We cover a wide range of topics on nutrition, lifestyle and health, food safety, food quality, legislation, and food risk communication.Our information is based on research evidence supported by the wider scientific community.
Monday, 3 December 2012
How does cancer cause signs and symptoms?
As a cancer grows, it can begin to push on nearby organs, blood vessels, and nerves. This pressure causes
some of the signs and symptoms of cancer. If the cancer is in a critical area, such as certain parts of the brain, even the smallest tumor can cause symptoms.
But sometimes cancer starts in places where it will not cause any signs or symptoms until it has grown quite large. Cancers of the pancreas, for example, usually do not cause symptoms until they grow large enough to press on nearby nerves or organs (this causes back or belly pain). Others may grow around the bile duct and block the flow of bile. This causes the eyes and skin to look yellow (jaundice). By the time a pancreatic cancer causes signs or symptoms like these, it’s usually in an advanced stage. This means it has grown and spread beyond the place it started—the pancreas.
A cancer may also cause symptoms like fever, extreme tiredness (fatigue), or weight loss. This may be because cancer cells use up much of the body’s energy supply, or they may release substances that change the way the body makes energy from food. Or the cancer may cause the immune system to react in ways that produce these signs and symptoms.
Sometimes, cancer cells release substances into the bloodstream that cause symptoms which are not usually linked to cancer. For example, some cancers of the pancreas can release substances that cause blood clots in veins of the legs. Some lung cancers make hormone-like substances that raise blood calcium levels. This affects nerves and muscles, making the person feel weak and dizzy.
How are signs and symptoms helpful?
Treatment works best when cancer is found early—while it’s still small and is less likely to have spread to other parts of the body. This often means a better chance for a cure, especially if the cancer can be removed with surgery.
A good example of the importance of finding cancer early is melanoma skin cancer. It can be easy to remove if it has not grown deep into the skin. The 5-year survival rate (percentage of people who live at least 5 years after diagnosis) at this stage is around 97%. Once melanoma has spread to other parts of the body, the 5-year survival rate drops below 20%.
Sometimes people ignore symptoms. Maybe they don’t know that the symptoms could mean something is wrong. Or they might be frightened by what the symptoms could mean and don’t want to get or can’t afford to get medical help. Some symptoms, such as tiredness or coughing, are more likely caused by something other than cancer. Symptoms can seem unimportant, especially if there’s an obvious cause or the problem only lasts a short time. In the same way, a person may reason that a symptom like a breast lump is probably a cyst that will go away by itself. But no symptom should be ignored or overlooked, especially if it has lasted a long time or is getting worse.
Most likely, any symptoms you may have will not be caused by cancer, but it’s important to have them checked out, just in case. If cancer is not the cause, a doctor can help figure out what is and treat it, if needed.
Sometimes, it’s possible to find cancer before you have symptoms. The American Cancer Society and other health groups recommend cancer-related check-ups and certain tests for people even though they have no symptoms. This helps find certain cancers early, before symptoms start.
But keep in mind, even if you have these recommended tests, it’s still important to see a doctor if you have any symptoms.
What are some general signs and symptoms of cancer?
You should know some of the general signs and symptoms of cancer. But remember, having any of these does not mean that you have cancer—many other things cause these signs and symptoms, too. If you have any of these symptoms and they last for a long time or get worse, please see a doctor to find out what’s going on.
Unexplained weight loss
Most people with cancer will lose weight at some point. When you lose weight for no known reason, it’s called an unexplained weight loss. An unexplained weight loss of 10 pounds or more may be the first sign of cancer. This happens most often with cancers of the pancreas, stomach, esophagus (swallowing tube), or lung.
Fever
Fever is very common with cancer, but it more often happens after cancer has spread from where it started. Almost all patients with cancer will have fever at some time, especially if the cancer or its treatment affects the immune system. (This can make it harder for the body to fight infection.) Less often, fever may be an early sign of cancer, such as blood cancers like leukemia or lymphoma.
Fatigue
Fatigue is extreme tiredness that does not get better with rest. It may be an important symptom as cancer grows. It may happen early, though, in some cancers, like leukemia. Some colon or stomach cancers can cause blood loss that’s not obvious. This is another way cancer can cause fatigue.
Pain
Pain may be an early symptom with some cancers like bone cancers or testicular cancer. A headache that does not go away or get better with treatment may be a symptom of a brain tumor. Back pain can be a symptom of cancer of the colon, rectum, or ovary. Most often, pain due to cancer means it has already spread (metastasized) from where it started.
