! If you are thirstier than other people – always running around with a water bottle in your hand – think allergy. Other diseases and complaints that might be caused - but not necessarily - by food allergies headaches, asthma, swollen glands, bleeding and inflamed gums, abdominal discomfort and bloating, diarrhea, skin problems and itching of perfectly normal looking skin, recurrent infections (sinus, UTI, etc.), itchy eyes, listlessness and mild depression, obesity and bulimia, anal itch and/or rashes, low blood pressure, dizziness, breast pain - a long list that is probably longer, recurrent phlebitis. Most common food "allergies" I have encountered in patients: dairy, nightshade (tomato, potato, eggplant, all peppers except black pepper, chili, cayenne, paprika), nuts, wheat, corn, beef, food dyes and food preservatives. But basically every food can become a culprit. If you have pinpointed one food item as allergenic for you, compare it with other items in the same botanical family (like nightshade). Read More 
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