Should You Dump A Commitment Phobe? Not Before You Read This

Having personally suffered from severe commitment phobia for many years, I know that being in love with someone who is afraid of commitment is not fun at all, but does someone’s fear of commitment always have to be the end of a relationship?

In real life, some people are not really meant to be together, and sometimes when you’ve tried everything humanly possible — and I mean really tried everything including asking for divine intervention — and failed, it’s smart to know when to walk away.

Walking away does not necessarily mean you will be able to stop loving that person because if you really love someone from your heart and soul you will never stop loving that person. Love is so much bigger than all of us because it’s the very fabric by which we are made of. And when you love someone what you are basically doing is getting in touch with what you are made of. Trying to stop love is like trying to get out of your own skin — good luck with that!

Walking away or “getting over” that person means that you stop expecting him or her to give you what he or she in unable to, is unwilling to, or just doesn’t want to. And sometimes that something is commitment.

But I think a lot of people walk away too soon. This is the sad reality of the “modern” world we live in. We think that relationships come in little neat packages with instructions “Add A Little Sex And Live Happily Ever’. Many people don’t realize that relationships need time and work. And with all the advice about “too many fish in the sea”, walking away seems the coolest thing to do. It shows that you “don’t care” and from where this kind of advice comes from, that is supposed to be a good thing. But many years later — just like the people who gave you the advice — you are still trying to “catch fish” in that sea. What does it say about you if you can’t catch even one fish in a sea with too many fish?

Many more aren’t willing to work as hard to make a relationship work as they work hard in their professions or careers. These same people start pushing premature commitment because of their own internal pressures and are quick to conclude it isn’t working and walk away.

And then there are some people who try to work things out but go about it the wrong way — nagging, begging, blaming, guilt tripping, giving ultimatums, playing break-up on and off again games etc. This very same things you do to try to get a “commitment” are the very things that make a commitment phobe even more weary of committing or run like an escaped death-row convict.

So true, being in love with someone who is afraid of commitment is hard, but commitment phobia is not a “terminal illness”.

Men and women do get over their fear of commitment. I did. And you probably have heard or know of many men and women who were written off as commitment phobes by the people they were in a relationship with and two months later they have committed to someone else. And the person who dumped the commitment phobe is left confused, angry, jealous, bitter and feeling terribly inadequate — like something is so wrong with her/him that someone who could never commit to them, had no problems committing to the next person.

Sometimes what a commitment phobe needs is:

— someone who doesn’t automatically assume that it’s all a selfish act but understands and appreciates where the fear and anxieties are coming from (fear of losing one’s independence, fear of marriage, fear of intimacy, fear of having kids, fear of financial burdens, fear of sharing a home, fear of offending family members, fear of moving to another state or country etc). Understanding and appreciation can help the two of you come to a compromise you can both live with.

— someone who is emotionally well enough and emotionally secure enough to give some real tough-love; Many commitment phobes have been through so many relationships and know exactly how the script plays out. Having a game-changer who will not play by the script can sometimes be the “shock therapy” a commitment phobe really needs.

— someone who is committed to really helping the commitment phobe get to that place where he or she feels “safe” enough to come out of their hiding place. Commitment phobia, like all fear, is really a wall to hide behind. And seeing that there is really nothing to fear is a great relief to a commitment phobe.

So before you walk away, make sure that you’ve earned your way out — that is given it everything you got and more. That way you don’t look back with regret because you dumped someone you still love and a few months later he or she commits to someone else.

Anxiety – Levels and Symptoms

Panic attacks, generalized anxiety disorder (GAD), and just plain anxiety. What’s the difference?

Pretend each sits on a scale in terms of degree of difficulty, 1 being the least and 10 being the most difficult. Panic attacks may be perceived as a 10 with anxiety down by a 1.

Let’s put GAD in the middle for the sake of this conversation, although depending upon the symptoms, GAD could very well be closer to a 10. Between the three degrees, each one has its own range.

For example, anxiety for me may be at a 3 but for someone else may be a 1. Granted the experience of anxiety is affected by so many outside factors (situations, past experiences, coping skills, etc.), so it is not something that has a standard measurement.

Anxiety is the body’s natural way of telling you that something is wrong, doesn’t feel right, or prompt someone to take action.

For example, if a family needs to borrow money to pay for rent and groceries, the primary earner may feel anxious about how to make ends meet. This may prompt him or her to get a better or second job.

Again, individuals can experience different levels of each disorder depending upon their experiences, family history, and coping skills. Let’s discuss symptoms and how this “spectrum” can play out.

All people experience some level of anxiety at some point in their life. Symptoms can start out with racing thoughts, feelings of nervousness, sweaty palms, and racing heart.

As anxiety worsens in duration and abundance, an individual may have generalized anxiety disorder. This may impair an individual’s ability to function in everyday life, but there are plenty of treatment options out there.

Insomnia

Studies show that insomnia affects approximately 75 million people in the United States. Insomnia can present itself in a couple of different ways; each may require a different medication. One symptom is a difficulty falling asleep but once asleep, the patient stays asleep. Another symptom is difficulty staying asleep, but an ease of getting to sleep.

Most often, insomnia lasts for just a short period of time, a week at most. When the difficulty in sleeping lasts for more than six months, it is considered a chronic condition. The chronic insomnia is troublesome because it can affect your work, your health, and your social relationships.

The treatment for insomnia should begin with what is known as “sleep hygiene.” Sleep hygiene consists of ten philosophies:

1. keep a regular sleep schedule

2. exercise regularly but avoid exercise before bed

3. go to bed when sleepy

4. do relaxing and enjoyable activities before bed

5. keep the bedroom quiet and comfortable

6. do not eat a large evening meal

7. if you are not sleeping within 20 minutes, get up and return to bed when you are sleepy

8. if you must take a nap, limit it to 30 minutes

9. avoid alcohol, caffeine, and nicotine

10. have your pharmacist check your medications for stimulating drugs

If, after trying sleep hygiene, you are still having difficulties, you can try some over-the-counter remedies.

