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10 signs of an ulcer you should never ignore

<p><strong>What is a stomach ulcer?</strong></p> <p>Peptic ulcers are painful sores that line the stomach – and they affect about millions people per year. Normally the stomach has a protective layer that keeps the acidic juices in the stomach from getting to sensitive tissue and causing an ulcer. However, some people are at risk of developing stomach ulcers, most often due to long-term use of NSAIDs, the class of pain reliever that includes ibuprofen or aspirin, or an infection with a type of bacteria called H. pylori. The good news is that treatment can help many ulcers to heal.</p> <p>Here are the signs of an ulcer you shouldn’t ignore.</p> <p><strong>You have pain specifically in your upper abdomen </strong></p> <p>One of the most common ulcer symptoms is severe pain in the upper abdomen, according to gastroenterology specialist Dr Neil Sengupta. Ulcers can develop anywhere in the upper digestive tract, he says but we often think about those occurring in the stomach or small intestine, where we feel pain. </p> <p>This ulcer pain usually occurs when your stomach is empty and can come and go for as long as several months, according to the National Institute of Diabetes and Digestive and Kidney Diseases.</p> <p><strong>You feel nauseous </strong></p> <p>One of the other tell-tale ulcer symptoms is feeling nauseous, says Dr Sengupta. Many patients report that having a little food in your stomach can help ulcer symptoms subside.</p> <p><strong>You've had unexplained vomiting </strong></p> <p>From time to time, nausea brought on by ulcers may become so intense that it could actually cause you to vomit. If that happens, stay away from medications like ibuprofen and aspirin. According to Dr Sengupta, these over-the-counter pain medications actually put you at a higher risk of developing ulcers – or make your current ulcers worse.</p> <p><strong>You bleed when you use the toilet </strong></p> <p>Blood coming from the gastrointestinal tract can signal a variety of underlying health issues. Still, Dr Sengupta says when this bleeding is combined with upper abdominal pain, he’s “highly suspicious” that it’s one of the signs of an ulcer. Many patients notice this blood either when vomiting, or when using the bathroom, as their stools may appear black. </p> <p>If you notice this blood, along with nausea and pain in the stomach or chest, Dr Sengupta says doctors will often perform a blood test and an upper endoscopy – where they use a camera to look into the stomach itself – to check if an ulcer is the culprit. Blood in your stool can also be caused by haemorrhoids, or be a symptom of bowel cancer, so it’s a good idea to get checked out by your doctor.</p> <p><strong>You have chest pain</strong></p> <p>Some patients with ulcers describe chest pain, a term called ‘non-cardiac chest pain’, which refers to pain in the area that’s not caused by a heart attack or heart disease, according to the American College of Gastroenterology. The discomfort is commonly caused by a gastrointestinal problem, though it can also stem from stress or anxiety.</p> <p><strong>You're more bloated than usual </strong></p> <p>If you notice your stomach feeling particularly bloated, it may be more serious than a little bit of gas – it could be one of the signs of an ulcer. Of course, bloating can also be caused simply by eating something your body doesn’t agree with, but when combined with these other symptoms, it’s worth checking out.</p> <p><strong>Your appetite went MIA (missing in action) </strong></p> <p>Another less common, but possible, ulcer symptom is weight loss. You may notice your appetite is off, and stomach discomfort makes it hard to eat. This drop in food intake, combined with occasional vomiting, may lead to unexpected weight loss.</p> <p><strong>You're feeling weirdly hungry </strong></p> <p>You’d think that an ulcer would kill your appetite, but some people feel this burning or gnawing sensation in their stomach weirdly as hunger. The pain may briefly stop after you’ve had something to eat.</p> <p><strong>You've had back pain</strong></p> <p>You might associate ulcers with the stomach and small intestine, but believe it or not, some people report that the pain travels into their upper or mid-back. If that happens, it can make your symptoms all the more confusing.</p> <p><strong>You keep burping </strong></p> <p>Belching is a less common symptom of an ulcer, but your doctor might be suspicious if it’s accompanied by the other symptoms on this list. Talk to your doctor if you’ve been burping more than usual; ulcer or not, it can be a disruptive symptom and your doctor will want to figure out the cause.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/healthsmart/10-signs-of-an-ulcer-you-should-never-ignore?pages=1" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

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7 ulcer-friendly foods to help soothe your stomach

<p><strong>Honey is one of the best ulcer-friendly foods</strong></p> <p>Modern medicine has finally caught on to a folk remedy that’s been used for centuries. Because honey fights bacteria, hospitals and clinics sometimes apply it to burns and other open wounds. For the same reason that it can help heal a skin ulcer, honey may help thwart H. pylori. </p> <p>Researchers from New Zealand tested honey made from the nectar of the Manuka flower on bacteria from biopsies of gastric ulcers and found that the honey inhibited bacterial growth, making it one of the most effective ulcer-friendly foods. Other researchers have been successful in using other types of honey to halt the growth of H. pylori.</p> <p><span style="text-decoration: underline;"><em>Recommended dose</em></span>: Start by taking a tablespoon of honey in the morning and at night to calm a fiery belly. Spread it on toast or a cracker to keep it in the stomach longer. Because H. pylori is slow growing, be sure to keep up your honey regimen until ulcer symptoms are long gone.</p> <p><strong>Broccoli, brussels sprouts, cauliflower and kale are all ulcer-friendly foods</strong></p> <p>These cruciferous vegetables all contain sulforaphane, a compound that appears to squelch H. pylori. In one study, after patients who tested positive for the bacteria ate a half cup of broccoli sprouts twice daily for seven days, 78 per cent tested negative for the bacteria. Other studies, on mice, have shown that sulforaphane extracts can successfully destroy the bacteria in the mice’s digestive tracts.</p> <p><span style="text-decoration: underline;"><em>Recommended dose</em></span>: Consider eating a cup a day of broccoli, raw or cooked, or broccoli sprouts. Not only will the broccoli begin to battle your ulcer, but it will also provide more than a day’s worth of vitamin C and a generous amount of fibre: two more allies in the fight against ulcers.</p> <p><strong>Cabbage</strong></p> <p>Scientists think that it may be the amino acid glutamine that gives cabbage its anti-ulcer punch. Glutamine helps to fortify the mucosal lining of the gut and to improve blood flow to the stomach, meaning it not only helps prevent ulcers but can also speed healing of existing sores.</p> <p><span style="text-decoration: underline;"><em>Recommended dose</em></span>: Eat two cups of raw cabbage daily. Add it to salads, coleslaw, and wraps. You can also drink raw cabbage juice, sold in health food stores. Drink a quart a day for three weeks if – you can stand it!</p> <p><strong>Yoghurt with active cultures</strong></p> <p>Foods like yoghurt and kefir (fermented milk) contain “good bacteria” that can inhibit H. pylori and may help ulcers heal faster. In one large study in Sweden, people who ate fermented milk products like yoghurt at least three times a week were much less likely to have ulcers than people who ate yoghurt less often.</p> <p><span style="text-decoration: underline;"><em>Recommended dose</em></span>: Have a cup of yoghurt, kefir, or another fermented milk product with live, active cultures at least once a day. Avoid sweetened varieties, which are less effective</p> <p><strong>Plantain is among the best ulcer-friendly foods</strong></p> <p>This large, green, banana-like fruit is starchy and sticky in texture. It helps to soothe inflamed and irritated mucous membranes and has some antibacterial properties to boot. Studies on rats with ulcers caused by daily aspirin use have shown that unripe green plantain can both prevent the formation of ulcers and help to heal them. Plantain works its magic best when it’s unripe.</p> <p><span style="text-decoration: underline;"><em>Recommended dose</em></span>: Until human studies determine the amount that might help, use the fruit as they do in Latin America, where green plantain is eaten boiled like a potato. Avoid fried plantain, as the fat can aggravate ulcers.</p> <p><strong>Fruits, vegetables, whole grains and other high-fibre foods </strong></p> <p>Add another star to fibre’s crown. Besides keeping you regular, fibre has a role in keeping ulcers at bay, especially those in the duodenum. A number of studies have found that people who eat high-fibre diets have a lower risk of developing ulcers. A study in the American Journal of Epidemiology looked at the diets of 47,806 men and found that those who ate 11 grams or more of fibre from vegetables had a 32 per cent lower risk of developing duodenal ulcers.</p> <p>Scientists aren’t sure how fibre helps, but it may be thanks to the fact that it slows the emptying of the stomach and thus reduces the amount of time the stomach lining and duodenum are exposed to digestive acids. Soluble fibre, the kind found in oats, beans, barley, peas, and pears, also forms a slippery goo in the stomach that acts as a barrier between the stomach lining and corrosive stomach acids.</p> <p><span style="text-decoration: underline;"><em>Recommended dose</em></span>: General health guidelines suggest getting 25 to 35 grams of fibre a day.</p> <p><strong>Slippery elm tea</strong></p> <p>Slippery elm coats the stomach just as it does a sore throat, bringing some relief, albeit short-lived, from ulcer pain.</p> <p><span style="text-decoration: underline;"><em>Recommended dose</em></span>: Several cups throughout the day.</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/healthsmart/7-ulcer-friendly-foods-to-help-soothe-your-stomach" target="_blank" rel="noopener">Reader's Digest</a>.  </em></p>

