Today, in a New York Times blog, I published a version of this:
One remedy does not work for all - that is the wisdom coming out of these letters. Seeing a good dermatologist and soothing your skin with some cortisone and/or other substance stands at the beginning.
Leave out gluten, dairy, nuts, nightshades (tomato, bell & hot pepper, eggplant, potato) - they are, in my experience, the worst offenders. But I have seen people react to spices, artificial colorings, preservatives, even to apples. Use nothing on your skin than virgin coconut oil, aloe vera gel (best directly from the plant), and your prescription ointment. Try to avoid make-up and read the labels of your shampoo and conditioner: Balm of Peru is only one ingredient that lets rashes bloom! Take a probiotic and vitamin D, and go out into the sun as often as possible - but never to the point of reddening or burning.
Then listen to your body - to the itch? What food makes you itch? What activity? Because every body is different, and my itch is not your itch. As soon as your itch gets better, avoid the cortisone cream, and go all coconut oil.
If your body itches consistently after a certain food, eliminate it - it is hurting you. Eczema is an inflammation of your skin (often on the basis of your gut being inflamed, too). And every bit of inflammation lowers the threshold for the itch, and a new allergy.
A lot of psychological theories are floating around – that certain personalities get it, that one gets it during stress, and so on. I think it is probably the inferior food we fall for in times of stress – comfort food that is loaded with sugars, white carbs and bad fats,. And when you have a chronic disease and an extremely itchy, disfiguring rash – yes, you might seem odd to so some people …
When you have healed, try to introduce some of the eliminated foods again - very, very cautiously. Some you might have to leave out forever, or may have them only very occasionally.
Go swimming in the ocean, whenever you can! - And my heart goes out to you poor thing! Read More
Blog: On Health. On Writing. On Life. On Everything.
Offerings And Gluttony
December 7, 2011
Bad news: The holidays are terrible for your health. Good news: The original thought behind the present shopping frenzy was divine: Be grateful for the offerings life hands you out all the time.
This season always overwhelms me, and to survive it seems to get harder each year. This is what helps me – it can be done anytime, anywhere:
Sit or stand with your palms turned up. Breathe in, breathe out. Notice how the Universe is there for you with all its plenty. Take the air into your lungs as a present. Take the water from your faucet as a present. Take your family and your friends as a present (as exasperating they might feel at times). If there are no family, no friends in your life, open your eyes: There are bound to be some – at least one – among the ten billion people on Earth who is destined for you (but you might have to go searching for them – the magi didn’t wait for the Star of Bethlehem to come to them). There are always people who are needier than you, as dire as you might see your situation now.
Be grateful for the tiniest thing: That is the message of the holiday season. Take the offerings, and share them.
AND the other problem linked to the season: gluttony. For this one high feats in the year, allow yourself gluttony. Enjoy it! It was invented for that: so that the rest you the year you can endure the drab and being reasonable. In olden times, naturally, starvation set, with scarce resources, and set the balance right. Nowadays, we have to use our brains because starvation is not likely to come to our help.
Here a few survival rules:
1. Don’t start a new diet big time around this time of the year! Instead celebrate with all your heart, and with all your friends and the whole bunch of your family. You don’t want to stand around munching on a lettuce leaf while everyone else is having a ball.
2. Don’t do second helpings – just DON’T. NEVER. Sample every variety, but don’t go back.
3. If you overeat, overeat on meat and fat – not on simple starches. Cut down on cookies, candy, cake, ice cream, and so on. Listen: I said: Cut down! Not: Avoid them altogether. After all, this is a wonderful season.
4. If you overeat meat: Drink lots of hot water or tea because the protein might otherwise hurt your kidneys.
5. If you eat fatty things, make sure that the fat is healthy: Nothing fried, nothing processed, nothing hydrogenated. Olive oil and coconut oil are actually good for you. Best, of course, is you cook your holiday meals from scratch – then you know what went in.
6. If you want to be extra goodie-good: Overeat on vegetables: Green beans, red cabbage, colored peppers, purple kale, red tomatoes, orange carrots. They will help you to get through the holidays. By the way: There are no restrictions on vegetables – you can have as many helpings as you want!
7. And after each heavy meal, take friends and family for a walk.
8. And against the gifting stress: It is always good to keep it simple: self-made jam, if you still have some. The old stand-byes: Books, music, flowers. The new stand-byes: charities and gift cards.And if you have no money, offer your time: a voucher for a back rub, baby-sitting, dog-walking, garden work is always appreciated. Read More
Irritable Bowel Syndrome?
September 6, 2010
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