There are many different sleeping pills you can buy at your local store.

This is what I recommend:

– find the cheap, generic, store brand diphenhydramine 25 milligrams

It can by found either in the sleeping pill section or in the allergy section. Let me tell you why. Diphenhydramine is the active ingredient in the allergy medication Benadryl. Along with its ability to help with your allergy symptoms, it causes a good amount of drowsiness. So much so that it is the active ingredient in ALL of the following expensive brand name sleeping agents:

Simply Sleep

Sleepinal

Sominex

Tylenol PM

Unisom

Alka-Seltzer PM

Excedrin PM

Goody’s PM

Nytol

Bayer NightTime Relief

Doan’s PM

GoodNight’s Sleep

Legatrin PM

All of these are much more expensive and have the exact same active ingredient as the cheap store brand. Why pay more for the exact same thing?

The next step to try is melatonin. Now many people want to go directly to melatonin because they feel it is a “natural” alternative. Melatonin in made in a laboratory just like any other medication. You can get natural melatonin that is made from the pineal gland of animals but this approach is not recommend due to frequent viral contamination.

The brain secretes melatonin to supposedly tell our body to go to sleep. The scientific community is still discussing the exact dosage and duration of therapy for melatonin. Until they come up with an answer, start with the one milligram dose. If this is not effective, go to two milligrams. If there are still difficulties in getting to sleep, go for the three milligram dose.

Let me tell you about my own personal experience with melatonin. When it first came out many years ago, I tried it to help with my sleeping. I took it the first night, fell asleep, and woke up at 3am, wide awake and couldn’t get back to sleep. Of course the next night I was tired so I took it again. I fell asleep but was wide awake again at 3am and couldn’t get back to sleep. The next night I didn’t take it and slept until morning. The fourth night I took the pill and again woke up at 3am, wide awake. I have never taken it since. Why I woke up at 3am, I don’t know. It was strange but that is what happened to me.

If sleep hygiene, diphenhydramine, and melatonin are not helpful for you, the next step in the doctor’s office. Don’t be intimidated into one of the new, expensive designer sleeping pills. Start cheap.

Your first step should be trazodone. This is actually an antidepressant that causes sedation as a side effect, similar to diphenhydramine. One of the reasons for using an antidepressant like trazodone is the fact that many people with insomnia are also depressed, whether diagnosed or not.

Trazodone is cheap, reliable, and has been used safely for years. The most common dose for getting a good night’s sleep is 50 milligrams. You will never see an advertisement for trazodone because it is an old, dependable drug that is very cheap.

The next step should be temazepam. This is another old reliable medication that has been used for years. Temazepam is in the same family as Xanax and Valium. It provides the right amount of sedation that lasts about eight hours. The medication is classified as a schedule IV meaning it does have some addictive properties. There are not too many people who get “hooked” on temazepam so I would not worry too much about that.

If, after trying these three medications, you are still having difficulties, you and your doctor may want to try other medications in the same family as temazepam. These are called benzodiazepines. They all work basically the same way and cause drowsiness. They differ in how quickly they work and how long the effect lasts.

Your next step is going to be expensive. The pricey brand name drugs are going to be your next option. I would recommend starting with Ambien. It is quite popular and will soon be available in generic form. The manufacturer is now focusing on the new formulation called Ambien CR. They are no longer promoting Ambien because the patent will soon expire. The Ambien CR is nothing more than a controlled release form of the drug. You can get a voucher for a free trial at ambiencr.com.

After this, you have many choices but all are costly. You can try Sonata or Lunesta. A free four day trial of Sonata is available at sonata.com and a free four day trial of Lunesta is available at lunesta.com.

A new medication for sleep is called Rozarem. To make the science easy, it tricks your body into thinking it has a lot of melatonin. This is a new category of medication. They are quite expensive at about $7.00 each.

Most people do not realize how effective the cheap generics are because they don’t see them on TV or hear about them on the radio. These established drugs have been working for many years and there is no reason to begin your therapy with expensive prescription drugs.

The recommendations for sleeping pills follow the rest of my suggestions, start over-the-counter and cheap. Begin with simple, proven, and inexpensive remedies and slowly move up in cost. The newer, brand name drugs are heavily advertised and well known to the general public. This advertising and brand name recognition makes them quite expensive.

Don’t be tempted into the expensive route right away. Your doctor is probably going to want to start you on the newest expensive drug. Most people don’t realize that he or she is being rewarded by the drug companies for prescribing these expensive medications to you.

A good night’s sleep is important. If it really only takes a few cents a night to get it, why pay several dollars?

How Do Podiatrists Treat Ingrown Toenails?

Ingrown toenails, especially on big toes, are a common occurrence. You get one when the corner of a toenail grows into the soft flesh of your toe, resulting in pain, redness, swelling and even infection. Many people get them from not trimming their nails properly or wearing the wrong shoes. Repeated trauma and genetics can also cause ingrown toenails.

Because many people acquire this ailment, podiatrists see this problem a lot. Although most people can treat their ingrown toenails at home by soaking their toes in warm water or using other treatments, there are times when you should see a podiatrist.

When Should You See A Podiatrist for?

It’s time to see a podiatrist if your nail has yellow or green drainage, severe or spreading pain or excessive redness that does not go away after a few days of home treatments. Infected nails, with pus, swelling, redness and increased sensitivity, can cause further complications, including tetanus, so seeing a foot doctor about a persistent infected toe is a good idea.

If you have diabetes or another condition that causes poor circulation to your feet, you are at greater risk of getting more severe complications and should seek immediate treatment at the first signs of an ingrown toenail. Also, if you experience ingrown toenails over and over, you might want to see a podiatrist about a permanent solution to prevent your toenails from growing into your skin.