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Why it’s bad to always suck your stomach in

<p><em><a href="https://theconversation.com/profiles/adam-taylor-283950">Adam Taylor</a>, <a href="https://theconversation.com/institutions/lancaster-university-1176">Lancaster University</a></em></p> <p>Our <a href="https://www.ncbi.nlm.nih.gov/books/NBK470334/">abdominal muscles</a> are among the hardest-working muscles in the body. They are involved in nearly every move we make, keeping the body stable and balanced, protecting our spine and even ensuring our internal organs stay where they’re supposed to.</p> <p>But certain health conditions and even unnecessarily tensing the muscles during your daily life can cause the abdominal muscles to become imbalanced. Over time, this can lead to a condition called “hourglass syndrome” – a detrimental change in the structure of the abdominal wall, which may cause a visible crease to form in the mid-abdomen. Not only that, but this change can also have a knock-on effect on the internal organs and other parts of the body if left untreated.</p> <p>There are four main causes of hourglass syndrome. All of them result in an imbalance in the function of the abdominal muscles.</p> <p>The first is due to certain <a href="https://www.frontiersin.org/articles/10.3389/fsurg.2022.891896/full">congenital conditions</a> (such as <a href="https://www.ncbi.nlm.nih.gov/books/NBK557894/">gastroschisis</a> or <a href="https://www.ncbi.nlm.nih.gov/books/NBK519010/">omphacele</a>) which cause the abdominal muscles to develop incorrectly, leading to muscle imbalances.</p> <p>Poor posture is another cause. This leads the spine to move away from its normal, s-shaped curvature, resulting in <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4793027/">detrimental changes</a> in the tension and function of the abdominal muscles, leading to imbalances. Pain in the abdomen (whether from <a href="https://www.ncbi.nlm.nih.gov/books/NBK538326/">stomach</a>, <a href="https://jmedicalcasereports.biomedcentral.com/articles/10.1186/1752-1947-4-2">liver</a> or <a href="https://www.ncbi.nlm.nih.gov/books/NBK459171/">gallbladder</a> problems) can also cause a person of voluntarily or involuntarily contract their abdominal muscles in order to <a href="https://www.ncbi.nlm.nih.gov/books/NBK459328/">reduce or avoid pain</a>.</p> <p>But another surprising cause of hourglass syndrome may be body image issues, which are an <a href="https://jamanetwork.com/journals/jamapediatrics/fullarticle/2773003">increasing issue</a>. People who may feel insecure in their body or who want a flat stomach may suck their stomach muscles to achieve this look.</p> <h2>Muscle imbalance</h2> <p>When we suck our stomach in it causes our rectus abdominis (commonly referred to as our “six-pack” muscles) to contract. But since we tend to store more fat tissue in our lower abdomen, the muscles at the top of the stomach tend to be more active. This creates a fold or crease in the abdomen over a long period, with the belly button being pulled upwards.</p> <p>Regardless of the cause – whether voluntary or involuntary – sucking the stomach in places greater pressure on the lower back and neck. This is because they now have to compensate for changes in core stability.</p> <p>The compression of the abdomen also reduces the amount of space available for the abdominal organs to reside. If you consider the abdomen like a tube of toothpaste, squeezing it in the middle creates pressure at the top and bottom. The pressure at the top affects breathing by making the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4933622/">diaphragm</a> (the major muscle involved in drawing air in) unable to pull down as far.</p> <p>The pressure at the bottom places greater force on the pelvic floor muscles as the abdominal cavity reduces in volume when the abdomen is sucked in. Alongside this, there are increased forces placed on the joints of the spine and pelvis because the abdominal muscles are <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3900422/">less able to absorb</a> impact when tensed.</p> <p>Although there’s limited research looking at the effect of hourglass syndrome itself on breathing capacity, research on abdominal strapping (where the whole abdomen or only part of it is strapped to aid recovery from a muscle injury or after surgery), shows a <a href="https://pubmed.ncbi.nlm.nih.gov/3781983/">34% decrease</a> in the amount of air that’s exhaled and a <a href="https://pubmed.ncbi.nlm.nih.gov/3781983/">27%</a>-<a href="https://pubmed.ncbi.nlm.nih.gov/7440302/">40%</a> reduction in total lung capacity. It’s uncertain if this leads to long-term changes in breathing capacity. But in the short term, this may it harder to exercise – and you may also feel fatigued earlier due to reduced oxygen coming into the bloodstream.</p> <p>Sucking in the abdomen can place <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8974352/">strain on the pelvic floor</a>, which will affect the function of the bladder, uterus and rectum, potentially causing urine or faecal matter to leak, as well as uterine prolapse. For people who already have issues with <a href="https://link.springer.com/article/10.1007/BF00375818">pelvic floor</a> dysfunction (such as urinary or faecal incontinence), sucking in the stomach may worsen them.</p> <p>Fortunately, hourglass syndrome is reversible. Treating the muscular imbalance through exercises that strengthen all of the core muscles will help. Exercises such as planks or bridges are just a couple of examples. Similarly, activities such as <a href="https://formative.jmir.org/2022/5/e37876/">yoga</a> or <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3666467/">pilates</a> are also likely to be beneficial in relaxing the muscles.</p> <p>Hourglass syndrome is probably something that will develop over a long period – weeks of consistently sucking in the stomach. So occasionally sucking the stomach muscles in is not likely to cause problems.</p> <p>There are also many ways you can avoid it. If you have unexplained or prolonged abdominal pain, it’s worth seeking medical advice – not only to prevent muscle imbalances but also to treat the root cause of the pain. If you tend to suck your stomach in to improve your appearance, exercises that strengthen the muscles and back will be useful for helping maintain good posture and flatten the abdomen.<img style="border: none !important; box-shadow: none !important; margin: 0 !important; max-height: 1px !important; max-width: 1px !important; min-height: 1px !important; min-width: 1px !important; opacity: 0 !important; outline: none !important; padding: 0 !important;" src="https://counter.theconversation.com/content/209169/count.gif?distributor=republish-lightbox-basic" alt="The Conversation" width="1" height="1" /></p> <p><em><a href="https://theconversation.com/profiles/adam-taylor-283950">Adam Taylor</a>, Professor and Director of the Clinical Anatomy Learning Centre, <a href="https://theconversation.com/institutions/lancaster-university-1176">Lancaster University</a></em></p> <p><em>Image credits: Getty Images </em></p> <p><em>This article is republished from <a href="https://theconversation.com">The Conversation</a> under a Creative Commons license. Read the <a href="https://theconversation.com/why-its-bad-to-always-suck-your-stomach-in-209169">original article</a>.</em></p>

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7 clear signs you might have an unhealthy gut

