Posts from March 2009.

FOOD SENSITIVITY: ARE YOU LEAVING OUT A FOOD TOTALLY?

Even a tiny trace of a food to which you are sensitive can be enough to make you react. Avoid all processed foods if you want to be absolutely sure that you are leaving out any food totally. Remember oils, herbs and spices are foods as well – leave these off any food you are testing.

Are you consuming anything else that might contain the offending food, even if you are not actually eating it as a single food? Avoid home medicines (including homeopathic) and drugs, if at all possible -they may contain the food in tabletting, syrups or flavouring. You may have to stop using toothpaste, mouthwashes and other such products. Avoid licking stamps, envelopes or other gummed surfaces -these are often gummed with glues derived from wheat, corn or potato. Avoid taking vitamins and minerals unless it is essential and you know exactly what is in the formulation. Think of anything else you might lick or chew – chewing-gum, paper, anything at all?

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FOOD ALLERGY: SYMPTOMS

Some reactions to food are caused by false food allergy and by reactions to chemicals, such as histamine and tyramine, that occur naturally in food.

The main symptoms caused by the principal types of food intolerance are shown in Diagram 3. You may find you suffer from one or more of these symptoms. Symptoms can come and go, or you may only react to a food if you eat large amounts of it, or if you eat it regularly.

Another characteristic of the symptoms of food intolerance is that if you leave out a food that you eat regularly for a while, and then reintroduce it, you can experience different, often intense, symptoms. This is the result of a phenomenon known as ‘masking’. People who are intolerant of a food they eat regularly, even several times a day, often complain of constant, background symptoms, such as exhaustion, muscle aches, indigestion and headaches, that they have learned to live with. These symptoms disappear when they leave out the food causing the trouble. On reintroduction of the food, some people, not all, find they experience symptoms that are not the same as the background, masked symptoms they were used to, but which are quite clearly linked to the reintroduced food. These unmasked reactions can be very strong. Conversely, it is also common that, if people with food intolerance of this kind leave the offending food out of their diet for some time, they can then eat it again without problems. Masking is also common in people with multiple sensitivities

Withdrawal symptoms can result if you stop eating a food that you eat regularly, or the day after you eat a food that you only have every so often.

Hyperventilation is common in some people with food intolerance, and their stools are pale and smelly; the babies usually fail to grow. If the disease develops in adulthood, the symptoms are diarrhoea, gut pain, bloating, weakness and weight loss.

Hyperactivity in children has been linked to food intolerance and to chemical sensitivity.

People with food intolerance who have sorted out their diets often report that a number of symptoms other than the main ones clear up once they exclude their problem foods. These are not formally recognised as symptoms of food intolerance, but they are so commonly reported by people that they are taken seriously as indicators of food intolerance. These can include excessive weight swings (more than 0.5 kg/1 lb gain or loss per day); irritability and mood swings; body odour; flushing and excessive sweating; difficulty in controlling body temperature; feeling too cold or too hot; food cravings; excessive thirst; insomnia.

So-called ‘allergy shiners’, big black rings under the eyes, are often typical of the allergy or intolerance sufferer. These often disappear once problem foods are removed from the diet.

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ALLERGY TO CLEANING PRODUCTS/CHEMICALS AT WORK OR SCHOOL: WASHING POWDERS AND LIQUIDS

Sensitivity to washing powders and liquids is very idiosyncratic; one product will affect one person, and not another. The ingredients which most often cause reactions are enzymes, chlorine bleaches, perfumes and a stabiliser ethylene-diamino-tetra acetate (EDTA). Other petrochemical-based chemicals in laundry agents also cause problems. Avoid biological powders, enzyme powders and combined conditioner and detergent products.

If you think you react to your washing powder or liquid, it may be that it is not being rinsed out adequately. If you live in a soft-water area, or if you use low temperature programmes a lot, detergent residues may not be rinsed out and can remain in the laundry when dry. Try running an extra rinse programme on every wash.

Doing hand-washing may expose you to too much of your detergent. You may be inhaling or touching enough to make you react, while using machine-washing and rinsed clothes may be fine. Avoid hand-washing if possible – use a wool or fine materials programme on a machine.

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BABYCARE\ALLERGY TO INHALANTS: PRECAUTIONARY MEASURES

Babies can be allergic from birth, or develop allergies later, to inhalants such as house dust mites, pollens, moulds, pets and other animals, or fibres, such as wool. If you want full information on any of these, go to the relevant sections of the Guide for detailed advice on full avoidance measures. Below you will find advice on precautionary measures to protect a potentially allergic baby.

Babies (and people generally) with allergies sometimes have a predisposition to develop further allergies. It can help to prevent this by taking general precautions to reduce the load of allergens on a young baby, particularly in the first two years of life.

