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Alexa Fleckenstein M.D.

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

My Neighbor Is Sick

June 22, 2011
Tags: food, order, abdominal pain, addictive, aging - premature, appreciating, artificial molecules, book, bowel, cancer, car, cell phone, chewing, cholecystitis, colors, computer, constipation, Conversation, dairy, diet, dinner table, dispute, distraction, eggs, fiber, fish, flavors, food - inflammatory, fork, fruit drink, gallbladder inflammation, game, Grace, HFCS, high blood pressure, high fructose corn syrup, high-protein diet, hunger, inflammation, ipod, iron-fortified, kidneys - compromised, kidney stones, meal, meat, mindful eating, mouth, My Neighbor Is Sick, nature, neighbor, newspaper, osteoporosis, pounds, preservatives, protein, public transportation, Radio, religion, roughage, savoring, sitting down at the table, soft drink, spoon, starch - white, stress, sugar, supermarket, table – set the, taste enhancers, Tibetans Alternative, TV, vegetable, vitamin-enhanced, water – drinking enough, weight gain, Weight Loss
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 
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Nobody Wants To Talk About Poop

October 23, 2010
Tags: food, cat, bloating, bowel, constipation, corn, cramps, defecation, diarrhea, diet, digestion, dry food, feces, Heartburn, intestines, laxative, litter box, Nutrition, pet food, pets, Poop, Nobody Wants To Talk About Poop, probiotic, SAD (Standard American Diet), sores – mouth, stomach pain, stool – smell, stool - consistency, toilet, waste products, wheat
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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Gluten-Related Symptoms and Diseases

September 24, 2010
Tags: order, abdominal pain, acanthosis nigricans, Addison’s disease, ADHD, Alcoholism, alkaline phosphatase (bone) elevated, allergic rhinitis, alopecia areata (patchy hair loss), amenorrhea (absence of menstrual period), anemia, anemia – iron deficiency, anemia – refractory, anemia - vitamin B12 deficiency, anti-endomysium antibodies (EMA), anti-gliadin antibodies (AGA), anti-tissue-transglutaminase antibodies (tTG), antiphospholipid syndrome (frequent miscarriages and other problems), anxiety, aortic vasculitis, apathy, aphthous ulcers, appetite – poor, arthritis, arthritis – enteropathic, arthritis - juvenile idiopathic, asthma, ataxia, ataxia - progressive myoclonic, atherosclerosis, Attention Deficit Hyperactive Disorder (ADHD), Autism, learning disorders, autoimmune cholangitis, autoimmune diseases, autoimmune hepatitis, autoimmune thyroid disease, balding – premature, bipolar disorder, Bitot’s spots (foamy patches on whites of eye), bleeding – unexplained, blepharitis, bloating, blurred vision, bone fracture, bone pain, brain atrophy, brain fog, bronchiectasis, cachexia (general wasting), calcium – low, cancer - small cell of the esophagus, cancer (adenocarcinoma) of the small intestine, cancer of the esophagus, cancer of the pharynx, Candida infections – recurrent, cardiomegaly, casein intolerance, cataracts, cerebral perfusion abnormalities, cheilosis (cracked lips and corners of mouth), cholesterol – low, chorea, chronic bullous dermatosis, chronic fatigue syndrome, colitis, common variable immunodeficiency, complications during pregnancy – labor - delivery and post-partum period, congenital anomalies, constipation, copper deficiency, coronary artery disease, cortical calcifying angiomatosis, cow mill “allergy”, cutaneous vasculitis, cutis laxa, cystic