How Will The Podiatrist Treat You?

When you go to a podiatrist for an ingrown toenail, the podiatrist will treat you with either surgical or non-surgical methods. In most cases, non-surgical methods can be used successfully. Your doctor may use tape to pull the nail away from the skin. Or he or she may lift the nail and wedge a splint (a cotton wisp, dental floss, other) under the edge of the nail to separate the nail from the skin. Another common method is to trim or remove the ingrown portion of the nail with nail trimmers. Podiatrists are able to trim your nails without causing further damage to your foot. And for a recurrent ingrown toenail, your doctor may suggest matricectomy or partial nail matricectomy to remove a portion of your toenail along with the nail bed or the entire nail to reshape the nail and prevent further ingrown toenails.

First, the doctor will inject the toe with a local anesthetic and then remove the nail along the edge growing into the skin using a chemical, a scalpel or a laser. If the toe is infected, the infection will be surgically drained. The procedure usually takes about 30 to 45 minutes depending on the extent of the problem. You can go home immediately and recover in two weeks to two months. Topical or oral antibiotics might also be recommended.

Treatment For Toenail Fungus – What Really Works?

If you look up nail fungus cures on the internet, you will probably find many false hopes such as home remedies and non-prescription drugs that make all sorts of promises. Sadly, in the end most will not get rid of the problem. Nail fungus is not like a disease or bacteria that you can just kill by putting some kind of ointment on it. Actually, it feeds off the bloodstream underneath your nail so this is why it can prove to be a difficult task.

The famous prescribed Lamisil pill does just that but you have to go to the doctor. It goes into your bloodstream, the fungus feeds off it, and eventually it dies. I say eventually because it can take a while, but we will touch on that in a bit. There is also laser removal that you can get done, but you are also going to pay a hefty price for a procedure like this.

With that said, how can you cure the problem without having to go to the doctor and getting a prescription or without having to spend a lot of money? Well, there is a new product out that has been working on around 85% of people who have used it. It also works through the bloodstream and also comes with an ointment that helps the process go a little quicker. Now, if you don’t know anything about a treatment for toenail fungus then let me enlighten you a bit on how and why it can take a while.

It can take up to a full year for a new nail to completely grow. What happens is when you take Lamisil, or this new product, it will take a week or so to get into your system and it will prevent the fungus from staying alive. The end result is the fungus goes away after you grow a whole new toenail. Now, does this take a year? No, normally it takes around 5 to 6 months. This is true with the new product and with the prescribed medication.

I said eventually earlier because it is a process that definitely takes some time no matter what route you go. The main point is that this product has been proven to work on most people and you can read the reviews yourself if you like. Though instead of taking a pill, it comes with a spray that you spray underneath your tongue daily and a ointment to help the process work a little faster so that you will not have to endure it for over 6 months.

What Is the Sprained Knee Recovery Time Frame?

When one goes through a sprained knee, the recovery time for a person changes on any given number of circumstances. One of the most important criteria of recovery time for such an injury is how effectively the sprained knee has received treatment. By treatment we refer to the amount of time the knee was rested as well as the amount of times that ice was applied for recovery. These steps are ideal so that the swelling and inflammation is reduced as much as possible. In addition it is very helpful to elevate the knee when it has been sprained. The elevation assists dramatically by providing improved blood flow to the knee area. A sprained knee will usually require an ample amount of physical therapy to ensure that when normal physical or sports activity resumes the knee will not be subjected to another sprain or sports injury. Often times physical therapy will require weight training exercises to build up the muscles around the knee and other areas of the individuals leg. If the muscles in those areas surround the leg are properly trained then the knee will be stronger and will be less receptive to a sprain or sports injury in the future. A sprained knee can also recover without any kind of physical therapy, however it is important to remember that the recovery time may be increased to ensure that the knee has fully recovered and there are no risks with resuming physical or sports activities once again.

Certain health care medical professionals also recommended taking nutritional supplements or changing their nutritional eating habits to assist with the healing their sprained knee. Vitamins such as fish oil and vitamin D can help with tissue repair and promote bone density growth. It would be wise to note that vitamins are not regulated by the medical industry so their results are not always accurate and may not work for every individual. Nutrients that are high in protein can assist the person in gaining more muscle mass around the leg so that the knee is stronger than before the injury occurred. Improving muscles mass will help the person in reducing the risk of injuring the knee or attaining another sprain. In addition, certain physical therapists suggest swimming activities for such related injuries. They suggest that the swimming motions used in a weightless environment, which is the swimming pool help in the recovery phase of a sprained knee. Although there has not been a huge amount of research done to determine the value of physical therapy in a swimming pool, it is noted that exercising the knee without placing additional force or stress can assist in the recovery time frame. The general consensus is that a regular knee sprain without any further ligament injuries will heal in 4-6 weeks. It is also very important to follow the strict guidelines of physical therapy as well as rest to ensure that an individual does not return to quickly from such an injury, doing so will jeopardize the recovery time frame of a sprained knee and make the individual vulnerable to further injuries in the future.

Bruise Help – Herbs That Help

Bruises are a painful injury involving bleeding under the skin. The discoloration and the pain can last a significant amount of time, depending on how much bleeding occurs. Many traumatic injuries, such as a badly broken bone, can cause an extensive amount. Large bruises like the aforementioned and an unusual number of them should be seen by a doctor. However, minor ones can be dealt with at home.

Arnica: This herb should be used with a great deal of caution and it should never be ingested. It’s best to have a qualified practitioner show you how to prepare it, but I’ll give you the general instructions. Bring two cups of water to a boil and add the arnica. Take it off the heat and let it steep for ten minutes.