Skin changes
Along with cancers of the skin, some other cancers can cause skin changes that can be seen. These signs and symptoms include:
- Darker looking skin (hyperpigmentation)
- Yellowish skin and eyes (jaundice)
- Reddened skin (erythema)
- Itching (pruritis)
- Excessive hair growth
Signs and symptoms of certain cancers
Along with the general symptoms, you should watch for certain other common signs and symptoms that could suggest cancer. Again, there may be other causes for each of these, but it’s important to see a doctor about them as soon as possible.
Change in bowel habits or bladder function
Long-term constipation, diarrhea, or a change in the size of the stool may be a sign of colon cancer. Pain when passing urine, blood in the urine, or a change in bladder function (such as needing to pass urine more or less often than usual) could be related to bladder or prostate cancer. Report any changes in bladder or bowel function to a doctor.
Sores that do not heal
Skin cancers may bleed and look like sores that don’t heal. A long-lasting sore in the mouth could be an oral cancer. This should be dealt with right away, especially in people who smoke, chew tobacco, or often drink alcohol. Sores on the penis or vagina may either be signs of infection or an early cancer, and should be seen by a health professional.
White patches inside the mouth or white spots on the tongue
White patches inside the mouth and white spots on the tongue may be leukoplakia. Leukoplakia is a pre-cancerous area that’s caused by frequent irritation. It’s often caused by smoking or other tobacco use. People who smoke pipes or use oral or spit tobacco are at high risk for leukoplakia. If it’s not treated, leukoplakia can become mouth cancer. Any long-lasting mouth changes should be checked by a doctor or dentist right away.
Unusual bleeding or discharge
Unusual bleeding can happen in early or advanced cancer. Coughing up blood in the sputum (phlegm) may be a sign of lung cancer. Blood in the stool (which can look like very dark or black stool) could be a sign of colon or rectal cancer. Cancer of the cervix or the endometrium (lining of the uterus) can cause abnormal vaginal bleeding. Blood in the urine may be a sign of bladder or kidney cancer. A bloody discharge from the nipple may be a sign of breast cancer.
Thickening or lump in the breast or other parts of the body
Many cancers can be felt through the skin. These cancers occur mostly in the breast, testicle, lymph nodes (glands), and the soft tissues of the body. A lump or thickening may be an early or late sign of cancer and should be reported to a doctor, especially if you’ve just found it or notice it has grown in size. Keep in mind that some breast cancers show up as red or thickened skin rather than the expected lump.
Indigestion or trouble swallowing
Indigestion or swallowing problems that don’t go away may be signs of cancer of the esophagus (the swallowing tube that goes to the stomach), stomach, or pharynx (throat). But like most symptoms on this list, they are most often caused by something other than cancer.
Recent change in a wart or mole or any new skin change
Any wart, mole, or freckle that changes color, size, or shape, or that loses its sharp border should be seen by a doctor right away. Any other skin changes should be reported, too. A skin change may be a melanoma which, if found early, can be treated successfully.
Nagging cough or hoarseness
A cough that does not go away may be a sign of lung cancer. Hoarseness can be a sign of cancer of the voice box (larynx) or thyroid gland.
Other symptoms
The signs and symptoms listed above are the more common ones seen with cancer, but there are many others that are not listed here. If you notice any major changes in the way your body works or the way you feel – especially if it lasts for a long time or gets worse – let a doctor know. If it has nothing to do with cancer, the doctor can find out more about what’s going on and, if needed, treat it. If it is cancer, you’ll give yourself the chance to have it treated early, when treatment works best.
FOR MORE INFO
National Cancer Institute (NCI)
Toll-free number: 1-800-422-6237 (1-800-4-CANCER)
TTY: 1-800-332-8615
Web site: www.cancer.gov
Toll-free number: 1-800-422-6237 (1-800-4-CANCER)
TTY: 1-800-332-8615
Web site: www.cancer.gov
Friday, 30 November 2012
Shigeaki Hinohara
At the age of 98, Shigeaki Hinohara is one of the world’s longest-serving physicians and educators. Hinohara’s magic touch is legendary: Since 1941 he has been healing patients at St. Luke’s International Hospital in Tokyo and teaching at St. Luke’s College of Nursing.
After World War II, he envisioned a world-class hospital and college springing from the ruins of Tokyo; thanks to his pioneering spirit and business savvy, the doctor turned these institutions into the nation’s top medical facility and nursing school. Today he serves as chairman of the board of trustees at both organizations.
Always willing to try new things, he has published around 150 books since his 75th birthday, including oneLiving Long, Living Good that has sold more than 1.2 million copies. As the founder of the New Elderly Movement, Hinohara encourages others to live a long and happy life, a quest in which no role model is better than the doctor himself.