Precautionary Measures

For bedding, using pure cotton blankets, which are washable at high temperatures, helps protect against house dust mites. Duvets are more difficult to dry and air, not usually washable at high temperatures, and are best avoided. Wool and feathers are more allergenic than cotton and best avoided.

Do not put a newborn baby on a sheepskin sleeping rug, to protect against allergy to wool. Allergy to cotton is rare but if your baby is allergic to cotton.

Wash all bedding regularly, and keep it aired and dry to keep house dust mites and moulds under control. Turning back blankets to air and placing a hot water bottle in a cot a few hours before bedtime helps to keep bedding dry. Avoid cot bumpers which obstruct ventilation and can harbour dust mites. Keep all rooms well aired, dry and ventilate well. Damp and poor ventilation encourage house dust mites and moulds.

Avoid keeping any pets if you can until a child is at least two years old. If you do keep a pet, prevent it sleeping on the baby’s cot, in the baby’s room, or where the baby crawls or plays most of the time.

Use filters on a vacuum cleaner, and ‘damp dust’. This prevents virtually all allergens (house dust mites, pet allergens, pollens, moulds, fibres) being dispersed back around the room during the cleaning, and gradually clears allergens embedded in furnishings and flooring.

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IF YOU ARE SEVERELY AFFECTED TO MOULDS: PLANTS AND GARDENS

Take care with house plants. If you are unusually sensitive to moulds, you may not be able to tolerate indoor pot plants at all. Moulds grow in the soil, and in the more humid atmosphere around the foliage.

To avoid problems with plants, put a light gravel on the surface of the soil in each pot and water the plants by placing water in a dish or saucer underneath. Take care not to let them stand in pools of water, which encourages moulds.

If you have garden beds against the walls of your home, or pots or beds immediately under windows, these can often be concentrated sources of moulds. You would be best to move beds and pots away from direct proximity to the walls, so that moulds do not rise straight into the home. Similarly, compost heaps are best kept as far from the home as possible. Water butts also are a source of moulds. Take care with siting these.

Gardening produces some of the most intense concentrations of moulds possible. If you love gardening, you will probably have to find out by trial and error what you can tolerate and what you cannot. You probably would be best avoiding many gardening tasks such as cutting grass, raking leaves, composting and heavy digging, and should stay out of greenhouses.

You could come to a deal over gardening with a friend or a family member, that you do the bits that you can for them such as weeding or pruning – in return for them doing the bits that you cannot.

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SEX THERAPY: WHAT ARE YOUR EXPECTATIONS?

Getting expectations clear and discussing them in detail with the therapist and your partner is an essential part of sex therapy. If you can get erections in some situations but not others, it’s realistic to explore what is happening in the situations when you don’t become erect. For example, a man who feels he “should” have sex whenever his partner is willing may discover that just removing that requirement solves the problem. If you have a physical illness which plays a role in your potency, your expectations of what constitutes success must, of course, be defined with those facts in mind. A sex therapist will probe and help you define what constitutes success for you. It’s important to get this clear before you embark on a program of therapy, so everyone knows the goals and objectives of the program.

Sometimes a couple comes in for one problem, and in the process of defining the man and woman’s expectations, different concerns emerge. Harry’s announced reason for wanting sex therapy was his inability to consistently maintain an erection. This 57-year-old man suffered from high blood pressure and had to take medication for this condition. He also had been diagnosed recently as diabetic, a fact he found very difficult to accept.

Harry’s first marriage had ended in divorce. In discussions with the therapist it became clear that Harry blamed his erection problem for the breakup of this relationship. He was convinced that the same thing might happen again with his second wife, Shirley, a vivacious 54-year-old who also had been married before. For the most part, Harry and Shirley considered themselves a happy couple. But increasingly, Harry was fixated on his “sexual failures.” He was convinced that Shirley would reject him just as his first wife had—and that his erectile problems were to blame.

Harry felt an erect penis was necessary to satisfy a woman, and he was quite surprised when the therapist explained in detail that this was not true. He was even more surprised when Shirley, encouraged by the therapist, explained that she was not overly concerned with Harry’s erection problem.

When Harry lost potency, Shirley’s usual comment was, “Don’t worry about it.” Harry interpreted this remark as a well-intended solace for his failure. But Shirley meant her words, and more. Her first husband had been, she explained, a “slam-bam thank you ma’am” kind of guy, and Shirley was quite happy to be cuddled, kissed and caressed. She wanted to be physically close to Harry, but she did not feel especially deprived by Harry’s loss of potency. What she did want was physical affection. Harry’s preoccupation with intercourse as the only “real” sex was troubling her.

What Harry and Shirley learned in sex therapy helped their fundamentally sound relationship. They learned to communicate more clearly and directly. Each learned to say what was wanted without confusing the other. Relieved of the self-induced pressure to always produce an erection, Harry relaxed and found his erections improved. He also began taking better care of himself, because he could accept more easily the changes his diabetes required in his life.