Test the water, both for temperature and to make sure it’s not too strong. This herb can cause burns and skin irritation, so this step is crucial; you don’t want to injuries on the same patch of skin. Strain the arnica, then dip a cloth in the water. Place it over the bruise for no more than ten minutes, checking every two minutes. The bruising should fade fairly quickly.

Ice: Ice can help blood vessels contract, thus stopping the bleeding. It can also ease some of the pain. Ice and/or ice packs should not be left on the skin more than twenty minutes at a time.

Onions: There are two reasons this could be helpful. It’s a topical pain killer and it can act as an anti-inflammatory. Both come in handy in any injury. You can apply them two ways, though the second one is usually considered the better option.

Method one, slice a raw onion and lay the slices on the bruise. Method two, dice the onion, mix it with salt and place it on the bruise. You should have a piece of cloth ready that can be tied around the bruised area. Put the mix on the bruise and tie it with the cloth so that it doesn’t come out. Keep this on overnight (or if you do it in the morning, for at least six hours).

Witch Hazel: A compress of distilled witch hazel could relieve the pain and swelling of a bruise. One reason is that it has an astringent quality. You can find it in most supermarkets, usually around the skin and haircare section..and usually on the bottom shelf. It’s a good idea to keep some around, and it is usually inexpensive.

Exercising After Lumbar Spinal Fusion Surgery

Spinal fusion is a common form of back surgery that entails the fusion of two or more vertebrae to eliminate painful motion caused by degenerated discs or spondylolisthesis. People who are deciding whether to have the procedure or who have had it already often wonder what kind of physical activity they will be capable of after surgery. The following describes both short- and long-term exercise recommendations for people who have had lumbar spinal fusion.

The First Few Months

It can take about half a year for a fusion to set. During this time, it is important to place limitations on physical activity so that the fusion process is not disrupted by jarring motions. You might think bed rest would be the best option to ensure a smooth fusion; however, low-intensity exercise is actually imperative to recovery. It is important to exercise after fusion surgery for a number of reasons:

1. Muscles supporting the spine should be kept strong.

2. The back can become stiff after surgery and stretching exercises will help maintain flexibility.

3. Movement also helps prevent the formation of adhesions or scar tissue that can damage tissues in the back.

4. Maintaining cardiovascular fitness will help deliver fresh blood and oxygen to the healing area, giving it more material to build new bone with.

5. Maintaining a healthy weight will prevent extra stress on the back.

The exact amount of activity you’re allowed will depend on what type of fusion you had, the location of fusion, the number of levels fused and your rate of healing. Make sure to discuss post-fusion exercise with your doctor or surgeon. If possible, arrange to see a physical therapist within a few days after surgery to get professional exercise advice. Generally, the following activity plan is followed after a fusion surgery.

The first week of recovery entails walking and gentle stretching of the thighs and back. Light core stabilization exercises that involve moving the arms and legs rather than the trunk may be introduced within the first few weeks. These exercises avoid any stressful movements of the spine such as twisting. As pain decreases, you’ll be able to increase the distance of your walks.

After about 6 weeks, you may be able to add more mobile exercises into your routine. After about 9 weeks, if possible, you’ll want to increase your aerobic workout to include brisk walking, swimming or another type of low-impact workout. Within the first half year to a year of surgery, you’ll need to avoid jarring activities like jogging or contact sports.

For a comprehensive list and description of post-fusion exercises, see http://www.spine-health.com/treatment/spinal-fusion/rehabilitation-following-lumbar-fusion.

Long-Term

Your surgeon may tell you that you can return to any activity once you’re healed if the procedure is successful. However, being physically capable of doing an activity and deciding to do it are two different things.

There is a concern with spinal fusion surgery called adjacent segmental degeneration (ASD). ASD entails the degeneration of joints and spinal discs surrounding the site of a fusion, since the disc and joints in that area are no longer absorbing shock and facilitating motion. This means that any high-impact activity you do will cause added stress on the discs and joints surrounding the fusion. The risk of ASD increases with the number of spinal levels fused.

Activities that jar the spine like running and outdoor cycling, or those that combine twisting and force like tennis or golf are, therefore, not ideal activities after having a fusion surgery. They are possible, but you must make a choice about what you’re willing to risk. When deciding whether or not to have spinal surgery, those who live athletic lives may wish to look into artificial disc replacement or lumbar dynamic stabilization surgery as an alternative to fusion due to ASD concerns.

If you’ve had a fusion, one of the best ways to stay active is in the pool. Water takes stress off joints and discs while providing the resistance your body needs to stay fit. Swimming or water aerobics are ideal for people with back problems. Another option is an exercise machine, such as a stationary bike or elliptical, the design of which prevents jarring of the spine.

Exercise after spinal fusion surgery is not only possible but necessary. Keep in mind that you will be able to lead an active life after your recovery, but that your activities may not be the same as they were before surgery.

What You Need To Know About Intestinal Biopsies

Failure to obtain biopsies during endoscopy misses important treatable intestinal conditions

Thousands of people are undergoing endoscopic exams daily without having tissue samples obtained. Sadly, though their exams may visually appear normal, under the microscope there are often microscopic findings that explain the symptoms that will respond to directed therapy. The gut is lined with superficial cells that contain a few immune cells that release chemical mediators that attract other cells to the area and fight off foreign invaders.

Several cells only seen microscopically play a role in digestive symptoms



Lymphocytes, eosinophils and mast cells are the immune cells that are normally present in small numbers in the surface cells of the gastrointestinal tract. A few lymphocytes are present in the tips of the surface cells that are a type of epithelial cell. These lymphocytes act as the body’s scouts. They survey the barrier of the gut to the inside of the body, looking for signs of potential invading infectious agents. Once an attack is perceived, they signal reinforcements to join them on the front lines.