fibrosis, dairy intolerance, delusions, Dementia, depression, dermatitis herpetiformis, dermatomyositis, diabetes type I, diabetes type II, diarrhea, disorientation, Down syndrome, dry eyes, duodenal ulcers, dysmenorrhea (painful menstrual periods), dyspareunia (painful sexual intercourse), dysphagia (difficulty swallowing), early menopause, easy bruising, ecchymosis, eczema, edema, Enteropathy Associated T-cell Lymphoma (EATL), epilepsy, erythema nodosum, esophageal motor abnormalities, eyes – dry, eyes – bloodshot, erythema elevatum diutinum, failure to thrive, fatigue, fatty liver, folic acid (folate) deficiency, food allergies - blood-mediated and cell mediated, food cravings, gall bladder – impaired motility, gas, gastric emptying – delayed, gastritis, GERD - Gastro-Esophageal Reflux Disease, glucose abnormalities - too low or too high, gluten, Gluten-Related Symptoms and Diseases, Grave’s Disease, growth retardation, gums – bleeding and swollen, hair loss, hallucination, headache, Heartburn, heart disease, hemochromatosis, hemosiderosis - idiopathic pulmonary, hepatic granulomatous disease, high blood pressure, homocysteine elevated, hyperactivity, hyperkeratosis – follicular, hyperparathyroidism, hypertension, hyperthyroidism, hypocalciuria, hypogonadism, hypoparathyroidism, hyposplenism (atrophy of spleen), Hypothyroidism, hypotonia, ichthyosis – acquired, pulmonary hemosiderosis – idiopathic, IgA deficiency, IgA nephropathy, impotence, inability to concentrate, infertility, insomnia, intrauterine growth retardation, iron deficiency anemia in pregnancy – severe, irritable bowel syndrome, keratoconjunctivitis sicca, keratomalacia, kidney stones, lactose intolerance, lassitude, late menarche (late start of menstrual periods), leaky gut syndrome, liver enzymes elevated, loss of memory, lymphadenopathy, lymphoma - B-cell non-Hodgkin’s, lymphoma - cryptic intestinal T-cell (refractory sprue), lymphoma – non-Hodgkin, macroamylasemia, macrocytosis (red blood cells larger than normal), macrolipasemia, magnesium - low, malabsorption, melanoma, memory loss, migraine, miscarriage, monoarthritis – recurrent, multiple sclerosis (MS) – a possible link, muscle pain and tenderness, muscle spasms and cramps, muscle wasting, muscle weakness, nail problems, nausea, nervousness, neuropathy – peripheral, neutropenia (low white blood cells), nightblindness, nosebleeds – unexplained, obesity, occult blood in stool, ocular myopathy, osteitis fibrosa, osteomalacia, osteomalacic myopathy, osteonecrosis, osteopenia, osteoporosis, pancreatic insufficiency (poor digestion), panic attacks, parathyroid carcinoma, penicilllin V impaired absorption, phosphorus – low, pityriasis rubra pilaris, plasma proteins low, Plummer-Vinson Syndrome, PMS, pneumococcal septicemia, pneumonia – recurrent, polyglandular syndrome, polymyositis, potassium - low, premenstrual syndrome, primary biliary cirrhosis, primary sclerosing cholangitis, progressive multifocal leukoencephalopathy, prolactinemia, prothrombin time prolonged, prothrombinemia, prurigo nodularis, psoriasis, psoriatic arthritis, puberty – delayed, purpura – idiopathic thrombocytopenic, rhabdomyolysis – hypokalemic, rheumatoid arthritis, rickets, sarcoidosis, Schizophrenic Spectrum Disorders, scleroderma, seborrhea, short stature, Sjögren’s syndrome, skin rash – itchy, small intestinal bacterial overgrowth, smell - loss of, sperm abnormalities, spina bifida, sprue – refractory (see: gluten), steatorrhea (pale, malodorous, floating, hard-to-flush stools), stomach ulcer, stroke – premature, sugar