<h2>The mighty gut health benefits of bacteria</h2> <p>Your gastrointestinal, or GI, tract is inhabited by microbes collectively called the microbiome, which includes bacteria, fungi, and even viruses. Though it sounds gross and maybe even unhealthy, it’s actually the complete opposite. Gut bacteria perform many important functions in the body including aiding the immune system; producing the feel-good brain chemical serotonin; making energy available to the body from the food we eat; and disposing of foreign substances and toxins, according to dietitian Lisa Dreher. Though most of us have a mixture of good and bad bacteria, sometimes the bad guys get the upper hand, causing dysbiosis, or an imbalance in gut bacteria, which can play a role in a number of health conditions.</p> <h2>Your stomach doesn’t feel right</h2> <p>Diarrhoea, constipation, bloating, nausea and heartburn are classic symptoms of problems with gut health. “Gastrointestinal discomfort – especially after eating carbohydrate-rich meals – can be the result of poor digestion and absorption of carbohydrates,” Dreher says. Reflux, inflammatory bowel disease, irritable bowel syndrome, and colitis have all been linked to an imbalance in the microbiome.</p> <h2>You have a hankering for certain foods</h2> <p>Craving foods, especially sweets and sugar, can mean you have an imbalance of gut bacteria. Although unproven, some experts believe that if there’s an overgrowth of yeast in the system, which might happen after a course or two of antibiotics where you wipe out all the good bacteria, then that overgrowth of yeast can actually cause you to crave more sugar.</p> <h2>The scale is going up or down</h2> <p>Certain types of gut bacteria can cause either weight loss or weight gain – especially when they colonise in the small intestine, a condition called SIBO (small intestine bacterial overgrowth). Too many microbes in the small intestines can mess with gut health by interfering with absorption of vitamins, minerals, and fat. “If you’re not able to digest and absorb fat normally, you can actually see some weight loss,” Dreher says. Other types of bacteria have been linked to weight gain, as certain microbes are able to harvest more calories from foods than others.</p> <h2>You’re anxious or feeling blue</h2> <p>Roughly 80 to 90 per cent of serotonin, a neurotransmitter that affects mood, social behaviour, sleep, appetite, memory and even libido, is produced in the gut. When less serotonin is produced, it can negatively impact mood. “Gut imbalances of the microbiome can trigger depressive symptoms,” says physician Dr Todd LePine.</p> <h2>You’re not sleeping well</h2> <p>Not having enough serotonin can lead to bouts of insomnia or difficulty getting to sleep, according to Dreher. And Dr LePine says chronic fatigue and symptoms of fibromyalgia can be tied to gut bacteria imbalances as well.</p> <h2>Your skin is acting up</h2> <p>Skin rashes and eczema, a chronic condition characterised by inflamed and itchy red blotches on the skin, can be a sign of poor gut health because they develop when there is an imbalance in gut bacteria, according to Dr Victoria Maizes, a professor of medicine, family medicine and public health at the University of Arizona.</p> <h2>You have an autoimmune condition</h2> <p>An imbalance in the microbiome can cause more than just GI symptoms. According to Dr LePine, diseases affecting the immune system, known as autoimmune diseases, can also indicate an imbalance. “Rheumatoid arthritis and multiple sclerosis are tied in with imbalances in gut bacteria,” he says.</p> <h2>How to build better gut health</h2> <p>Eating right is the first step in improving gut health. In fact, the types of foods we eat can change our microbiome in as little as 24 hours, according to Dr Ali Keshavarzian, a professor of medicine and director of the Division of Digestive Diseases and Nutrition at Rush University Medical Center in Chicago.</p> <p>To feed your good bacteria and starve the less desirable bacteria, swap out processed foods, breads, and pastas for plants, fruits, seeds, and nuts. And consider adding fermented foods into your diet, including yoghurt containing live, active cultures, kombucha, tepache, kimchi, and kefir, which naturally contain probiotics, or healthy bacteria. It’s also a great idea to fill up on prebiotic foods, which actually feed the good bacteria. Try leeks, asparagus, onions, garlic, chicory, oats, soybeans, and Jerusalem artichokes.</p> <p>Lastly, avoid unnecessary use of antibiotics. “Any time you take an antibiotic, you’re going to knock out a lot of the healthy bacteria,” says Dr Maizes. If you must take antibiotics, consider taking a probiotic supplement to help maintain a healthy and balanced bacterial community in your gut.</p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/healthsmart/7-clear-signs-you-might-have-an-unhealthy-gut" target="_blank" rel="noopener">Reader's Digest</a>.</em></p> <p><em>Images: Getty</em></p>

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7 signs you’re drinking too much coffee

<h2>You feel anxious</h2> <p>Ruminating about an upcoming event or deadline can fuel your desire to grab a comforting mug of coffee. Yet, the National Institute of Mental Health in the US recommends that people who suffer from anxiety avoid caffeine. Why? Drinking too much coffee can actually worsen the effects of anxiety, either by robbing you of proper sleep or triggering your flight or fight response. In a 1990 study published in Psychosomatic Medicine, 25 men were given a moderate dose of caffeine or a placebo before a stressful task. The men, who were all regular coffee drinkers, had higher blood pressure, stress hormones, and about double the reported stress level with the caffeine compared with the placebo.</p> <h2>Your stomach hurts</h2> <p>You may associate stomach pains with spoiled food or PMS cramps. You should add your morning cuppa to that list as well. In 2017, European scientists found that certain compounds in coffee stimulate the secretion of stomach acid by your stomach cells. Taking an over-counter medication like Tums can neutralise the acid short-term, but if you suspect drinking too much coffee is making your stomach hurt, think about changing your coffee consumption habits.</p> <h2>Your heart is racing</h2> <p>The feeling that your heart is beating too fast can be frightening. It may feel like your heart is trying to escape from your ribcage. These heart palpitations can be caused by the consumption of too much coffee and caffeine, nicotine, and even alcohol. In some cases, a racing heart can lead to dizziness and even fainting spells. According to a 2017 study in the journal Frontiers in Psychiatry, 94 per cent of doctors recommend patients experiencing the fluttering heart beats stop consuming caffeine.</p> <h2>You have diarrhoea</h2> <p>Most people know that coffee can help keep you regular, thanks to its laxative properties. Drink more than two or three cups a day, though, and you might get diarrhoea, according to the International Foundation for Gastrointestinal Disorders. If you find your bathroom issues become unmanageable, the IFFGD recommends gradual withdrawal from caffeine.</p> <h2>You can’t sleep</h2> <p>Insomnia can be a telltale sign of too much coffee. Even if you swear coffee doesn’t have any effect on you, this tasty drink can still wreak havoc on your sleep cycle. Coffee’s half-life is five hours, according to the American Academy of Sleep Medicine. That means it can take several more hours for the stimulant to completely leave your system. This can increase the number of times you wake up during the night, and decrease overall time asleep. To solve this problem, try to drink that last cup of coffee no later than noon.</p> <h2>You’ve got the jitters</h2> <p>Coffee makes you feel more alert, but sometimes that feeling turns into too much of a good thing. This is where the jitters come in. Caffeine speeds up your central nervous system, causing you to feel jumpy. Skip that fourth cup and stop the shakes.</p> <h2>You get headaches</h2> <p>A moderate amount of caffeine helps relieve a headache, by helping pain-relief medications work better, according to a study in The Journal of Headache and Pain. That’s why you’ll find caffeine as an ingredient in many over-the-counter headache drugs. However, if you drink too much coffee for a sustained amount of time (getting a daily excess of 500 mg of caffeine, or the equivalent of five cups of coffee), you can go through caffeine withdrawal. The symptoms include headaches and fatigue, found Johns Hopkins researchers. Slowly decrease your caffeine intake – and look at all the possible sources in your diet, including coffee, headache drugs, tea, soft drink, and energy drinks.</p> <p><strong>This article originally appeared on <a href="https://www.readersdigest.co.nz/healthsmart/7-signs-youre-drinking-too-much-coffee" target="_blank" rel="noopener">Reader's Digest</a>. </strong></p> <p><em>Image: Shutterstock</em></p>