Lymphocytes are immune cells detected early in celiac disease and cause bowel symptoms

When persistent increased numbers of lymphocytes are present in the surface cells, a chronic inflammatory condition of the gut exists. In the duodenum, autoimmune reaction to gluten in genetically susceptible individuals is a common but frequently missed cause of chronic inflammation known more commonly as celiac disease or Sprue.

Eosinophils and mast cells are allergy cells that cause bowel inflammation often due to food

Eosinophils and mast cells are types of immune cells involved in allergy reactions in the body. They are less commonly present in the gastrointestinal lining except when there are parasites, food allergies, or chronic inflammatory bowel diseases such as Crohn’s disease or ulcerative colitis. Eosinophilic gastrointestinal disorders are less common and a newly recognized condition, mastocytic enterocolitis, is diagnosed when excess mast cells are present in the small bowel and colon. However, mast cells may be difficult to see on biopsies without a special stain for tryptase, an enzyme present in mast cells that are immunologically activated.

Allergic esophagus condition may mimic reflux but is due to food and eosinophils

The esophagus normally contains no eosinophils. The two exceptions gastroesophageal acid reflux in which small numbers, up to 6-7 usually and no more than 10-12 per high power field (40X magnification) are found in the lower esophagus only not in the mid or upper esophagus. Allergic eosinophilic esophagitis is diagnosed when 15 or more eosinophils per high power field are found in more than two fields or more than 20 to 24 per high power field in one field are seen or lesser numbers are present in the upper esophagus. Mast cells that are activated have also been found associated with allergic eosinophilic esophagitis and their presence supports allergic esophagitis over reflux as the cause of the increase eosinophils though it is believed some people have both conditions coexisting.

Allergy and immune cells in the stomach and intestines found microscopically cause symptoms

In the stomach and small intestine more than 10 eosinophils per high power field defines eosinophilic gastroenteritis. In the small intestine and colon more than 20 mast cells per high power field found in association with otherwise unexplained diarrhea is now termed mastocytic enterocolitis. This newly recognized and described entity is previously unrecognized cause of diarrhea in some patients diagnosed with irritable bowel syndrome who may have been told they have a normal colon exam though no biopsies were done. Similarly, more than 20 lymphocytes per 100 epithelial cells in the colon are found in lymphocytic colitis, another form of microscopic inflammation of the intestine resulting in diarrhea that may be inappropriately diagnosed as IBS.

Gluten grains wheat, barley and rye cause increased lymphocytes with normal blood tests

In many of these patients, gluten sensitivity is to blame and the lymphocytic colitis is felt to represent a colonic form of celiac disease. In celiac disease, 30 or more lymphocytes in the tips of the villi per 100 epithelial cells is the earliest sign of gluten injury occurring before the villi become flattened or blunted. This finding may noted before the specific blood tests, anti-endomysial (EMA) and anti-tissue transglutaminase (tTG) antibodies appear in the blood even though the intestine is damaged enough to result in nutrient malabsorption and diarrhea. Anti-gliadin antibodies are often present however when significant intra-epithelial lymphocytosis is present along with symptoms that respond to gluten free diet. Lesser degrees of intra-epithelial lymphocytosis have been proposed as highly suggestive of early celiac disease and or gluten sensitivity, in the range of 20-25 per 100 epithelial cells.

Colon can be affected early with microscopic signs only

In the colon, the presence of eosinophils is considered one of the earliest findings of chronic inflammatory bowel disease. In the right colon more than 20 eosinophils per high power field and in the left colon greater than 20 per high power field is considered abnormal and suggests eosinophilic colitis, chronic inflammatory bowel disease or a parasitic infection.

Allergy cells release chemicals causing pain, diarrhea, and sometimes constipation

Eosinophils and mast cells release chemicals that irritate the bowel, increase permeability (cause leaky gut), increase contractions of the gut, increase intestinal secretions and heighten pain. Both cells are related to allergies including food allergies. It is therefore not difficult to conceive of a link to adverse food reactions in the development of intestinal irritation.

Most digestive symptoms should be evaluated by scope examination and blood tests

The important point to be aware of if you have gastrointestinal symptoms and are undergoing or have undergone an endoscopic examination is that a normal appearing intestinal lining does not exclude the presence of damage or irritation sufficient to cause symptoms of pain, bloating, gas, and diarrhea nor exclude impaired digestion and absorption. Blood tests exist that can help screen for celiac disease, Crohn’s disease and ulcerative colitis but biopsies of intestinal lining is usually required for definitive diagnosis.

Normal appearing gut lining may not be normal, make sure you get biopsies

Only through obtaining tissue samples that are examined under the microscope can abnormal types and number of inflammatory cells be identified. It is through biopsies of normal appearing intestinal lining that the correct diagnosis of various microscopic forms of gastrointestinal inflammatory diseases is confirmed. So, if you are preparing to undergo an endoscopic exam, I encourage you to insist that your doctor perform biopsies even they believe your exam looks normal. Based on the information I have reviewed above, a normal exam should be tip off that one of these microscopic conditions might be to blame for your symptoms.

References:

Al-Haddad S, and Ridell RH. “The role of eosinophils in inflammatory bowel disease.” Gut 2005; 54:1674-1675.

Guilarte M et al. “Diarrhoea-predominant IBS patients show mast cell activation and hyperplasia in the jejunum.” Gut 2007; 56:203-209.

Jakarte S et al. “Mastocytic enterocolitis. “Increased mucosal mast cells in chronic intractable diarrhea.” Arch Pathol Lab Med. 2006; 130:362-367.

Kirsch R et al. “Activated mucosal mast cells differentiate eosinophilic (allergic) esophagitis from gastroesophageal reflux disease.” Journal of Pediatric Gastroenterology and Nutrition 2007; 44: 20-26.

Liacouras CA. “Eosinophilic gastrointestinal disorders.” Practical Gastroenterology March 2007. 53-67.

