Varicose veins are thought to be ugly, and in a way, they are. But as a doctor, I am less concerned with beauty, more with health problems – and varicose veins are not always as harmless as they seem.
Thrombosis is a clot that blocks a vein, usually in one leg. Thrombosis may lead to pulmonary embolus and, in rare cases, to a stroke; both can be fatal. The symptoms are swelling and pain and warmth of the affected limb. Physicians order a Doppler scan, to make sure the patient does not have the feared clotting situation. If it is a clot, the patient will be admitted to a hospital and a severe thinning of the blood will be administered with heparin, Coumadin and other anti-coagulants, until the clot is gone or at least stabilized.
Often the Doppler test comes back negative – no clot, good news! The patient has “only” phlebitis, an inflammation of the wall of a vein. The symptoms are exactly the same: pain, swelling, warmth. In German phlebitis is generally called “cramping veins” because cramps are also a feature of phlebitis/thrombosis. What can you do against inflamed veins?
Phlebitis and thrombosis can have several causes, sometimes combined: A genetic disposition plays a role. Longtime immobility - like sitting on a long trans-Atlantic flight without getting up, or being bed-ridden, especially after surgery – is known to cause clots. Hormone therapy can lead to clotting. Less well known reasons are cancer and food sensitivities, or even just plain food that is not healthy.
Nutrition that is less than optimal is known to promote inflammation. That inflammation can show up as different diseases in the body; one is phlebitis/thrombosis. Junk foods with high sugar content, white starches, trans-fats and particularly dairy are highly inflammatory for everybody. Food sensitivities, on the other hand, specific for individuals, can also inflame, but the causative foods are sometimes hard to pinpoint. I have seen reactions to banana, avocado, nuts, beef (it might be more what the cattle ate than the cows themselves) and cherries – but there are endless possibilities; a food diary might help in recurrent cases.
Varicose veins frequently occur in people with unrecognized gluten intolerance. Slowly, over the years, the varicosities grow, which is often thought as being just another sign of aging. However, varicosities can be viewed as a sign of chronic inflammation of the body. Pregnancies and much standing can aggravate the condition.
What to do in phlebitis:
1. Eliminate all offending foods.
2. Move moderately every day. Don’t sit for prolonged times. Go for a walk every day.
3. Don’t sit with legs crossed – that clamps down of the veinous blood flow.
4. Elevate legs as often as possible.
5. High-dosed fish oil, three capsules three times a day. Fish oil is a mild blood thinner (and could be contra-advised in some conditions) and a strong anti-inflammatory agent.
6. Cold washings and gushes of the legs, cold sitzbaths and barefoot walking in the ocean all are beneficial.
7. In the acute situation, an icepack (not longer than 16 minutes at a time) might bring relief.
8. Wear support panty hose. It prevents the veins to bulge out bigger and bigger. On very hot days cut out the crotch of the panty hose. Wear the support hose also after you are better.
9. Don’t rush into surgery. Phlebitis is often not just a mechanical problem – think about the food connection first.
10. If symptoms get worse with fish oil therapy, you better return to your physician – soon! Read More
Blog: On Health. On Writing. On Life. On Everything.
More About Vitamins
July 7, 2011
Glad that we are getting an interesting discussion going here … if only I didn’t have a day job – or several ...
We can agree on several things, namely
1. that food is not as good anymore than it was. We certainly have depleted soils in some agricultural areas. BUT the main problem with food today is not that we can’t get good food (we can, if we grow our own, and if we buy mostly organic); the problem is that, as a nation, we usually choose the wrong food. Hence the obesity epidemic, and heart disease, cancer, and so on. One could actually make a point that we can get much better food today than fifty years ago, or even twenty years ago.
Well, I wanted to agree with my ardent critic – but then thought the better of it. Let’s see the next point:
2. that vitamins are no substitute for food: totally agreed.