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(H)anger is real: your bad mood and empty stomach are linked

<div class="copy"> <p>Grumpy? Long time between meals? Well now you can cheer up, thanks to a new study validating the link between your cranky mood and grumbly belly – your ‘hanger’ is real.</p> <p>Psychologists studying a group of primarily Austrian, German and Swiss adults have found an association between self-reported hunger, and heightened levels of anger and irritability.</p> <p>Helping people understand their own emotional responses to feelings of hunger could help them better regulate their behaviour, says Anglia Ruskin University professor in social psychology Viren Swami.</p> <p>“Research suggests that being able to label an emotion can help people to regulate it,” says Swami, who was the lead author of the study <a href="https://doi.org/10.1371/journal.pone.0269629" target="_blank" rel="noreferrer noopener">published</a> in <em>Plos One</em>. “Therefore, greater awareness of being ‘hangry’ could reduce the likelihood that hunger results in negative emotions and behaviours in individuals.”</p> <p>The three-week study monitored 64 participants who submitted five daily reports to researchers via a smartphone app.</p> <p>In each report, participants used a 0–100 scale to evaluate how hungry, irritable and angry they felt.</p> <p>Even when accounting for demographic differences between participants, there was an association between hunger and heightened levels of irritability, anger and reduced feelings of pleasure.</p> <p>It’s the first time the phenomenon has been investigated outside of a laboratory environment and adds to an existing body of research showing that declines in blood glucose levels influences negative emotions.</p> <p>“This ‘hangry’ effect hasn’t been analysed in detail, so we chose a field-based approach where participants were invited to respond to prompts,” explains study co-author Stefan Stieger, professor of psychology at Karl Landsteiner University.</p> <p>“[It gives] a much more complete picture of how people experience the emotional outcomes of hunger in their everyday lives.”</p> <p>The researchers didn’t offer conclusions as to how to mitigate hunger-induced feelings. Reaching for a banana next time you feel cross is probably a safe bet.</p> <p><em>Image credits: Getty Images</em></p> <p><em><img id="cosmos-post-tracker" style="opacity: 0; height: 1px!important; width: 1px!important; border: 0!important; position: absolute!important; z-index: -1!important;" src="https://syndication.cosmosmagazine.com/?id=197455&amp;title=%28H%29anger+is+real%3A+your+bad+mood+and+empty+stomach+are+linked" width="1" height="1" /></em></div> <div id="contributors"> <p><em>This article was originally published on <a href="https://cosmosmagazine.com/health/body-and-mind/hanger-is-real/" target="_blank" rel="noopener">cosmosmagazine.com</a> and was written by Matthew Agius. </em></p> </div>

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7 foods you should avoid before flying

<p>When you have a long flight ahead, the last thing you want is your stomach to feel upset or uneasy. With the right diet choices, you can sidestep discomfort when you’re in the air. To stick with good-for-you foods that also make you feel good, skip this list of seven items, and stock up on a few others instead.</p> <p><strong>Skip: broccoli, cauliflower or brussels sprouts</strong></p> <p>These cruciferous veggies definitely fit the bill in terms of health benefits – but they can also make you gassy, says dietitian Caroline Passerello. A common cause of bloating in many people, these greens and whites pack lots of fibre and a type of sugar known to cause gas, called raffinose, according to the International Foundation for Gastrointestinal Disorders (IFFGD). And that could make you an unpleasant seat-mate once you’re in the air.</p> <p><strong>Skip: alcohol</strong></p> <p>“Because of the change in altitude and breathing patterns, flying can cause dehydration,” says Passerrello. Alcohol will only add to that. Another problem: consuming spiked beverages can also leave you exhausted post-flight. “Although alcohol may make you feel sleepy initially, alcoholic beverages could cause disturbed sleep, preventing you from feeling rested when you land,” adds dietitian Bonnie Taub-Dix.</p> <p><strong>Skip: caffeine</strong></p> <p>Your best bet is to skip the coffee or caffeinated tea when in flight, as these can also dehydrate you. If you do have either, Passerrello suggests making sure you drink even more water to keep up your liquid levels. “Caffeine is also a stimulant and could keep you from catching up on important sleep time while in flight,” says Taub-Dix. What’s more: because it’s a diuretic, caffeine can make you pee more, which can keep you up if you’re trying to sleep. (Or disturb others around you!)</p> <p><strong>Skip: sugary foods</strong></p> <p>According to IFFGD, foods also high in certain carbohydrates (sugars specifically) can lead to gas. Lactose (in dairy products) can cause discomfort for some people, as can fructose (found in onions, artichokes, pears and wheat) and sorbitol (found in fruits like apples, peaches and prunes, and sugar-free snacks).</p> <p><strong>Skip: legumes</strong></p> <p>Filled with insoluble fibre, foods like beans, lentils and chickpeas can cause bloating and gas in many people thanks to their digestive process, says the IFFGD.</p> <p><strong>Skip: heavy meals</strong></p> <p>You might feel like you want to fill up on a burger and fries or a plate of pasta before you get on a plane, but that’s probably not your best idea. A belly full of dense foods can potentially upset your stomach, says Taub-Dix.</p> <p><strong>Skip: big portion sizes</strong></p> <p>You want to feel full but not completely stuffed, says Taub-Dix. Overeating can lead to an upset stomach and gas production – neither of which you want to experience on a packed plane.</p> <p><strong>Stash: healthy pre-packed snacks</strong></p> <p>“There are a lot of portable snacks that can hold you over until you land and become even more important should you get delayed,” says Passerrello, who suggests foods like unsweetened dried fruit, unsalted nuts, tuna or chicken pouches, dried edamame, or dry cereal. “Personally, my go-to carry-on has a hard case for glasses and I re-purpose that space for keeping a small banana so it doesn’t get smashed,” she says.</p> <p><strong>Stash: protein and carbs</strong></p> <p>“Pair wholegrain carbs with protein and healthy fat to keep blood sugar levels stable and help you feel satisfied,” says Taub-Dix. Some solid options: almond butter on wholegrain crackers or trail mix made with unsalted nuts and dried fruit – both of which you can pack before you even get to the airport. Or try protein bars that are loaded with prebiotics to help your digestion.</p> <p><strong>Stash: water</strong></p> <p>“Try to drink a glass of water for every hour you are in the air,” suggests Passerrello. And Taub-Dix agrees. She suggests thinking of drinking water as you would washing your hands for a meal. “Do it before, during and after,” she says.</p> <p><em>This article originally appeared on <a href="https://www.readersdigest.co.nz/travel/7-foods-you-should-avoid-before-flying" target="_blank" rel="noopener">Reader’s Digest</a>.</em></p>

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Food poisoning or stomach bug?