Here now, in his own words, is advice on this doctor of long life on how to live a long life.
All people who live long – regardless of nationality, race or gender — share one thing in common: None are overweight. For breakfast I drink coffee, a glass of milk and some orange juice with a tablespoon of olive oil in it. Olive oil is great for the arteries and keeps my skin healthy. Lunch is milk and a few cookies, or nothing when I am too busy to eat. I never get hungry because I focus on my work. Dinner is veggies, a bit of fish and rice, and, twice a week, 100 grams of lean meat.
Always plan ahead. My schedule book is already full until 2014, with lectures and my usual hospital work. In 2016 I’ll have some fun, though: I plan to attend the Tokyo Olympics!
There is no need to ever retire, but if one must, it should be a lot later than 65. The current retirement age was set at 65 half a century ago, when the average life-expectancy in Japan was 68 years and only 125 Japanese were over 100 years old. Today, Japanese women live to be around 86 and men 80, and we have 36,000 centenarians in our country. In 20 years we will have about 50,000 people over the age of 100.
Share what you know. I give 150 lectures a year, some for 100 elementary-school children, others for 4,500 business people. I usually speak for 60 to 90 minutes, standing, to stay strong.
When a doctor recommends you take a test or have some surgery, ask whether the doctor would suggest that his or her spouse or children go through such a procedure. Contrary to popular belief, doctors can’t cure everyone. So why cause unnecessary pain with surgery? I think music and animal therapy can help more than most doctors imagine.
To stay healthy, always take the stairs and carry your own stuff. I take two stairs at a time, to get my muscles moving.
My inspiration is Robert Browning’s poem “Abt Vogler.” My father used to read it to me. It encourages us to make big art, not small scribbles. It says to try to draw a circle so huge that there is no way we can finish it while we are alive. All we see is an arch; the rest is beyond our vision but it is there in the distance.
Pain is mysterious, and having fun is the best way to forget it. If a child has a toothache, and you start playing a game together, he or she immediately forgets the pain. Hospitals must cater to the basic need of patients: We all want to have fun. At St. Luke’s we have music and animal therapies, and art classes.
Don’t be crazy about amassing material things. Remember: You don’t know when your number is up, and you can’t take it with you to the next place.
Hospitals must be designed and prepared for major disasters, and they must accept every patient who appears at their doors. We designed St. Luke’s so we can operate anywhere: in the basement, in the corridors, in the chapel. Most people thought I was crazy to prepare for a catastrophe, but on March 20, 1995, I was unfortunately proven right when members of the Aum Shinrikyu religious cult launched a terrorist attack in the Tokyo subway. We accepted 740 victims and in two hours figured out that it was sarin gas that had hit them. Sadly we lost one person, but we saved 739 lives.
Science alone can’t cure or help people. Science lumps us all together, but illness is individual. Each person is unique, and diseases are connected to their hearts. To know the illness and help people, we need liberal and visual arts, not just medical ones.
Life is filled with incidents. On March 31, 1970, when I was 59 years old, I boarded the Yodogo, a flight from Tokyo to Fukuoka. It was a beautiful sunny morning, and as Mount Fuji came into sight, the plane was hijacked by the Japanese Communist League-Red Army Faction. I spent the next four days handcuffed to my seat in 40-degree heat. As a doctor, I looked at it all as an experiment and was amazed at how the body slowed down in a crisis.
Find a role model and aim to achieve even more than they could ever do. My father went to the United States in 1900 to study at Duke University in North Carolina. He was a pioneer and one of my heroes. Later I found a few more life guides, and when I am stuck, I ask myself how they would deal with the problem.
It’s wonderful to live long. Until one is 60 years old, it is easy to work for one’s family and to achieve one’s goals. But in our later years, we should strive to contribute to society. Since the age of 65, I have worked as a volunteer. I still put in 18 hours seven days a week and love every minute of it.
Tuesday, 27 November 2012
Still Rocking Away at 92
Jerry Thill, who at the time was 91 years old and rocking away. I thought I would reprise it and add some more info about Jerry, since the article I wrote was short on background information about her.
Jerry is truly a longevity role model.
Jerry Thill, now 92, lives in L.A. and has been in the music scene since her teens. Over the last 60 years she has been leading all-female bands, from big-band and swing bands to jazz ensembles. She’s been on the Tonight show and on TV shows such as The Golden Girls andMarried With Children.
But it was the above video, Hey Jerry, shot and produced by her musician/filmmaker friend Allee Willis last year, that gave Jerry Thill massive exposure. After all, how many nonagenarians are out doing drumming gigs on a regular basis, as Jerry still does?
