Showing posts with label vomiting. Show all posts
Showing posts with label vomiting. Show all posts

Sunday, February 3, 2013

Avoiding the Flu: it can spread 6 feet!


Chances are this winter season you, your family, your friends, and your co-workers have already contracted the flu and are over the worst of it.  According to the Centers for Disease Control (CDC), this season has been one of the worst in several years as many, even with the flu vaccine, are seeking treatment with their health care provider.  Unfortunately, new research demonstrates that the flu virus can travel up to six feet simply from talking and breathing.

Historically, the flu virus is thought to spread only through short distances and with coughing and sneezing in the release of larger respiratory droplets.  This of course makes it important to wear a mask when sick, cover your nose when you cough or sneeze (preferably with your arm, not your hands), and use tissues.  With this new information that the virus can move more than a foot or two, it becomes critically important that hygiene and health practices take an even larger role.

First, if you are sick, feeling down, experiencing chills and a fever, coughing, sneezing, difficulty swallowing with congested sinuses and ears – please stay home.  Unless you are running to your health care provider’s office for help or the local pharmacy for treatment and tissue - the public does not want to become sick.  Do not try to muster through it because you will end up feeling worse and infecting those around you. 

Second, sanitize yourself.  Wash your hands frequently or use antibacterial germ lotion.  Remember to wipe down everything.  This includes your cell phone, your steering wheel, your desk, your keyboard, your counters, the handles in your house, your iPod and iPad and whatever else your hands come in contact with during the day.  Many grocery stores are offering antibacterial wipes to swipe the handle of the shopping cart before use which can help reduce infection as well. 

Third, take care of yourself.  The flu season usually hits during a stressful time of year (think: holidays) when the weather is colder, darker and wetter and dietary/exercise habits may be more in “hibernation” instead of keeping healthy therefore remember to stay hydrated, minimize sugar and caffeine, get a good solid amount of sleep, say “no” to things that stress you out and laugh often (maybe with your mouth closed so you do not breathe in other people’s respiratory droplets!)
 
Fourth, keep up on your supplements as they may be helpful.  Probiotics, commonly known as the good gut bacteria or live active cultures in yogurt, are helpful at supporting the immune system in the gastrointestinal tract especially after a course of antibiotics, vomiting or diarrhea.  While yogurt may sound good when you are sick, dairy products often thicken mucus which may not be ideal when you have a congested head therefore a capsule daily is recommended.  There are many mixed supplements that contain Vitamin C, Zinc, B vitamins, elderberry, Echinacea, garlic and more in order to strengthen the immune system.  While research is mixed, there is a lot of anecdotal evidence in my practice to show that sick people love their supplements and report less illness overall, shorter duration and easier symptoms.

Fifth, the flu vaccine is probably not going to save you now if you have not yet had your shot.  With the number of people who did receive the vaccine and still got the flu, many in the health field are reporting that the flu vaccine was the wrong strain.  This information is all tracked by the CDC at their Fluview webpage, http://www.cdc.gov/flu/weekly/.  However, talk with your health care provider to determine if the vaccine is a good idea for you at this time.
 

References:

1.Centers for Disease Control and Prevention, National Center for Immunization and Respiratory Diseases.  Situation Update: Summary of Weekly Fluview.  Web.  3 February, 2013.
2. Brown, T. Now Published: Flu Virus can spread up to 6 feet, No Cough or Sneeze Required.  Web.  3 February, 2013. ttp://www.medscape.com/viewarticle/778674
3. Ciorba, M.  A Gastroenterologist’s Guide to Probiotics.  Web.  3 February, 2013.
http://www.medscape.com/viewarticle/770468

Sunday, December 9, 2012

What Is Hyperemesis Gravidarum? The Poor Princess...


The Duke and Duchess of Cambridge were forced to make the early announcement about Catherine’s pregnancy due to her hyperemesis gravidarum (HG) that landed her in the hospital. While the world was thrilled for their news, many had never heard of HG and those women who experienced it personally offered their knowing support.  The word ‘hyperemesis’ basically means vomiting excessively while gravidarum refers to a pregnant woman.  As many women report vomiting in the early weeks of their pregnancies, HG is a much more severe form that requires serious attention.

It is estimated that HG occurs in 0.3 – 1% of pregnant women, which is a relatively small subset considering about 50-80% of women experience ‘normal’ nausea and vomiting.  The condition is so severe that women can lose significant body weight due to malnourishment as they are not able to eat or drink because of the nausea and then they have excessive vomiting.  Women with HG often require medical treatment (as is the case with the Duchess of Cambridge) as IV fluids are needed to prevent dehydration and medications for nausea may be necessary. 

HG can affect a pregnant woman’s electrolyte balance, her kidney function, create problems with the stomach and esophagus and affect the growing fetus.  Unfortunately, those who experience HG with their first pregnancy will often go on to have it with subsequent pregnancies. The exact cause of HG is unknown with many speculating genetics, hormones, and over-sensitivity to HCG in the body, plus other more significant conditions in the body such as gastrointestinal or liver problems.  Some believe that carrying twins increases the risk for HG due to the increased hormone and HCG level in the body.  The concern for the baby is that they have a higher risk for being born early, born underweight and born small for their age.

Like non-HG women with nausea and vomiting, hydration and nourishment is very important.  The medical community often uses B-vitamins in IV or injection to help such as B1, B6 and B12.  The herb ginger, especially when used in the form of a candy to suck on or tea has anti-nausea effects.  Acupuncture has also been shown to be helpful for both nausea and vomiting. 

Hyperemesis Gravidarum should not be taken lightly and a pregnant woman experiencing excessive nausea and vomiting causing weight loss should immediately consult with their medical provider or proceed to the nearest hospital for full evaluation.   Thankfully the Duchess did just that and will hopefully have a wonderful pregnancy.

To read more at the women's health website, Empowher, click HERE!

Reference:

1.       ACOG Guidelines for Treating Nausea and Vomiting in Pregnant Women Reviewed.  Web.  9 December, 2012.
2.       Nausea and vomiting in pregnancy: Blooming or bloomin’ awful? A review of the literature.  Web.  9 December, 2012.
3.       Treatment of Hyperemesis Gravidarum.  Web.  9 December, 2012.