<p><em>Image: Getty</em></p> <p>You've been up all night with stomach cramps, diarrhoea and vomiting. You feel rotten and you can't keep anything down. Everyone's got a theory as to what's going on and you no doubt wonder yourself…</p> <p>Was it something you ate? Or have you been struck with the latest horrible tummy virus? </p> <p>It's true that gastroenteritis – an inflammation of the gut usually caused by an infection – can be caused either by something you ate or a viral infection passed from another person, says Dr Jas Saini, a GP in the western suburbs of Sydney.</p> <p>Both scenarios can result in similar symptoms such as fever, stomach cramps, diarrhoea and vomiting. But there are often clues that suggest which problem you're dealing with, Saini says.</p> <p>Typically (but not always) food poisoning starts more dramatically with sudden onset of severe symptoms. But viral gastroenteritis can also cause quite severe abdominal pain, and it can make people just as miserable, Saini says.</p> <p>"It's not always easy to work out the difference and your doctor will ask a series of questions to try to work out the cause."</p> <p><strong>Viral gastro</strong></p> <p>Viral gastroenteritis, caused by bugs like rotavirus and norovirus, tends to peak in winter and spring. It is spread by you coming into contact with surfaces that have been contaminated with human faeces. Symptoms may come on gradually.</p> <p>"Surfaces can become contaminated if you have not washed your hands properly after using the toilet, or got some stool on your hands when wiping and not washed it off properly. You can then pass the virus on when you touch the tap, toilet flush, door handle or other surfaces."</p> <p>"Viruses can be present on surfaces anywhere, including escalators and traffic lights and they can stay around for a period of time."</p> <p>Viral gastro can also be spread through food if people don't wash their hands properly before preparing food. And you can still spread the virus for up to 48 hours after your symptoms have disappeared completely too, Saini says.</p> <p>That's why it's important to wash hands properly after using the toilet and before eating food.</p> <p><strong>Food poisoning</strong></p> <p>On the other hand, food poisoning usually refers to gastro related to eating food that is contaminated with bacteria such as <em>Salmonella</em>, <em>Campylobacter</em> or <em>E.coli</em>.</p> <p>"Whilst exposure to the culprit food may occur hours or weeks before you fall crook, the symptoms of food poisoning tend to be more dramatic and build up much more quickly than those of viral gastroenteritis."</p> <p>"You may experience intense vomiting, high fevers and severe abdominal pain. Severe dry retching may also occur, and people describe the feeling of their gut vigorously squeezing out its toxins. It's also more common to see blood or mucous in your stool with food poisoning," Saini says.</p> <p>"If you do notice blood or mucous, then it's important to go to the doctor to get checked out."</p> <p>"Stool samples are taken if the doctor is uncertain about the diagnosis, there is blood or mucous in the stool, a bacterial infection is suspected, or symptoms have gone on for a long time. Your doctor may also consider stool samples if you have recently returned from overseas, or if she or he feels your immune system is compromised"</p> <p>"Antibiotics may be considered for bacterial infection, although many people can get better without using antibiotics," Saini says.</p> <p><strong>Nailing the culprit </strong></p> <p>If you think you may have food poisoning, particularly from food you have eaten out, tell your doctor, so they can report it to the public health department who can investigate the source of the problem, Saini says.</p> <p>But knowing the source of your food poisoning can be tricky. It's not always the last thing you ate that made you sick – it could be anything you have eaten days, weeks or, in the case of listeria bacteria, even months before.</p> <p>And what you bring up is not necessarily the cause of your illness – it's just what was in your stomach when the symptoms started.</p> <p>But if your whole family all ate the same dish at your local restaurant and all suddenly got violently ill together shortly afterwards, that's a pattern more suggestive of food poisoning.</p> <p><em>Preventing the spread </em></p> <p>For viral gastro, preventing its spread through families is actually very difficult.</p> <p>"There's always a bit of guilt," Saini says. "You can be very careful with hygiene and cleaning surfaces but it's very easy for the whole family to affected all at once."</p> <p>What's more the common gastro virus norovirus can travel in air droplets, causing much wider contamination of surfaces, says virus expert Professor Bill Rawlinson. Norovirus can also reach the gut by being inhaled into the back of the throat.</p> <p>"We think it's not a classic aerosol spread like you see with respiratory viruses," says Rawlinson, director of virology at South Eastern Sydney and Illawarra Health Service. You probably need to be in quite close proximity "like a parent cleaning up a child's diarrhoea or vomit". Wearing a mask may be helpful in these circumstances, he says.</p> <p>To prevent gastro from any cause, it's important to:</p> <ul data-component="List"> <li data-component="ListItem">Practice good hand hygiene including always washing your hands with soap and hot water before preparing food, after handling raw food, before eating, after using the bathroom or changing nappies, after working in the garden, or after playing with or feeding pets.</li> <li data-component="ListItem">Store and handle your food safely such as separating raw and ready-to-eat foods, keeping hot food hot (over 60°C) and cold food cold (under 5°C), cooking and reheating foods thoroughly, refrigerating food within two hours of cooking, and thoroughly washing fruit and vegetables.</li> </ul> <p><strong>When to go to the doctor?</strong></p> <p>'Gastro' can be life threatening in vulnerable people such as babies, pregnant women and elderly people. "That's because they have limited reserves and require more fluids," Saini says.</p> <p>He recommends going to the doctor if you have:</p> <ul data-component="List"> <li data-component="ListItem">vomiting without diarrhoea – this may not be a gastro bug at all and could be another problem such as an ear infection or a urinary tract infection.</li> <li data-component="ListItem">severe stomach pains that are getting worse quickly or came on very suddenly</li> <li data-component="ListItem">blood or mucous in your stool, or stools that are black or very smelly. Black stools may indicate there is bleeding higher up in the gut.</li> <li data-component="ListItem">difficulty passing urine or only passing small amounts of urine</li> <li data-component="ListItem">symptoms that last for more than a few days</li> <li data-component="ListItem">other medical conditions that require careful monitoring, such as diabetes</li> </ul> <p>Take babies to the doctor if they are not tolerating their feeds, they are pale and lethargic or have fewer than four wet nappies in 24 hours.</p>

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Stan Walker shares harrowing new photos of his cancer battle

<p>Stan Walker has shared some harrowing new photos of his time in hospital battling stomach cancer.</p> <p>The 27-year-old recently revealed how tough his cancer battle has been in the documentary <em>Stan Walker: The Fight of His Life</em>, which saw him make the decision to have his stomach removed.</p> <p>Now the singer has given an insight into how much he struggled in the aftermath of the operation, telling fans at one point nothing could pass through his mouth as it could have “killed me”.</p> <p><img width="499" height="265" src="https://oversixtydev.blob.core.windows.net/media/7819088/e4df0e7bf2d4871a51e0717f97196c60_499x265.jpg" alt="E 4df 0e 7bf 2d 4871a 51e 0717f 97196c 60" style="display: block; margin-left: auto; margin-right: auto;"/></p> <p>“Nothing was aloud (sic) in my mouth,” he wrote, over an image of himself being supported by loved ones in the hospital corridor. “Because I had a leak inside that would have killed me if anything had gone in it.”</p> <p>In another image, Stan is lying in bed with a tube going directly into his arm with the nutrients he needs to sustain him.</p> <p><img width="368" height="624" src="https://oversixtydev.blob.core.windows.net/media/7819085/1.png" alt="1 (10)" style="display: block; margin-left: auto; margin-right: auto;"/></p> <p>“That’s the pick (sic) line,” he said. “It was 55cm and went into my arm and then into my heart.”</p> <p>“I was hooked up to a machine 23/7 and it was the only way I could get fed and liquids for two and a half weeks,” he explained, adding he celebrated his 27th birthday in hospital.</p> <p>In another photo, Stan is hooked up to a breathing mask, which he needed when he suffered from a collapsed lung.</p> <p><img width="369" height="626" src="https://oversixtydev.blob.core.windows.net/media/7819086/2.png" alt="2 (4)" style="display: block; margin-left: auto; margin-right: auto;"/></p> <p>“I was on this mother all day,” he wrote across the image. “It was a life-saver but annoying as hell!”</p> <p>The former <strong><span style="text-decoration: underline;"><a href="https://www.oversixty.com.au/health/caring/2018/04/australian-idol-star-stan-walker-reveals-fight-against-stomach-cancer/">Australian Idol star revealed in January</a></span></strong> that he had inherited the rare cancer-causing gene CDH1, a mutation that has caused the deaths of more than 25 members of his family.</p> <p><img width="366" height="625" src="https://oversixtydev.blob.core.windows.net/media/7819087/4.png" alt="4" style="display: block; margin-left: auto; margin-right: auto;"/></p> <p>Despite losing his stomach, Stan is remaining positive and has previously said he will not let the disease “define” him.</p> <p> </p>

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Australian Idol star confirms mystery health battle