Rubio CA et al. “Lymphocytic esophagitis: a histologic subset of chronic esophagitis.” Am J Clin Pathol. 2006; 125(3): 432-437.

Yousef MM et al. “Duodenal intraepithelial lymphocytes in disorders of the esophagus and stomach.” Clinical Gastroenterology and Hepatology 2006; 4:631-634.

3 Secrets to Healing Your Sinus Problems

Tell chronic sinus problems good-by. You’ve had it with that vicious cycle of one antibiotic after another that only leaves your sinuses set up for another infection and more misery. Discover the hidden causes of sinusitis and you’re well on your way to overcoming those miserable sinus problems.

Are you ready to break out of this vicious cycle? Are you willing to look at the hidden causes of your sinus problems instead of just treating the symptoms?

In over 25 years of treating and counseling patients in the holistic, natural approach of dealing with chronic health issues like sinus problems, I have found these 3 main mysterious culprits behind most chronic health problems:

Poor nutrition leading to toxic tissues and nutritional deficiencies

Toxicity

Overgrowth of unfriendly organisms in the affected tissues (dysbiosis)

Let’s look at each of these culprits.

Nutrition problems:

Most of us have become more aware of the lack of nutritional quality in many of the products in our supply of food. Basically, any kind of processing of food devitalizes it and makes it into “death food”. Unfortunately we die a slow painful death when we’re so deceived that we eat this death food. This damaged tissue may go undetected until a very significant disease develops.

Sinuses are tissues fed by what we choose to put in our mouths. Processed, sugary food, made with bad fats, does not nourish us and actually makes our tissues toxic. The body cannot build and repair itself with poor building materials.

So I congratulate you on your quest to heal your sinuses. Eat fresh whole foods, emphasizing more vegetables in your meals, whole grains and good sources of protein. If unfriendly organisms have not gained a foot hold in your sinuses or other parts of your body, then you may be able to also include two small servings of fresh, whole fruit and some nuts and seeds in your healthy eating plan.

Toxicity problems:

Unfortunately most folks have no idea about how much toxicity has accumulated in their tissues. With all of the air, water and food pollution, we gradually build up toxic metals and chemicals in our bodies. However, detecting the level of toxicity can be difficult, so even doctors in general do not know how to detect the level of toxins in the tissues.

Our blood quickly dumps toxic substances into our tissues to keep them from accumulating in the vital organs. Therefore, blood tests do not reveal the toxins. So it sticks lead in the bones, or mercury in the brain or sinuses or heart. And the other toxic metals (cadmium, nickel and aluminum) get stuck in the organs too along with toxic chemicals.

Anyone who has ever smoked or lived with a smoker has filtered a tremendous load of toxic metals and very toxic chemicals out through their sinuses. Obviously, a smoker must stop smoking if s/he ever expects to heal those poor overloaded sinuses.

Chlorella, an alga, helps remove toxins from the tissues. You can find it at health food stores.

Chelation removes heavy metals faster. Consult a health care practitioner well versed in heavy metal detoxification to help you dump your toxic load faster.

Unfriendly Organisms:

When our tissues become a toxic dump from poor nutrition and toxic metal and chemical accumulation, the unfriendly organisms overgrow like crazy. Then every time you have to take an antibiotic for another “sinus infection”, it kills off more of the good guys that hold the unfriendly guys in check. Consequently the dysbiosis (imbalance in organisms in the sinuses or other parts of the body) gets even worse.

Want to break out of this vicious cycle?

Then stop feeding the bad guys. They love sugary food and other junk food. Eat healthy meat, vegetables and non-gluten grains to starve these guys out. Eat the healthy organisms known as probiotics. Those bad critters flee from healthy tissues.

To understand more about dysbiosis, review information about Candida or candidiasis, the yeast that overgrows in these toxic situations. Actually, it’s a myriad of yeast and unfriendly organisms that overgrow, but the emphasis in the literature has been directed at Candida. That’s OK because the healthy things that you do to get rid of Candida helps get rid of the other bad guys too.

By the way, the Candida problems may not clear up until you detoxify the heavy metals and toxic chemicals. Find a health care practitioner well versed in toxicity and dysbiosis. S/he can help you with these two stubborn issues that may be keeping your sinus problems from healing.

As you implement healthy eating habits and get rid of the toxins and unfriendly critters, you will be delighted that your overall health, energy and joy of living will improve along with clearing your sinus problems.

Women in Sport – Abnormal Menstrual Cycles

The majority of women may never encounter any problem with their menstrual cycle whilst training for their sport. But with the escalating levels of more competition and pressure to succeed especially with the monetary rewards we are seeing more and more women suffering from “abnormal periods” or “dysfunctional cycles”.

Factors affecting menstrual cycle:

  • Exercise intensity
  • Energy imbalances
  • Training practices
  • Body weight & composition
  • Eating disorder behaviours
  • Physical and emotional stress

Signs of menstrual dysfunction:

Low Iron Levels – Women and girls may suffer decreased levels of iron due to heavy blood loss (even if nutritional intake is okay), symptoms of tiredness and performance levels drop.

Oligomenorrhoea – infrequent or light menstruation occurring at intervals at over 35 days and varying between 4 – 9 cycles per year.

Amenorrhoea – periods stops altogether for 6 months or longer. This may be due to stress, over training, malnutrition, or illness. It is also generally related to low body fat levels and in turn low female hormone levels.

Risks of menstrual dysfunction:

  • Fatigue
  • Frequent injuries particular risk to bones
  • Irritability and poor athletic performance
  • Increased psychological and emotional stress
  • Long term risk to immune function
  • Probable link to long term cardiovascular disease.

Studies show that the majority of elite sportswomen are unaware of the extend of the influence of their menstrual cycle and how it will and can effect their performance. If an athlete experiences a cessation of menstruation, she would need to examine (with her coach) the reasons why. One or a number of factors can lead to the irregular menstrual cycle and it is important for the long term health of the female athlete that these signs not be ignored.

