Chronic constipation is estimated to affect approximately 1 in 6 adults living in the US. It’s even more prevalent in senior citizens. Dehydration, inadequate nutrition, lack of physical activity and medication side-effects all contribute to the problem. Many imperfect solutions abound including fiber supplements, laxatives and stool softeners. But in my opinion that’s putting the horse before the cart. The first thing that should be addressed in instances of recurrent constipation is diet. However, it might surprise you to know that just adding whole grains to your diet won’t solve much. Grains of any stripe frequently cause adverse digestive and systemic reactions. In my opinion, a better option is to incorporate gentler sources of dietary fiber and healthy fats into your daily routine. (1,2,3)
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On board for this week’s edition of Twitter Thursday is Devon Schuyler of the Los Angeles Times, Dr. Michael Eades from ProteinPower.com and Martha Rose Shulman of the New York Times. At first glance, some of the issues addressed may seem more serious than others. An example is an examination of statin-induced side effects vs. a recipe for a creamy cucumber salad. But if you view food as medicine, then the comparison changes considerably. That’s one of the shifts I’d like to see more in modern medicine. This is my latest contribution toward that end.
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In the late 1990′s I was working as a health food store consultant. I would advise the buyers and owners of health food stores about which types of supplements I thought were safest and most effective. On occasion I’d find myself in the middle of “rush hour”, when the health food store staff was outnumbered by patrons. This gave me an opportunity to work with customers in a more direct fashion. In addition, it allowed me to converse with individuals about what worked and didn’t in the personal application of natural remedies. I vividly recall one instance when I approached an older lady who was comparing labels in the protein powder isle of a family owned store. I offered some information and suggestions but also posed a few questions. Out of that exchange, I learned about an interesting ingredient that she always used when making protein shakes – avocado. Instead of using cream or milk in her blends, she used cold water, ice and a whole avocado. This gave her a dairy-free alternative that was rich in potassium and helped manage her borderline-high blood sugar and hypertension. Read more »

Every once in a while I stumble across a “Where are they now?” program on television – a show documenting the lives of famous figures long after the spotlight has left them behind. A similar analogy could be made in the field of medicine. Select foods, medical procedures and supplements are always the recipients of media attention, but typically, it doesn’t last for very long. Does this mean that they’re no longer noteworthy once the spotlight has left them behind? Not from my perspective. That’s why I think it’s so important to continually update the columns I’ve written in the past. Read more »

Parents face many challenges trying to raise healthy children. Convincing kids to eat enough non-starchy vegetables is at the top of that list. This is no accident. Among other reasons, food manufacturers spend millions upon of millions of dollars “educating” the youth market on what’s cool to eat. But with a little creative parenting, there are ways of outsmarting finicky youngsters and junk food marketers at the same time. Read more »

According to the American Heart Association’s Statistics Committee, heart disease will cost the United States approximately $316 billion dollars in health care spending this year alone. That isn’t a figure that any nation would be proud of. However it is a reality and it needs to be acknowledged. What’s also true is that much of the money spent addressing this health crisis focuses on the role of pharmaceutical and surgical interventions. Today I’m going to take a critical look at several nutritional options that may mitigate the general trend that cardiovascular disease is taking in the US and well beyond its borders. (1) Read more »

The first stop on today’s Twitter tour is a visit with Dr. Andrew Weil to get his two cents about the relative merits of honey as a sweetener. Then two new contributors to Twitter Thursday – Nancy Onyett, a certified family nurse practitioner, competitive bodybuilder and director of the Pyramid Preventative Medicine and Dr. Bill Yates, a Tulsa-based physician with a keen eye for interesting neuroscientific research. Finally, we’ll round out today’s column with some input from a few familiar Twitter sources: Neatorama and Dr. Wayne Dyer.
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The lessons we’re taught in childhood often stick with us throughout our lifetime. Some of what’s picked up along the way helps us to live happy, value-based lives. However some lessons hinder our potential or otherwise cause us inadvertent harm. In the context of nutrition, there are a few cultural concepts that I feel are problematic. The first is the notion that each meal needs to include a starchy component, whether bread, potatoes, rice, etc. The second is the idea that most meals should end with a dessert or something sweet. Read more »