intolerance, swelling, Systemic Lupus Erythematosus (SLE), taste - loss of, tetany, thrombocytopenic purpura – idiopathic, thyroid disease - juvenile autoimmune, tongue – red and/or burning, tremors, tuberculosis - increased susceptibility to, Turner’s syndrome, urinary tract infections – recurrent, urticaria - chronic hives, uveitis, vaginitis, vasculitis, vasculitis of the CNS (Central Nervous System), vitiligo, volvulus (twisted intestines), vomiting, weight gain – unexplained, weight loss – unexplained, xerophthalmia (dry eyes), zinc – low
Nearly one in one hundred people have gluten intolerance (gluten enteropathy, sprue, celiac sprue). In only fifty percent of them does the disease show with gastro-intestinal symptoms - the rest has non-intestinal symptoms. Be aware that many of these symptoms can also have other causes - this list does not replace a doctor who sees you! • Abdominal pain • Acanthosis nigricans • Addison’s disease • Alcoholism • Alkaline phosphatase (bone) elevated • Allergic rhinitis • Alopecia areata (patchy hair loss) • Amenorrhea (absence of menstrual period) • Anemia • Anemia – iron deficiency • Anemia - refractory • Anemia - vitamin B12 deficiency • Anti-endomysium antibodies (EMA) • Anti-gliadin antibodies (AGA) • Anti-tissue-transglutaminase antibodies (tTG) • Antiphospholipid syndrome (frequent miscarriages and other problems) • Anxiety • Aortic vasculitis • Apathy • Aphthous ulcers (mouth sores) • Appetite – poor • Arthritis • Arthritis – enteropathic • Arthritis - juvenile idiopathic • Asthma • Ataxia • Ataxia, progressive myoclonic • Atherosclerosis • Attention Deficit Hyperactive Disorder (ADHD) • Autism, learning disorders • Autoimmune cholangitis • Autoimmune diseases • Autoimmune hepatitis • Autoimmune thyroid disease • Balding – premature • Bipolar disorder • Bitot’s spots (foamy patches on whites of eye) • Bleeding – unexplained • Blepharitis • Bloating • Blurred vision • Bone fracture • Bone pain • Brain atrophy • Brain fog • Bronchiectasis • Cachexia (general wasting) • Calcium – low • Cancer - small cell of the esophagus • Cancer (adenocarcinoma) of the small intestine • Cancer of the esophagus • Cancer of the pharynx • Candida infections – recurrent • Cardiomegaly • Casein intolerance (cow mill “allergy”) • Cataracts • Cerebral perfusion abnormalities • Cheilosis (cracked lips and corners of mouth) • Cholesterol - low • Chorea • Chronic bullous dermatosis • Chronic fatigue syndrome • Colitis • Common variable immunodeficiency • Complications during pregnancy, labor, delivery and post-partum period • Congenital anomalies • Constipation • Copper deficiency • Coronary artery disease • Cortical calcifying angiomatosis • Cow mill “allergy” • Cutaneous vasculitis • Cutis laxa • Cystic fibrosis • Dairy intolerance • Delusions • Dementia • Depression • Dermatitis herpetiformis • Dermatomyositis • Diabetes Type I • Diabetes Type II • Diarrhea • Disorientation • Down syndrome • Dry eyes • Duodenal ulcers • Dysmenorrhea (painful menstrual periods) • Dyspareunia (painful sexual intercourse) • Dysphagia (difficulty swallowing) • Early menopause • Easy bruising • Ecchymosis • Eczema • Edema • Enteropathy Associated T-cell Lymphoma (EATL) • Epilepsy • Erythema nodosum • Esophageal motor abnormalities • Eyes – dry • Eyes - bloodshot • Erythema elevatum diutinum • Failure to thrive • Fatigue • Fatty liver • Folic acid (folate) deficiency • Food allergies - blood-mediated and cell mediated • Food cravings • Gall bladder – impaired motility • Gas • Gastric emptying – delayed • Gastritis • GERD - Gastro-Esophageal