<p>Stan Walker says he feels “healthy” and on the way to recovery after his stomach was removed as it was <a href="https://www.oversixty.com.au/entertainment/music/2018/03/concern-mounts-for-australian-idol-star/"><span style="text-decoration: underline;"><strong>discovered to be cancerous.</strong></span></a></p> <p>The Australian Idol star’s heartbreakingly honest documentary – titled Stan – aired in New Zealand on Sunday night (no date has been confirmed for Australia yet) and revealed for the first time his battle with cancer for the past nine months.</p> <p>The Australian-Kiwi singer was diagnosed with early stages of cancer caused by a rare gene that runs in his family when he made the decision to remove his stomach.</p> <p>The doco explains how the cancer has claimed the lives of 25 members of Walker's family, including his grandfather, who died due to complications with his surgery.</p> <p>Walker received the same operation as his grandfather.</p> <p>"He had the gene, he had the cancer, and he died from the operation," says Walker in the documentary.</p> <p>"Last night was the first time I got emotional, because, oh my gosh, I'm getting the same operation that my koro did.</p> <p>"I didn't really think about it for a while, but he used himself like a guinea pig."</p> <blockquote style="background: #FFF; border: 0; border-radius: 3px; box-shadow: 0 0 1px 0 rgba(0,0,0,0.5),0 1px 10px 0 rgba(0,0,0,0.15); margin: 1px; max-width: 658px; padding: 0; width: calc(100% - 2px);" class="instagram-media"> <div style="padding: 8px;"> <div style="background: #F8F8F8; line-height: 0; margin-top: 40px; padding: 28.10185185185185% 0; text-align: center; width: 100%;"> <div style="background: url(data:image/png; base64,ivborw0kggoaaaansuheugaaacwaaaascamaaaapwqozaaaabgdbtueaalgpc/xhbqaaaafzukdcak7ohokaaaamuexurczmzpf399fx1+bm5mzy9amaaadisurbvdjlvzxbesmgces5/p8/t9furvcrmu73jwlzosgsiizurcjo/ad+eqjjb4hv8bft+idpqocx1wjosbfhh2xssxeiyn3uli/6mnree07uiwjev8ueowds88ly97kqytlijkktuybbruayvh5wohixmpi5we58ek028czwyuqdlkpg1bkb4nnm+veanfhqn1k4+gpt6ugqcvu2h2ovuif/gwufyy8owepdyzsa3avcqpvovvzzz2vtnn2wu8qzvjddeto90gsy9mvlqtgysy231mxry6i2ggqjrty0l8fxcxfcbbhwrsyyaaaaaelftksuqmcc); display: block; height: 44px; margin: 0 auto -44px; position: relative; top: -22px; width: 44px;"></div> </div> <p style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; line-height: 17px; margin-bottom: 0; margin-top: 8px; overflow: hidden; padding: 8px 0 7px; text-align: center; text-overflow: ellipsis; white-space: nowrap;"><a style="color: #c9c8cd; font-family: Arial,sans-serif; font-size: 14px; font-style: normal; font-weight: normal; line-height: 17px; text-decoration: none;" href="https://www.instagram.com/p/BgiSFT9H3a0/" target="_blank">A post shared by Stan Walker (@stanwalker)</a> on Mar 19, 2018 at 11:54pm PDT</p> </div> </blockquote> <p>Walker’s surgery was successful but he continues to battle health difficulties, explaining his drastic 30kg weight loss.</p> <p>Throughout the documentary, Walker describes his biggest fear of no longer being able to sing – and the utter joy he felt after performing his first gig since the operation earlier this year.</p> <p>"I felt alive just being on stage for the first time in a long time," he says. "I was back being me doing what I do."</p> <p>The 27-year-old remained optimistic, telling fans in an Instagram video on Sunday: “I had cancer. I'm alive b*****s!”</p> <p>“The doco is cool, it gets to show the whole journey of what's happening over the last nine months and what's still happening. I'm not there yet but I'm on my way and I'm healthy,” he adds</p>

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The stomach-churning reason you should never drink coffee or tea on a flight

<p>First you’re warned <span style="text-decoration: underline;"><strong><a href="http://www.oversixty.com.au/travel/international-travel/2018/01/new-study-reveals-why-you-should-never-eat-airline-food/" target="_blank">not to eat the food on aeroplanes</a></strong></span> and now an insider has revealed that the coffee and tea should be avoided as well.</p> <p>Speaking to Vice, an anonymous flight attendant codenamed ‘Betty’ warned that the water used for making coffee and tea is the same as the water found in the toilets.</p> <p>‘Betty,’ who works for a major American airline, revealed that the water could contain E. coli bacteria. Answering a question from <span style="text-decoration: underline;"><em><strong><a href="https://www.vice.com/en_us/article/7xe7wg/ten-questions-you-always-wanted-to-ask-a-flight-attendant" target="_blank">Vice</a></strong></em></span> on the grossest parts of planes besides the bathroom, she revealed, “It’s the same potable [safe to drink] water that goes through the bathroom system.</p> <p class="mol-para-with-font">“We recently had a test for E. coli in our water and it didn’t pass, and then maintenance came on and hit a couple buttons and it passed.</p> <p class="mol-para-with-font">“So, avoid any hot water or tea. Bottled and ice is fine, of course.”</p> <p class="mol-para-with-font">EasyJet was contacted by <em>FEMAIL Food &amp; Drink</em> and confirmed that the water stored on aeroplanes was indeed used for making coffee and tea, and flushing the toilet.</p> <p class="mol-para-with-font">But a spokesperson for the airline allayed fears by saying, “There is absolutely no chance of any cross-contamination due to the system’s plumbing design. </p> <p class="mol-para-with-font">“This is common place amongst most aircraft manufacturers and airlines. Fresh water is loaded onto the aircraft daily.”</p> <p>Sadly it seems that those water tanks are not known for their high level of cleanliness. When <em>Travel + Leisure</em> magazine spoke to an American Airlines flight attendant, she mentioned that the tanks “are probably only cleaned out every six months to a year”. </p> <p>To make matters worse, it seems that even the coffee pots themselves aren’t exactly winning any cleanliness awards.</p> <p class="mol-para-with-font">A 2016 <em>AskReddit</em> thread gave an insight into the cleanliness of the pots from people who claimed to work for airlines.</p> <p class="mol-para-with-font">“The coffee is absolutely disgusting because no one washes the container that goes out every morning,” said one alleged airline employee. “The station agents who get paid way too little don't give a s*** about cleaning it. I certainly didn't when I worked for [redacted].</p> <p class="mol-para-with-font">“Also, because we weren't given the proper supplies to clean it. We pretty much just rinsed it out and dumped coffee into it,” they added.</p> <p class="mol-para-with-font">Bottled water anyone? Will this change your mind about what you order to drink on your next flight?</p>

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Why do we get butterflies in our stomachs?