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REIGNITING YOUR SEX LIFE: THE STRESS FACTOR

If you thought that stress couldn’t tamper with your life any more than it already has, consider this. Stress can dampen sexual arousal. An action that includes the surging of blood, increased heart rate, and erection, arousal depends, to a great extent, on a number of various hormones to spark specific reactions in the body.

But there are other hormones discharged from the adrenergic system—epinephrine and norepinephrine, especially—that can effectively shut down sexual response. Whenever you are under stress, no matter what the source is, these hormones begin to course through your veins, directing blood flow to the heart and major muscles and, therefore, away from the genitals, in both men and women. This results in increased heart rate and blood pressure, two physical factors that can contribute to lowered libido and performance.

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THE VIRILITY SUPPLEMENTS

Based on extensive research by scientists, as well as my own experience, I have put together a list of seven supplements which can improve penile health. These substances have other wide-ranging effects. Not only can they decrease the risk of ED, they also offer increased protection against cardiovascular diseases such as atherosclerosis.

The seven are vitamin E, vitamin C, Pycnogenol, ginkgo biloba, coenzyme Q (also called Co-Q-10), ginseng, and saw palmetto. You may already be taking one or two of them. If so, see my recommendations to ensure that you are taking a high enough dosage to make an impact on your health. Keep in mind that you can try any or all of these supplements. But as is always the case with new remedies, consult with your doctor before you decide which to take, and in what dosage. Five out of the seven substances listed have powerful antioxidant effects (ginseng and saw palmetto have other properties). Utilizing them to your best advantage can help to ward off—or significantly diminish —the effect of one of the body’s great enemies: free radicals.

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ERECTILE PROBLEMS: THE ANXIETY FACTOR

But what about those anxiety-related situations that most men can relate to? Job performance, concern over finances, problems with teenagers at home, relationship issues with a partner—the list goes on and on, changing each day. Problems stemming from daily life are universal.

Consider the example of a thirty-four-year-old patient of mine whose job as a Wall Street trader gives him more than his share of high anxiety. It so happened that Eric’s third wedding anniversary coincided with the day of a stock market freefall. That night he went home, trying to put the awful day behind him, anticipating a sexual celebration. Only, it didn’t happen. There was no way that he could circumvent his worry over the events of that afternoon and the result was a disappointing evening.

When he called me the next morning, I understood why his erectile failure had occurred; so did he. Then he wanted to know if he could have a prescription for the pills for those times when he might need them. He is healthy and doesn’t smoke. His drinking is limited to an occasional glass or two of wine and he exercises regularly. His ED is solely anxiety-related. Why shouldn’t a man with his profile, in a loving relationship, have the fallback support he may need? Isn’t his quality of life being compromised otherwise?

For Eric, and the millions of men like him who will—if they haven’t already—experience anxiety-related ED, the pills can relieve worry and offer substantial piece of mind. Isn’t that a valid function of medicine?

I do feel, however, that the decision to provide the medication to males who are already performing at the highest sexual levels, and who have never experienced any kind of ED, must be made on a case-by-case basis. Presently, there is a lack of scientific data to support any preventive use of the oral drug. Although controlled medical studies are being planned to measure the benefits of prophylactic use—some experts are predicting that, in the near future, the drug will be taken two or three times a week, even when a man is not engaging in sex, to ensure erectile health—we may not have definitive answers for several years.

Based on my own experiences and on the extensive reports of my fellow medical colleagues, I’m extremely pleased with the profile of the medication. With the information on hand, I can weigh the merits of the drug on a risk-to-benefit ratio on a patient-by-patient basis.

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THE DOSAGES: WHAT THEY MEAN AND WHEN A PATIENT DOESN’T WANT MEDICATION

Before I provide a man with the ED medications, I have a serious discussion with him about the importance of understanding how the pills work. I make it very clear that the erection pill will allow him to I unction sexually within a relatively large window of opportunity. It does not, however, mean that the medications can cure the condition i hat caused ED in the first place. I also reiterate that more is not better. I doubling a dose will not make a belter lover. In fact, it might bring on some undesirable side effects, such as plummeting blood pressure, light-headedness, and a racing heart.

When a Patient Doesn’t Want Medication

For some people, the idea of having to take medication is less than thrilling. It signifies getting older, losing control of their bodies, and facing their mortality. Even though the ED drugs have proven to be so successful, some of my patients are still reluctant to use them. Or they use them for a while and suddenly stop. I think this is linked to the unspoken desire to feel “normal” and in control. But if a patient stops taking the drugs, thinking that he is cured permanently, he is going to subject himself to another, potentially more devastating round of failure, deflated self-confidence, and embarrassment.

Using ED medication is hardly a sign of weakness or inadequacy. On the contrary, taking it means that a man is dealing with his problem and, in fact, overcoming it in the most painless, practical way possible. It basically comes down to this: Without the drugs, junction is going to remain impaired. With them, it will be corrected.

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