Benign Tumors Of The Cervix

Endocervical polyps

Endocervical polyps are the most common benign neoplasms of the cervix. Please note that the word neoplasm refers to a cancerous growth. They are focal hyperplastic (abnormal cell growth) protrusions of the endocervical folds, including the epithelium and substantia propria. They are most common in the fourth to sixth decades of life and usually are asymptomatic but may cause profuse leukorrhea or postcoital spotting. (blood after orgasm)

Grossly, they appear as typical polypoid structures protruding from the cervical os. At times, endometrial polyps protrude through the cervical os. They cannot be distinguished from endocervical polyps by gross appearance. Microscopically, a variety of histologic patterns are observed, including

(1) typical endocervical mucosal

(2) inflammatory (granulation tissue)

(3) fibrous

(4) vascular

(5) pseudodecidual

(6) mixed endocervical and endometrial

(7) pseudosarcomatous.

Treatment is removal, which can usually be accomplished by twisting the polyp with a dressing forceps if the pedicle is slender. Smaller polyps may be removed with punch biopsy forceps. Polyps with a thick stalk may require surgical removal.

Microglandular hyperplasia

Microglandular hyperplasia refers to a clinically polypoid growth measuring 1-2 cm. It occurs most often in women who are on oral contraceptive therapy or Depo-Provera and in pregnant or postpartum women. It reflects the influence of progesterone.

Microscopically, it consists of tightly packed glandular or tubular units, which vary in size, lined by a flattened-to-cuboidal epithelium with eosinophilic granular cytoplasm containing small quantities of mucin. Nuclei are uniform, and mitotic figures are rare. Squamous metaplasia and reserve cell hyperplasia are common. An atypical form of hyperplasia can be mistaken for clear cell carcinoma. Unlike clear cell carcinoma, it lacks stromal invasion, has scant mitotic activity, and lacks intracellular glycogen

Squamous papilloma

Squamous papilloma is a benign solid tumor typically located on the ectocervix. It arises most commonly as a result of inflammation or trauma.

Grossly, the tumors are usually small, measuring 2-5 mm in diameter. Microscopically, the surface epithelium may show acanthosis, parakeratosis, and hyperkeratosis. The stroma has increased vascularity and a chronic inflammatory infiltrate. Treatment is removal. The squamous papilloma resembles a typical condyloma acuminatum but lacks the koilocytes microscopically.

Smooth muscle tumors (leiomyomas)

These benign neoplasms may originate in the cervix and account for approximately 8% of all uterine smooth muscle tumors. They are similar to tumors in the fundus. When located in the cervix, they usually are small, ie, 5-10 mm in diameter.

Symptoms depend on size and location. Microscopically, leiomyomas resemble the typical smooth muscle tumor found in the uterine corpus. Treatment is required only for those patients who are symptomatic. The cervical leiomyoma is usually part of the spectrum of uterine smooth muscle tumors.

Mesonephric duct remnants

When present, mesonephric duct remnants are typically located at the 3-o’clock and the 9-o’clock positions, deep within the cervical stroma. They usually are incidental findings and are present in approximately 15-20% of serially sectioned cervices. As the name implies, mesonephric duct remnants are vestiges of the mesonephric or Wolffian duct. Usually, they are only a few millimeters in diameter and seldom are grossly visible.

Microscopically, they consist of a proliferation of small round tubules lined by epithelium that is cuboidal to low columnar. The tubules tend to cluster around a central duct. The cells lining the tubules contain no glycogen or mucin, but the center of the tubule may contain a pink material that contains glycogen or mucin.

Endometriosis

When present in the cervix, endometriosis is usually an incidental finding. Grossly, it may appear as a bluish-red or bluish-black lesion, typically 1-3 mm in diameter. Microscopically, the implants are typical endometriosis, consisting of endometrial glands, endometrial stroma, and hemosiderin-laden macrophages. The implants usually gain access to the cervix during childbirth or previous surgery.

Papillary adenofibroma

This neoplasm is uncommon. Grossly, it appears as a polypoid structure. Microscopically, the neoplasm contains branching clefts and papillary excrescences lined by mucinous epithelium with foci of squamous metaplasia. A compact, cellular, fibrous tissue composed of spindle-shaped and stellate fibroblasts supports the epithelium. The stroma is devoid of smooth muscle, and mitoses are rare. Similar growths occur in the endometrium and the fallopian tubes.

Heterologous tissue

Heterologous tissue includes cartilage, glia, and skin with appendages. This type of tumor rarely occurs in the cervix. While they may arise de novo, these tumors probably represent implants of fetal tissue from a previous aborted pregnancy.

Hemangiomas

Hemangiomas in the cervix are rare in occurrence and are similar to those found elsewhere in the body.

The Causes, Symptoms, Diagnosis, and Treatment of Uterine Fibroids

Uterine Fibroids – What are they?

Uterine fibroids are the benign (non-cancerous) growths or tumors inside or just outside the uterus. The uterus is the female reproductive organ. The fibroids develop when the normal uterine muscle cells start growing abnormally forming a tight mass almost like a tumor.

Types

Depending upon the position, the uterine fibroids can be of 4 types:

Myometrial (in the uterine wall)

Submucosal (under the lining of the uterus)

Subserosal (under the outer uterine covering)

Pendunculated (growing on a stalk outside or inside the uterine cavity)

Possible Victims

The uterine fibroids occur in the women of childbearing age, i.e., those between post puberty and premenopause. They mostly develop in women in their thirties. The growth is common and occurs in up to fifty percent of all women.