Reflux Disease • Glucose abnormalities - too low or too high • Grave’s Disease • Growth retardation • Gums – bleeding and swollen • Hair loss • Hallucination • Headache • Heartburn • Heart disease • Hemochromatosis • Hemosiderosis - idiopathic pulmonary • Hepatic granulomatous disease • High blood pressure • Homocysteine elevated • Hyperactivity • Hyperkeratosis - follicular • Hyperparathyroidism • Hypertension • Hyperthyroidism • Hypocalciuria • Hypogonadism • Hypoparathyroidism • Hyposplenism (atrophy of spleen) • Hypothyroidism • Hypotonia • Ichthyosis - acquired • Pulmonary hemosiderosis - idiopathic • IgA deficiency • IgA nephropathy • Impotence • Inability to concentrate • Infertility (in both sexes) • Insomnia • Intrauterine growth retardation • Iron deficiency anemia in pregnancy - severe • Irritable bowel syndrome • Keratoconjunctivitis sicca • Keratomalacia • Kidney stones • Lactose intolerance • Lassitude • Late menarche (late start of menstrual periods) • Leaky gut syndrome • Liver enzymes elevated • Loss of memory • Lymphadenopathy • Lymphoma - B-cell non-Hodgkin’s • Lymphoma - cryptic intestinal T-cell (refractory sprue) • Lymphoma – non-Hodgkin • Macroamylasemia • Macrocytosis (red blood cells larger than normal) • Macrolipasemia • Magnesium low • Malabsorption • Melanoma • Memory loss • Migraine • Miscarriage • Monoarthritis – recurrent • Mouth sores • Multiple sclerosis (MS) – a possible link • Muscle pain and tenderness • Muscle spasms and cramps • Muscle wasting • Muscle weakness • Nail problems • Nausea • Nervousness • Neuropathy - peripheral • Neutropenia (low white blood cells) • Nightblindness • Nosebleeds – unexplained • Obesity • Occult blood in stool • Ocular myopathy • Osteitis fibrosa • Osteomalacia • Osteomalacic myopathy • Osteonecrosis • Osteopenia • Osteoporosis • Pancreatic insufficiency (poor digestion) • Panic attacks • Parathyroid carcinoma • Penicilllin V impaired absorption • Phosphorus - low • Pityriasis rubra pilaris • Plasma proteins low • Plummer-Vinson Syndrome • PMS (premenstrual syndrome) • Pneumococcal septicemia • Pneumonia – recurrent • Polyglandular syndrome • Polymyositis • Potassium - low • Primary biliary cirrhosis • Primary sclerosing cholangitis • Progressive multifocal leukoencephalopathy • Prolactinemia • Prothrombin Time prolonged • Prothrombinemia • Prurigo nodularis • Psoriasis • Psoriatic arthritis • Puberty - delayed • Purpura – idiopathic thrombocytopenic • Rhabdomyolysis - hypokalemic • Rheumatoid arthritis • Rickets • Sarcoidosis • Schizophrenic Spectrum Disorders • Scleroderma • Seborrhea • Short stature • Sjögren’s syndrome • Skin rash – itchy • Small intestinal bacterial overgrowth • Smell - loss of • Sperm abnormalities • Spina bifida • Sprue - refractory • Steatorrhea (pale, malodorous, floating, hard-to-flush stools) • Stomach ulcer • Stroke – premature • Sugar intolerance • Swelling • Systemic Lupus Erythematosus (SLE) • Taste - loss of • Tetany • Thrombocytopenic purpura – idiopathic • Thyroid disease - juvenile autoimmune • Tongue – red and/or burning • Tremors • Tuberculosis - increased susceptibility to • Turner’s syndrome • Urinary tract infections - recurrent • Urticaria - chronic hives • Uveitis • Vaginitis • Vasculitis • Vasculitis of the CNS (Central Nervous System) • Vitiligo • Volvulus (twisted intestines) • Vomiting • Weight gain – unexplained • Weight loss – unexplained • Xerophthalmia (dry eyes) • Zinc - low I will add to this list as I come across new links –keep checking! Read More 
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