In a perfect world we could control all of our dining choices. But the reality is that we’re sometimes placed in situations that effectively sabotage the best laid dietary plans. This isn’t an issue for all people, but it does impact a rather large segment of the population that’s trying to lose weight or otherwise improve their health. In such instances, one can always exercise abstinence. However there’s another resource available that can help minimize the consequences of occasional decadent meals. Read more »

When it comes to living a healthy lifestyle, it’s one thing to be told what you’re supposed to do and quite another to know exactly how to do it. One recommendation that is commonly made by doctors and nutritionists is to eat more dietary fiber. According to The National Academy of Sciences’ Institute of Medicine, men under the age of 50 should consume an average of 38 grams of fiber per day. Women in the same age group are supposed to strive for 25 grams. These figures are slightly lower for individuals above the age of 50, but they still far exceed what most people typically consume. Today’s column provides some new evidence that will hopefully nudge you into eating more fiber-rich foods, as well as a very simple way to meet your daily fiber quota. Read more »

I was recently reminded of one of the most important tools available to us as patients: awareness. The quality of care we receive can be greatly influenced by the feedback we provide to our treating physicians. A seemingly insignificant change in how we feel such as headache, muscle pain or an occasional “racing heart beat” could identify whether a new medication or therapy is working or life threatening. Likewise, it’s important to be mindful of any minute or substantial signs of positive changes as well. In short, we need to understand what we should expect from any new treatment and then pay close attention to any potentially related reactions. Read more »

Tomorrow we’ll celebrate Thanksgiving in the United States. It’s a time when many Americans reflect on countless blessings that are often taken for granted. The most fortunate among us will have the opportunity to spend this holiday catching up with family and friends. During these joyful gatherings tradition dictates that there be a feast that is shared by all. As the meal concludes, most households consider it customary to include a delicious dessert known as pumpkin pie. Read more »

Keeping up with medical news is a lot like keeping track of the stock market. New information is continuously being released and must be considered in order to have a well rounded picture of what’s really going on. I try to present an accurate assessment of each subject that I write about. However, the accuracy of the information is only current at the posting date. A week or two after I publish an article, there’s frequently something new that I could add. That’s why I regularly post updates on topics that I’ve already covered. Read more »

Most nutritionists agree that a hearty breakfast is an integral part of a healthy diet. But many people avoid morning meals either because of a lack appetite or a scarcity of time. I can’t personally relate to the absence of hunger, but I can understand not having the time to prepare and eat a proper meal on the go. That’s why I’ve devised a few simple recipes that help me to sidestep these pitfalls. These “breakfasts on the go” are dairy-free, low in sugar and nutrient dense. I also happen to think they’re quite delicious. Read more »

Some people like to play board games, watch sporting events or knit in their spare time. Me? I like to browse around the Centers for Disease Control and Prevention web site. I sometimes search around there for statistics that help shape the content that ends here. The other day I found a few interesting facts and figures. I already knew that heart disease is the “leading cause of death for both women and men in the United States”. But I was still stunned by a few other statistics. In 2005, 7.6 million people’s lives ended prematurely due to coronary heart disease. In 2003, almost 40% of adults exhibited two or more of six risk factors for heart disease and stroke (diabetes, high blood pressure, high cholesterol, obesity, physical inactivity and smoking). These figures have probably only gotten worse in the time since they were compiled. This is evidenced by the most recent figure available: “In 2009, heart disease is projected to cost more than $304 billion dollars, including health care services, medications and lost productivity.” Read more »

Some types of foods are easier to incorporate into one’s diet than others. If your doctor advises you to eat more fruits or vegetables, you can quite easily select the varieties that you like best and up your intake. The same can be said for other commonly recommended health foods such as fish, nuts and seeds. But adding more fiber into your daily routine requires some planning because not all fruits and vegetables contain much and animal based foods are completely devoid of it. In my opinion, being reminded of the importance of fiber, while becoming more aware of foods that are abundant in this dietary component is the key to making it a priority. Read more »