<p><em><strong>Bradley Elliott is a Lecturer in Physiology at the University of Westminster.</strong></em></p> <p>If you have ever been nervous about something that is about to happen, then you may have felt the sensations of nausea and “fluttering” – the recognisable and odd sensation deep in your gut known as having “butterflies in the stomach”.</p> <p>Perhaps you were about to give a speech to a large audience, were in the waiting room for a big interview, were about to step up and take a key penalty shot or about to meet a potential love interest. Rather than actual butterflies bouncing around your large intestine, of course, there is of course something more scientific going on – and it’s all down to your nervous system.</p> <p><strong>Clever body systems</strong></p> <p>The human body is capable of looking after itself without too much voluntary thought. It quite happily regulates heart rate, blood flow and the distribution of nutrients around the body without you having to consciously intervene in any way – a process run by the <span style="text-decoration: underline;"><strong><a href="http://www.msdmanuals.com/en-gb/home/brain,-spinal-cord,-and-nerve-disorders/autonomic-nervous-system-disorders/overview-of-the-autonomic-nervous-system">autonomic nervous system</a></strong></span> (ANS).</p> <p>The ANS can be split into two roughly equal branches – the sympathetic and the parasympathetic, or, as it is memorised by every first year medical student, the <span style="text-decoration: underline;"><strong><a href="https://adrenalfatiguesolution.com/fight-or-flight-vs-rest-and-digest/">“fight-or-flight” and the “rest-and-digest”</a></strong></span> branches. Both branches of the ANS are constantly active, and act in opposition to each other.</p> <p>The sympathetic (“fight-or-flight”) system is responsible for increasing your heart rate, while the parasympathetic (“rest-and-digest”) system decreases it. So, the rate at which your heart is beating is the balance of the activity of the two branches of the ANS.</p> <p>The dominance of the parasympathetic branch is why you feel content and sleepy after a giant lunch. Quite of bit of blood flow from the heart is directed to the stomach, and your ANS encourages you to sit down for a bit to let digestion take place.</p> <p><strong>‘Fight-or-flight’</strong></p> <p>So what’s this got to do with butterflies? One of the major roles of the ANS is to prepare you for what it thinks is about to happen. This gives an evolutionary advantage, since if you see a sabre-toothed tiger about to pounce, you don’t want your valuable oxygen-filled blood to be busy with your last meal. Ideally you would want this blood to be temporarily redirected to muscles in your legs so that you can run away slightly faster.</p> <p>So, your “fight-or-flight” sympathetic system kicks in and becomes dominant over parasympathetic activity. This also causes a <span style="text-decoration: underline;"><strong><a href="http://www.youngdiggers.com.au/fight-or-flight">release of adrenaline</a></strong></span>, which both increases your heart rate (to pump more blood and faster), releases huge amounts of glucose from the liver, and shunts blood away from the gut. The blood is redirected towards the muscles in the arms and legs which makes them ready to either defend you, or run away faster – the “fight-or-flight” that you’ll probably be familiar with.</p> <p>However, this acute shortage of blood to the gut does have side effects – slowed digestion. The muscles surrounding the stomach and intestine slow down their mixing of their partially digested contents. The blood vessels specifically in this region constrict, reducing blood flow through the gut.</p> <p>While adrenaline contracts most of the gut wall to slow digestion, it relaxes a specific gut muscle called the “<span style="text-decoration: underline;"><strong><a href="https://www.britannica.com/science/external-anal-sphincter">external anal sphincter</a></strong></span>”, which is why some people report a pressing need to visit a bathroom when they’re nervous. This reduction in blood flow through the gut in turn produces the oddly characteristic “butterflies” feeling in the pit of your stomach. It senses this shortage of blood, and oxygen, so the stomach’s own sensory nerves are letting us know it’s not happy with the situation.</p> <p>So why do we call it butterflies? It certainly does feel like and get described as “fluttering” by a lot of people, and I guess “jaguars in your <span style="text-decoration: underline;"><strong><a href="http://www.innerbody.com/image_endo03/dige21.html">jejunum</a></strong></span>” just doesn’t sound as plausible.</p> <p><em>Written by Bradley Elliott. Republished with permission of <a href="http://theconversation.com/" target="_blank"><strong><span style="text-decoration: underline;">The Conversation</span></strong></a>. <img width="1" height="1" src="https://counter.theconversation.com/content/72232/count.gif?distributor=republish-lightbox-advanced" alt="The Conversation"/></em></p>

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New research finds common medication linked to doubling risk of stomach cancer

<p>New research has uncovered a link between prescription heartburn medication and stomach cancer.</p> <p>Proton pump inhibitors (PPIs) are used to suppress acid production in the stomach and are one of the most widely sold drugs in the world. </p> <p>But a new Hong Kong study has found that long-term use of the medicine can increase stomach cancer by almost 250 per cent.</p> <p>The risks are associated with a bacterium called Helicobacter pylori, carried by more than half of the world’s population. It is often harmless but in a small percentage of people, the bug has been linked to the development of stomach cancer.</p> <p>The latest study involved more than 63,000 adults and looked at long-term use of PPI's after patients were treated for H.pylori infection.</p> <p>The study, published in the medical journal Gut, found that the stomach cancer risk was higher in people who had used the tablets more often and for longer.</p> <p>There was also an eight-fold increased risk among those who used PPI's for three years or more.</p> <p>Associate Professor Richard Ferrero says this is the first study of its size and the study is particularly important due to the elimination of several important factors, including an existing H.pylori infection.</p> <p>However, the study was focused on Chinese participants and may not be generalised to other ethnic groups.</p> <p>People of Asian descent have a higher risk of stomach cancer than western countries.</p> <p>However, considering the evidence that the drug is overused, the study is a reminder for people to check their need for taking the drug.</p> <p>"The broader message that's really relevant to the many proplr who are taking proton pump inhibitors is that these medicines like all medicines do have potential serious side-effects, so there should always be a good reason to be on the medicine," Dr Jeannie Yoo, from NPS MedicineWise said.</p> <p>"You shouldn't be taking it any higher dose or for longer than you need and if you're not sure if you need to be on the medicines you're on at the moment, this is a good reminder to have a conversation with your GP or your specialist," Dr Yoo said.</p> <p> </p>

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Are there any benefits to exercising on an empty stomach?

<p>The idea of working out without any food in your belly seems to make logical sense. With no energy to burn off, surely you'll be attacking your fat stores when you exercise on an empty stomach, right?</p> <p>It terms of the science, it's a debated subject with no clear answer.</p> <p>The Japanese have long-followed a ritual of drinking water on an empty stomach for its health benefits; something that has now trended to the West.</p> <p>Supposedly, when you down several glasses of water on an empty tummy – and then don't eat anything for the following hour or so – you'll flush out the toxins via your lymphatic system, helping increase the production of new muscle and blood cells and up your overall immune function.</p> <p>It's also thought to stimulate your bowels for regularity, improve your metabolism for the day ahead, help with heartburn, the kidneys, and bladder infections, and even give you better skin, hair, and nails.</p> <p>If this all sounds like something you'd hear in a TV commercial at 3am, it's because it is as sketchy as it sounds. There's no good research out there to link the empty stomach/water consumption theory. Drinking lots of water (in general) does come with health benefits, but there's no solid proof that you need to have a bare belly to receive them.</p> <p>The question or whether or not it's a good idea to exercise on an empty stomach is a contentious one. Numerous studies do show that it's beneficial for weight loss.</p> <p>Overweight people seem to respond better in terms of weight loss when it comes to working out on empty. A <span style="text-decoration: underline;"><strong><a href="http://ajpendo.physiology.org/content/early/2017/03/08/ajpendo.00006.2017" target="_blank">University of Bath study</a></strong></span>, for example, found that a one-hour walk with no food in your stomach activates metabolism genes to increase the rate at which stored fat burns, in comparison to those who did the walk after a carbohydrate-laden breakfast. Fit people also <span style="text-decoration: underline;"><strong><a href="https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/breakfast-and-exercise-contingently-affect-postprandial-metabolism-and-energy-balance-in-physically-active-males/9DAC8DE59DEEF7926E81FF2BB2C5B7EB" target="_blank">see similar, but smaller, benefits</a></strong></span>.</p> <p>However, other studies – like this one from the <span style="text-decoration: underline;"><strong><a href="https://jissn.biomedcentral.com/" target="_blank">Journal of the International Society of Sports Nutrition</a></strong></span> – show that people lose approximately the same amount of weight during a one-hour exercise regimen whether they have any empty stomach or not.</p> <p>This brings up the "fed versus fasted" debate. Some interesting studies have been done on fasting (i.e. not eating for 8-12 hours) to see how it changes the body's metabolic parameters of the body change. <span style="text-decoration: underline;"><strong><a href="https://www.researchgate.net/publication/221750661_Effects_of_Fed-Versus_Fasted-State_Aerobic_Training_During_Ramadan_on_Body_Composition_and_Some_Metabolic_Parameters_in_Physically_Active_Men" target="_blank">This interesting research</a></strong></span> by University of Sfax, Tunisia and New Zealand's Massey University looked at physically-fit men during Ramadan and found both their body weight and their body fat percentage dropped when they exercised during a fast, as opposed to those who ate before working out.</p> <p>This empty stomach approach has its downsides though. Naturally, eating before exercise gives you energy to complete the work-out. Many people struggle to push hard if they are on an empty stomach, which would mean <span style="text-decoration: underline;"><strong><a href="https://www.ncbi.nlm.nih.gov/pubmed/20452283" target="_blank">less physical exertion</a></strong></span>, and less calories burned in a session. Moreover, a study in <span style="text-decoration: underline;"><strong><a href="https://www.ncbi.nlm.nih.gov/pubmed/22366285" target="_blank">Appetite</a></strong></span> journal found that those who exercised on a full stomach had less urge to eat more food later. That is, when you exercising while starving and then need to quickly fuel your body when you're finished sweating it out, you may be so famished that you eat far more than you need to. The result? Excess calorie consumption.</p> <p>Although not eating makes some people irritable, there's some good evidence to show that it can make you more productive. According to researchers from <span style="text-decoration: underline;"><strong><a href="http://www.nytimes.com/2006/12/10/magazine/10section1C.t-1.html" target="_blank">Yale University</a></strong></span> and the <span style="text-decoration: underline;"><strong><a href="https://www.newscientist.com/article/2128695-hungry-stomach-hormone-promotes-growth-of-new-brain-cells/" target="_blank">British Neuroscience Association</a></strong></span>, the stomach hormone that stimulates hunger when you have an empty stomach also promotes new brain cell growth. It's said that this process makes you feel sharper by enhancing cognitive processes, while also enabling the brain to better retain new memories.</p> <p>With all this said, whether or not you can happily go about a portion of your day on an empty stomach is up to the individual. A lot of people feel lighter and more alert when slightly hungry, others have no energy at all and cannot concentrate. The jury remains out on whether or not exercise results are increased on an empty stomach, so it's up to you to find out what works best for your own system.</p> <p><em>Written by Lee Suckling. Republished with permission of <a href="http://www.stuff.co.nz/" target="_blank"><strong><span style="text-decoration: underline;">Stuff.co.nz</span></strong></a>.</em></p>