3. that we can get “better brands” of vitamins, and that they will be the real thing. Here I disagree. I wrote yesterday that the sudden overload in vitamins is detrimental for the body. And there have been several studies in the last few years that seem to corroborate this. In those studies (The Nurses’ Study is a famous example), they first look what people eat. They find that those who have the highest intake say, of vitamin A, judged by food diaries, have the least cancer. So far so good. In a follow-up study they give vitamin A (or no vitamin A) to people. And then the outcome is: More cancer in the vitamin arm than in the arm where people eat normal food. Now, such studies have been done for vitamin A, beta-carotene, vitamin E. It seems to prove that vitamins are not the same in food as in the bottle. Notwithstanding that they are chemically the same. The difference lies in the delivery system: To digest a vitamin, to use it in your metabolism, you need many more chemicals that are not present in the vitamin bottle, but come in whole foods. As my friend Annemarie Colbin once said: If you pop a vitamin A pill in the morning, your body is searching for the rest of the carrot the whole day ….
Honey? I have never recommended honey much – you are right that it is mostly sugar, and fructose at that. Therefore one should use it only sparingly. Apart from that most of our honeys have been heated and made worthless.
And Linus Pauling? Great scientist. But I can’t follow him into his vitamin fixation. Some people are convinced that vitamins will save their lives. Some are not – it probably is not useful to discuss it forever. Why some arguments seem true to us, and others not, is highly individual. For me, one man who made it to 93 is no proof that he did everything right regarding nutrition. Without his mega-doses of vitamin C, perhaps he would have made it to 107??
Nothing will get me away from good, whole, fresh foods! Read More
My Neighbor Is Sick
June 22, 2011
My neighbor suddenly has abdominal pain – on the right, under his rib cage. Now there are many reasons to have that kind of pain, and he of course needs a check-up with his doctor – very soon. Today.
The doctor will hopefully soon find out what ails the neighbor - but here are some ideas. Because the other piece of information is that he has been on a diet for a while - a high-protein diet.
After having made sure he sought an immediate appointment with his doctor, I gave him a piece of my mind: No diet is a short-cut for good, healthy, everyday eating habits. “But I already lost eight pounds!” he said.
Eight pounds lost weight does not prove that one is healthy! It always puzzles me: People who would never feed their car the wrong octane fuel, seemingly give little thought to what is healthy fuel for their own bodies and thus constantly violate the laws of Nature.
These are the most frequent bad consequences of the ill-advised high-protein diet (and I have seem them all!):
• Constipation. The bowel needs roughage to function according to plan. Protein is digested more thoroughly than fiber, leaving little substance in the intestines lumen to push matters forward, which will lead to impaction can lead to a plugging-up of the whole plumbing system.
• Gallbladder inflammation (cholecystitis). High protein diets are often also high in fat, which may drive the gallbladder into overdrive. This can cause inflammation and/or move stones.
• Kidney stones. High protein can lead to kidney stones, especially in already somewhat compromised kidneys – which come naturally with aging. At any rate, drinking enough water is always advisable.
A high-protein in the long one has been shown to promote premature aging, high blood pressure, osteoporosis and cancer – neither of which plays a likely role in my neighbor’s present affliction.
Whatever he has, he needs to reassess what he is doing to his health. And I am sure after this scare, he will. We have talked about diet and healthy eating here often, so I can make this short:
• Vegetables, vegetables, vegetables!
• No artificial molecules (sweeteners, flavors, colors, high fructose corn syrup, preservatives, taste enhancers, vitamin-enhanced, iron-fortified, soft or fruit drinks, etc.).
• No dairy – because it is the most ubiquitous inflammatory and unnecessary food there is.
• No sugar and white starch; they are addictive and put the pounds on you.
• Have a modest intake of meat, fish and eggs.
In order to turn around your eating habits, it is useful to practice mindful eating – the way of slowly savoring and appreciating everything that goes into your mouth.
• Sit down at a table when you eat – set the table in a nice way, even if you are alone. Especially if you are alone.
• Say grace for your food - even if you are not a religious person. Because millions of people go hungry every day.
• Have no distractions – no TV, computer, cell phone, game, radio, newspaper, or book.
• Have no stress – avoid disputes at the dinner table. But have a lively conversation about important things in your life.
• Never ever eat in the car or on public transportation; teach your children that NOTHING can be eaten in the supermarket because it has not been paid for (and one should sit down for eating).
• Chew thoroughly; put fork or spoon down between bites.
The How you eat might be more important than the What you eat – at least for a while.
If you live alone, go back to the Tibetans Alternative: Where one eats one food at each meal, and rotates, instead of filling the plate with everything at the same time.
Whatever the neighbor has, let’s wish him a speedy recovery! Read More