Causes

Medical research proves that the uterine fibroid growth depends upon the levels of female hormone estrogen. The factors that may influence their development include:

Early menstruation

Women who have never given birth

Women with a family history

Symptoms

Most of the time, the uterine fibroids do not cause symptoms or problems. A woman with these tumors is usually unaware of their presence. The fibroids, particularly when small, may be entirely asymptomatic.The symptoms depend largely on the location of the lesion and its size. In the victims, the fibroids continue to grow slowly until menopause.

However, in certain cases, these fibroids can cause major health issues like:

Prolonged or excessively heavy periods (menorrhagia)

Bloating in the belly

Pain or heaviness in the lower abdomen

Frequent urination

Painful intercourse

Reproductive problems including infertility and pre term labor

The persisting symptoms certainly call for medical attention and treatment.

Diagnosis

Pelvic examination or a trans-vaginal ultrasound helps confirm the presence of these tumors by showing an enlarged or irregularly shaped uterus.

Treatment

The fibroids often shrink or completely disappear in the affected women, once they reach menopause and the estrogen levels fall. Magnetic resonance guided focused ultrasound may also be needed sometimes. However, medical therapy and surgical procedures can shrink or remove the fibroids if the patient has discomfort or troublesome symptoms. The treatment often depends upon several factors, like age, severity of symptoms, and general health conditions. While surgery may be needed in extreme cases, noninvasive procedures like prescription drugs are often sufficient to hamper the fibroids promoting hormones. Fibroids may require emergency treatment if they cause sudden, sharp pelvic pain or profuse menstrual bleeding.

What Happens When Cyst on Ovaries Burst

Most ovarian cysts are benign and they rarely cause problems. In addition, they go away without the need for medication or surgery. There are cases, however, that these seemingly simple cysts do cause problems. This is particularly true if a cyst on ovaries bursts.

Causes

Why does a cyst on ovaries burst? The usual answer to this inquiry is because the cyst has grown so big. Remember that the membrane that encapsulates the fluid or other structures inside the cyst is thin. Eventually, it will not be able to hold its contents in. This is what happens when a cyst on ovaries bursts.

Does a cyst on ovaries burst because of too much physical exertion? The relationship between the two is not firmly established but experts believe that there’s some truth into this. Such is the case because some physical activities require the need of your abdominal muscles.

Symptoms

When a cyst on ovaries burst, you feel a number of symptoms. These include the following:

a. Bleeding. If you experience bleeding that is not in any way related to your menstrual period, chances are you have a ruptured cyst on ovaries. Burst and rupture are used interchangeably in this medical condition.

b. Pain in the pelvic area. Though this kind of symptom is more associated with menstrual cramps, this could also be an indication that you are suffering from a ruptured cyst on ovaries. Burst cysts usually lead to severe and long-lasting pain.

c. Irregular periods. Irregular in this sense could mean any of the following: delayed or early menstruation, and unusually heavy or unusually light flow. The presence of the cyst is enough reason for the irregular period, how much more if there’s a rupture of a cyst on ovaries? Burst cysts will surely cause you more problems.

d. Excessive Urination. Having the frequent urge to urinate is a sign of a ruptured cyst on ovaries. Burst cysts add undue pressure to the abdominal area. And since the excretory system is located beneath the reproductive system, urination, and even bowel movement, is affected.

e. Vomiting and Nausea. This symptom is felt because the components of the cyst are released and your system considers them as foreign bodies. Although feelings of nausea are mostly associated with pregnancy, this could also be another sign of a ruptured cyst.

f. Certain bodily changes such as weight gain and tenderness in the breasts are other symptoms of a ruptured cyst on ovaries. Burst cysts, after all, are connected with abnormal hormonal levels. These bodily changes are also affected by certain hormones.

A ruptured cyst is just one of the complications of a seemingly simple and a benign cyst. In some cases, especially if the cyst is connected to the ovary by a stem, torsion happens. This results when the stem is twisted and you experience severe pain. As in the case of a ruptured cyst on ovaries, you need to seek immediate medical attention. As is known, the cysts contain substances which maybe detrimental to your health. Prolonged exposure to those components may even lead to death.

Women’s Health – What is Thrush?

Among the many organisms that live in the human body is the yeast Candida albicans, Thrush, which lives in 80 percent of the human population at anyone time. Candida can found on the skin, in the stomach, colon, vagina, rectum, mouth, and throat. Under normal circumstances Candida has no harmful effects but can cause problems when an overgrowth appears in one of the areas mentioned, an overgrowth of this yeast is called Thrush and the medical name for Thrush is candidiasis.

Thrush can become a serious problem if it is not treated, and anyone who thinks they may be suffering from Thrush should seek medical advice at the earliest opportunity.

The telltale signs and symptoms of Thrush?

In the mouth it looks like creamy white patches or small red spots on the tongue, the roof of the mouth (also known as the hard palate), gums or throat. Crusting on the corners of the mouth is also a common symptom of Thrush. Thrush makes it difficult and painful to swallow and can cause chest pain as well as nausea and making food taste different.

A medical practitioner is normally able to to check oral Thrush by checking your mouth and throat though in more serious cases they may examine your throat and stomach with an endoscope using X-rays or visual examination.

Many women suffer from Thrush, in fact it’s been estimated that over 75% of all women will experience candidiasis, a candida yeast infection more commonly known as Thrush, at some point in their lives. The telltale signs of a yeast infection include a thick, cottage-cheese-like discharge along with itching and burning. Some women also notice swelling of the lips which can also be red and tender.

Can female Thrush be prevented?

Normal amounts of yeast are needed for good health so primary prevention of vaginal yeast is not possible. Because the infection is a yeast and feeds on sugar some women have found it helps to prevent a recurrence of yeast overgrowth by limiting the sugar in their diet. Another easy method to use is to allow the area to breathe by wearing cotton panties and skirts or loose-fitting pants.

If infections constantly reoccur a medical examination is recommended to confirm diagnosis, but in any case ensure you seek medical advice before undertaking any form of treatment.