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8 foods to eat when you have an upset stomach

<p>Tummy troubles can be triggered by a variety of reasons but no matter the cause, it is always an annoying issue to deal with.</p> <p>Nutrition Director Jaclyn London at the Good Housekeeping Institute explained, “As an overall rule, it's best to stick with bland foods when your digestive system is off.” Foods to stay clear of when you have an upset stomach include dairy, sugar, fatty treats, alcohol and synthetic sugars.</p> <p>Here are eight foods you should consume when you have an uneasy gut.</p> <p><strong>1. Bananas</strong></p> <p>Bananas are great because they're easy to digest and considered non-irritating for the stomach and upper gastrointestinal tract," said Julie Upton, co-founder of Appetite for Health. Bananas not only aid in recovering from diarrhoea but they also reduce bloating caused by fluid retention and the magnesium helps to relax muscles.</p> <p><strong>2. White toast</strong></p> <p>When you are feeling queasy you can increase your nausea because of an empty stomach as there is nothing to absorb stomach acid. Julie suggests having some white toast or crackers every few hours since these carbohydrates “lack fiber, protein and fat — all of which slow digestion and sit in your stomach longer." The BRAT (bananas, rice, apple sauce and dry toast) diet is “"the clinical diet plan registered dieticians use when patients have acute diarrhoea or nausea."</p> <p><strong>3. Oats</strong></p> <p>Consuming whole grains can soothe an upset stomach and also prevent future intestinal issues. “Soluble fibre from oats draws water into your digestive tract and moves food through your body,” said Jaclyn. "Both hunger and overeating can make nausea, bloating, abdominal pain and gas even worse.”</p> <p><strong>4. Tomatoes</strong></p> <p>Prebiotic foods (whole grains, pulses, nuts and seeds) can help produce friendly gut bacteria. Prebiotics boost intestinal immunity and prevent inflammation, diarrhoea and other gut problems.</p> <p><strong>5. Sweet potatoes</strong></p> <p>To reduce belly bloat, eat foods that are rich in calcium, magnesium and potassium as they balance out the sodium.</p> <p><strong>6. Ginger</strong></p> <p>"Ginger tea, ginger supplements, ginger lozenges — ginger has been shown in some studies to help alleviate nausea and vomiting," Julie said. "In fact, it is often recommended for morning sickness and for chemotherapy-induced nausea. While it's safe for adults, ginger should not be used to treat a child's gastrointestinal illness," she added.</p> <p><strong>7. Water</strong></p> <p>Dehydration can trigger constipation so be sure to sip unsweetened beverages like tea, sparkling water and the occasional diet soda to help your stomach.</p> <p><strong>8. Coffee</strong></p> <p>Jaclyn recommends drinking a cup of coffee if your stomach problems are caused by constipation. However, if you have nausea or reflux unrelated to constipation then avoid caffeinated drinks.</p> <p>What do you eat to ease tummy troubles? Let us know in the comments below. </p>

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3 reasons why you’re having tummy troubles

<p>Digestion can have a huge impact on our quality of life. It's difficult to feel energised and uplifted if your tummy hurts, your belly is bloated, or you're visiting the toilet too frequently or not frequently enough.</p> <p>While these symptoms are very common, they're not normal. Food intolerances are very much an issue for many people, however sometimes we can assume the cause of our digestive issues is more complicated than it really is – and this can lead some people to put it in the "too hard basket" and they continue to tolerate unpleasant symptoms.</p> <p>The answer to your digestive woes may be simpler than you think.</p> <p><strong>1. You aren't chewing your food properly</strong></p> <p>This may seem obvious, but thorough chewing can be a game-changer. The stomach doesn't like to allow food to move into your small intestine for further digestion until it is well broken down. There are no teeth beyond our mouth, yet so many people eat as though their oesophagus is lined with teeth!</p> <p>Because of our busy lifestyles, many of us no longer sit down to a relaxing meal, and instead often eat on the run, while watching TV, working on our computer or scrolling through social media. This multitasking means we are not paying enough attention to our meal, and this tends to result in under-chewing and overeating.</p> <p>To help you slow down and chew properly, try not to take another mouthful until you have completely chewed and swallowed the previous one. If you find this difficult, putting your knife and fork down between each bite can be helpful. Chewing properly also helps us to feel more satisfied.</p> <p><strong>2. You're too stressed to digest</strong></p> <p>Have you ever wondered where the term "gut feeling" came from? Or why you might get a funny feeling in your belly or feel more urgency to go to the bathroom when you are nervous? The gut has its very own nervous system (often referred to as our second brain) and stress can irritate the nerves of our digestive tract. This can affect people in different ways – think bloating, constipation or diarrhoea.</p> <p>When we're feeling anxious or stressed our body releases stress hormones (adrenalin and cortisol), which communicate to our body that now is not the time to focus on digestion. These hormones are responsible for the "fight or flight" response, which was originally designed to allow you to run away from a tiger trying to eat you.</p> <p>Because digestion isn't a priority if your life is in danger, the stress response hinders digestive processes by reducing the secretion of enzymes into the digestive tract that are required to digest and absorb nutrients, and decreasing the motility of the digestive tract.</p> <p><strong>3. You're consuming too much caffeine</strong></p> <p>If you find things are moving through your digestive tract a little too quickly, you may like to consider your caffeine intake, as it is known to stimulate a bowel movement. Caffeine also triggers the release of adrenalin which can hinder our body's ability to digest foods optimally. Some people are more sensitive to caffeine than others, so I encourage you to pay attention to how it affects you and your digestion.</p> <p>Even if digestion isn't an issue for you, paying attention to these simple things will enhance your ability to absorb and utilise the nutrients that allow you to look and feel your best. If you are experiencing ongoing digestive symptoms, I encourage you to seek support from an experienced healthcare professional – resolving this could have a huge impact on your overall health and happiness.</p> <p><em>Written by Dr Libby Weaver. First appeared on <a href="http://www.stuff.co.nz/" target="_blank"><strong><span style="text-decoration: underline;">Stuff.co.nz</span></strong></a>.</em></p>

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