Less than a month ago, a young woman in her mid-twenties called me for “lumps in my armpit”. Now, that can be a thousand different things, not all easy to diagnose, some with dire prognosis. So, I told her I needed to see her.
She came, and the diagnosis needed one look only: Hidradenitis suppurativa. This poorly understood skin disease can’t be confused with any other: The patient has multiple red swellings and scars in the axilla, sometimes at other areas, too. You could describe it as boils in the armpit. They are painful and disfiguring. Conventional medicine describes them as inflamed sweat glands (which is what “hidradenitis” means, and suppurativa means “leaking pus”). They are similar to boils, pilonidal cysts, chronic abscesses, fistulas and different kinds of cysts. They might be exacerbated by hormones, excessive sweating, and overweight. Genetic factors clearly play a role – hidradenitis suppurativa is more common in females, and in people of Mediterranean and African-American descend.
Medicine might not understand the cause of it, but any layperson can see that hidradenitis suppurativa is a highly inflammatory disease. This young, pretty woman was slightly chubby – not badly, indeed. But I advised her to eat more vegetables with olive oil, and leave out all sugars and dairy products, as the most inflammatory foods. She also was bloated and had a family history of gluten problems, so I asked her to leave out gluten, too; at least for a few months. I also recommended anti-inflammatory fish oil and probiotics to help her poor, inflamed bowels to heal.
What happened to the young woman? - Within two weeks, she was dramatically better and had lost some pounds, and all the bloating. I never counsel to lose weight; I recommend a better diet, and the weight loss will follow automatically. She was happy about the result.
Unfortunately, then she went to a party where she indulged in all the wrong foods, including pizza, cheese, and sweets. The boils immediately recurred. I was not worried about the relapse: It only confirmed what she had learned: That what she eats has a beneficial or not so beneficial effect on her digestive system, and her health. – Her choice, really.
I know that at this age, all the young woman wants is to look good and be able to were a sleeveless top, and there is nothing wrong with that. But I will make a prognosis – even if I might not be around to see the result: If this twenty-five year old will be able to stick to her resolutions (at least most of the time), she one day will be vibrant fifty-year old. If not, she will go the way most people go in our society that adores foods that I’d call “non-foods” – and she will experience obesity, diabetes, cancer and the myriad of chronic diseases that seem to pop out of nowhere as we age. – Let’s see which way she chooses … Read More
Blog: On Health. On Writing. On Life. On Everything.
Otto’s Nipples
April 24, 2011
You must have heard about my adorable tomcat Otto. He is all black, with two small white spots, on his breast and on his belly.
Every time he sees me, he throws himself on his back, begging for a belly rub. When I first got him from the shelter, his fear to be touched by a stranger was greater than his desire to get a belly rub. But over time, he became bolder, and now I can touch his belly most of the time, and indeed, he even demands it.
So, when I do my chore and rub his belly, invariably I am astonished to find that he has nipples, two nice rows of it. What a waste to put nipples on a male! In a female, the nipples would serve to feed the young. But in a male?
In the Creation story, God takes a rib from the sleeping Adam and shapes Eve out of it. So why did Adam have nipples? He shouldn’t!
I don’t want to offend religious feelings, but nipples prove that Evolution is real, and that Darwin was right. For me, nipples are the neatest evidence for the Earth and all her inhabitants having come a long way.
In fetal development, the first fourteen weeks are exactly the same in male and female. After that, under influence of the male hormone testosterone, a boy and his special parts develops. If testosterone is not supplied (as in a genetic girl), the fetus stays what it was, basically, and becomes a girl. And since having or not having nipples is of minor consequence, evolution never selected against nipples; they just stayed where they were left at week fourteen of embryonic development.
Medically, the male breast occasionally can develop cancer – just like the female breast does. But the number is only one in a hundred male cases to female cases. Anyway, an unusual swelling in a man’s breast should be evaluated by a physician.
However, swelling of both male breasts usually stems from the influence of hormones (or hormone-like substances). It is called gynecomastia, meaning: breasts like females. They can be a sign that testosterone levels are too low in a man, or that estrogens are too high. In any case, they should also be seen by a physician. This condition often happens in puberty, when the balance of hormones is not yet perfect, and most often it vanishes on its own.
In older men, development of breasts may have to do with obesity and/or alcohol consumption: When the liver is too busy with alcohol, it cannot break down estrogens very well – those estrogens are also produce normally in men, although in low numbers. But when the liver is failing, the estrogen level rises relative to testosterone levels, and gynecomastia develops. Time to drink less alcohol (or none)! The liver has a great capacity for regeneration – and half a year alcohol-free does wonders (if there wasn’t already cirrhosis, the end-stage of liver disease).
All these musings just from stroking Otto’s belly – amazing. But even more amazing is Evolution, I guess. Read More