Jerry currently gigs in Hollywood, CA at the El Cid restaurant. See the video below of her performing the song“Oh Yeah” at the El Cid in 2008. The song begins at the 1 minute mark of the video.
Since the Hey Jerry video first appeared on YouTube, Jerry has appeared on the cover ofModern Drummer magazine, and has been featured in other articles. Along with that she has received thousands of letters and emails, with people telling Jerry what an inspiration and role model she is.
Jerry says that, “I’ve gotten a lot of emails from people who say, ‘I’m 45, and I’m at a point in my life where I don’t know what to do, and your video inspired me, and I’m going to get off my ass and do something.’ ”
The oxygen tank Jerry has with her (you see it in the above video) is something only recent, in the last year. I assume the oxygen tank is from the occupational hazard of years of gigging in clubs and all the cigarettes that people used to smoke while listening to the music.
Jerry Thill is still going strong at 92 and is a remarkable model of longevity. We should all be rocking away when we hit her age.
Here’s Jerry’s website: http://jerriethill.com/
And don’t forget, next time you’re in Hollywood stop by the El Cid to see her.
Below is the video of her performing in 2008 at the El Cid. The music starts at the 1 minute mark of the video.
Monday, 26 November 2012
What’s Making Our Children Obese?
Back in 1977, average daily consumption of fructose was about 37 grams per person per day.
Recent surveys show that it’s up to 54.7 grams, or about 10 percent of total caloric intake. And for teenagers – who consume a ton of sodas – fructose intake averages a whopping 72.8 grams, the equivalent of 18 spoonfuls of the stuff every single day.
Why should we care? It’s deadly. Fructose is one of the worst sweeteners you can possibly consume and it’s making our children obese.
Table sugar (sucrose) is made up of fructose and glucose. Studies that compare the effect of these two simple sugars (glucose and fructose) consistently show that it is the fructose part of table sugar that does the most damage, raising triglycerides and creating insulin resistance.
And there are a few food categories that are packed with these deadly sweeteners and heavily marketed to children.
If you recall the article I wrote about Kellogg’s promoting their obscenely sweetened with sugar and high fructose corn syrup breakfast cereal, Cocoa Krispies, as a healthful food, you can see how difficult it is for most people to realize the dangers of sugar when they’re up against a marketing behemoth that will stop at nothing to lure you into the unhealthy lifestyle that living a High Density Lifestyle is.
Besides the breakfast cereals, another food category that is playing a major role in the obesity epidemic are high-calorie soft drinks and fruit-flavored drinks.
“Roughly 15 or 20 years ago, we had an explosion in the availability of these beverages,” says Dr. Robert Keith, an Alabama Cooperative Extension System nutritionist. “Sure, they were around two decades ago, but certainly not to the degree they are today.”
“They’re everywhere, and they come in these attractive packages that are highly marketable,” he says. “And because you don’t have to refrigerate them, they can be stuck in a backpack and consumed anytime during the day.”
“Children up to age 11 need between 1,200 and 1,500 calories a day,” Keith says. “Only four of these beverages typically add up to between 400 and 600 calories, so many children are deriving up to a third or even half of their daily caloric intake from these products.”
Studies have confirmed a high correlation between heavy consumption of these drinks and obesity. Indeed, children who consume large amounts of these beverages tend to have higher body weights and higher levels of body fat.
Equally bad, the crowding out of other foods associated with over-consumption of these products is also depriving children of other vital nutrients.
“They are getting the calories but very little nutritional value.”
What can be done to reverse this dangerous trend?
“You really can’t make kids eat nutritious foods without limiting the intake of these beverages, because this will only contribute to obesity,” Keith says.
Instead, he says parents first should limit their children’s intake of high-calorie drinks to only one or two a day and replace additional consumption with milk, water or pure fruit juice.
Pure fruit juice, however, should be somewhat restricted in cases where the children already are obese.
It’s the Food, Not Lack of Exercise
Many say that another big cause of obesity in younger folks is their lack of exercise.
Most American teenagers are not as active as they should be, but a lack of exercise does not seem to be to blame for the rising rates of teen obesity, according to a U.S. study.
According to a recent study published in the journal Obesity Reviews, researcher Youfa Wang of John Hopkins University said that a lack of exercise was not to blame for the rise in U.S. children and teens.
“Although only one third of U.S. adolescents met the recommended levels of physical activity, there is no clear evidence they had become less active over the past decade while the prevalence of obesity continued to rise,” said Wang.
