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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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Your Doctor Knows

An new study shows that physician and nurses (and other healthcare personal) use more alternative methods than the general population. Uh? Seems your doctor knows more than she lets on to you. Why are physicians not generally using more alternative methods for their patients if they have found out that they work for themselves and their families? Time! It takes much more time to discuss better nutrition, movement, herbs, acupuncture, cold water, relaxation techniques, yoga, meditation, sleep hygiene and many more than just handing out a prescription. You might improve your own healthcare if you initiate a talk with your doctor, asking for alternatives before taking a pill mindlessly (but mind that sometimes the pill might be the right answer for your problem - let's not throw out the baby with the bathwater; we needs both sides of medicine!). Just ask a simple question like this: "What would you do, if it were you, Doc?" Read More 
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Irritable Bowel Syndrome?

In my thirty years in medicine, I have never diagnosed anybody with “irritable bowel syndrome.” Not that I didn't want to make the diagnosis. But it always seemed to be the last resort - if there wasn't a better explanation for the patient's symptoms. And there always was. If my patients came with the label, I quietly looked for a more appropriate diagnosis, mostly some kind of food intolerance and/or infections. And if they came with any of the myriad of gastrointestinal complaints, they deserved a thorough workup. Food allergies: Physicians differ between food allergies and food intolerance. For the patient the difference is minimal: The only action that will help is leaving out the offending food. Allergies are mediated either through blood – then they show up in blood tests. Or they are cell-mediated, which means they can’t be detected by blood tests; skin prick test is the way to go then. If you usually feel good (or even just better) in the morning before you eat, food problems are likely. – Floating stools point to a food culprit, too. There are rare and dangerous diseases, therefore a doctor should eliminate serious diagnoses. But this is what you can do yourself: • Write a food journal. Everything that goes into your mouth should go in here – including beverages, pills and chewing gum. A pattern might become clear once you regularly record everything. • In my experience, these are the most common food offenders: dairy, soy, nuts, gluten, corn – especially HFCS (High Fructose Corn Syrup), nightshades (tomato, potato, eggplant, bell and hot peppers), citrus, seafood, lectins, food colorings, preservatives, flavor enhancers (like MSG), eggs, apples and other fruit, chocolate (though probably less common than people think – it usually are the non-cacao ingredients that cause trouble), yeast. And don’t forget: prescription medication! Recreational drugs. • Read labels! Of course, foods without labels – like kale and carrots – are healthier anyway because only processed food is required to be labeled. • Has anybody in your family a bowel disease? You might have the same. • Jot down pains, headache, heartburn, stomach ache, bloating, diarrhea, constipation, blurred vision, slow urination, skin rashes, blocked nose or ears, • Don’t eat after dinner – and don’t have dinner late. The sheer bulk in your stomach may create the discomfort; besides it prevents the cell repair that should be taking place nightly – but can’t happen when your body is busy digesting. • Are you very thirsty – especially during and after a meal? That might be a sign of a food allergy. Don’t suppress your thirst – this is how your body gets rid of the offending food: by diluting it. • If you suspect food allergies, leave out the whole list above plus whatever you suspect for a week. Then one by one, every few days reintroduce another food from the list. – Sometimes only repeated exposure shows the problem – that happens mostly with cell-mediated allergies. • Blood-mediated allergies are the quick ones – that can bring you to the emergency room - like peanuts. Never try to force your body into accepting any food that it doesn’t want! • Slow allergies make you sick over time – by the chronic inflammation in your body. That causes for instance cancer in the long run. • Take a probiotics regularly. I personally like Primal Defense (this is not an endorsement – only an idea to start with. Begin with a small dose, slowly take more. If a probiotic does not agree with you, change the brand. • Most people benefit from fish oil – to counteract the constant inflammation that comes with food allergies. • Chew well. • Eat vegetables, vegetables, vegetables. Not only are they good for you – they also seem to cause fewer allergies. • Serious runners suffer from a curious disease called “runner’s diarrhea” (about fifty percent of them. • Obesity might be a sign for food allergies: We tend to crave exactly the foods that are worst for us. • And most importantly: Don’t eat it if it hurts you! Unfortunately, you can even have a bowel disease without any gastrointestinal complaints: About fifty percent of gluten intolerance (celiac sprue) patients never notice anything wrong with their belly. But they might have joint or back pain, diabetes, autoimmune disease, mental fog, depression – and a host of other problems. Read More 
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