He said there was no evidence that teens’ exercise levels had changed appreciably at any time during the study period — even though those years saw an increase in teen obesity.
Overall they found only 35 percent of teenagers surveyed in 2007 met the current recommendations for physical activity — performing activities that gets the heart rate up at least one hour per day, five or more days out of the week.
But there was no evidence that teenagers’ exercise habits shifted significantly during the study period.
In 1993, for example, 66 percent of teens got enough short bursts of vigorous exercise — 20 minutes of running, biking or other heart-pumping activity at least three days per week. That figure was 64 percent in 2005.
When it came to moderate exercise which should, according to guidelines, be performed at least 30 minutes per day, on five or more days per week, only 27 percent met that goal in 1999.
That figure was unchanged in 2005.
The researchers also found a decline in teenagers’ TV time, which is interesting, because it has been widely believed that an increase in TV time is one of the causes of obesity.
In 1999, 43 percent of students spent three or more hours watching TV on school days but this figure dipped to 35 percent in 2007. Wang said these findings suggest that waning exercise levels are “not likely the major explanation of the recent increase in obesity among U.S. adolescents.”
He said other factors, like unhealthy diets, may be the driving force.
Sadly, the desire for the junk foods is pretty much an addiction. Studies of the brain function of people with substance addictions has found that junk food triggers the same activity and response in the brain.
And a new study by researchers at the Scripps Research Institute in Florida found similar reactions in rats. Pleasure centers in the brains of rats fed high-fat, high-calorie food became less responsive over time – a signal that the rats were becoming addicted. The rats started to eat more and more. They even went for the junk food when they had to endure an electric shock to get it.
“Your brain reacts almost identically to that of a cocaine addict looking at cocaine,” said Dr. Louis J. Aronne, a clinical professor at Weill Cornell Medical School and former president of The Obesity Society. “And the interesting thing is that someone who is obese has even more similarity to the cocaine addict. In many ways, they can be addicted to junk food.”
And even more sadly, food companies know this and create their food products with this in mind – they want people to be addicted to their products, because then they have a customer for life, regardless of the consequences.
Stress is a major cause of living a High Density Lifestyle
Another cause of obesity, and a major cause at that, is stress.
What is it about stress that leads to obesity?
There’s two main reasons: behavioral and physiological.
Behaviorally, stressed-out people will often eat even when they’re not hungry – this is known as stress eating or emotional eating, and the food choices made are usually not the wisest.
Physiologically, there’s a few factors that lead to obesity. One factor is cortisol and cortisol-induced insulin.
When faced with a stressful situation, the body triggers the stress response, the fight-or-flight response. This leads to the secretion of cortisol, adrenaline and other stress hormones along with an increase of blood pressure, breathing and heart rate.
The natural stress response is usually short-term and self-regulating. When the threat is gone, the body returns to normal. As cortisol and adrenaline levels drop, heart rate, respiratory rate and blood pressure, as well as energy levels return to their baseline levels. Other systems inhibited by the stress response return to their regular activities.
Chronically high levels of cortisol plays a big role in the development of obesity.
Cortisol helps the body handle stress, so when stress goes up, cortisol also goes up. Cortisol stimulates fat and carbohydrate metabolism during stressful situations. This leads to increased blood sugar levels required for fast energy. In turn, this stimulates insulin release which can lead to an increase in appetite.
When the immediate stress is over, cortisol lingers to help bring the body back into balance after stress. One of the ways it gets things back to balance is by increasing appetite to replace the carbohydrate and fat used for the flight or fight response.
The problem is that in today’s society, stress-causing situations — such as traffic jams or computer malfunctions — don’t require the body to use up a lot of energy. So, cortisol ends up causing the body to refuel after stress even when it doesn’t really need to refuel. This excess fuel or glucose is converted into fat, resulting in increased storage of fat.
Another physiological reason that was found recently for why stress leads to obesity is a molecule that the body releases when stressed called NPY (neuropeptide Y). NPY appears to unlock certain receptors in fat cells, causing them to grow in both size and number.
NPY was discovered by researchers during an experiment in which stressed and unstressed mice were fed either a standard diet or a high-fat, high-sugar, “comfort food” diet.
As expected, the mice on the high-fat, high-sugar diet gained fat while those on the standard diet did not. But researchers found the stressed mice on the high-fat, high-sugar diet developed more body fat than the unstressed mice fed the same diet.
The good news of all this is that stress-induced obesity can be overturned by the learning of simple stress management techniques.
And for that matter, diet-induced obesity can be overturned by the learning of better food habits.
So there is hope!
Fad diets leave obese women
Many women are left emotional wrecks after failing on a diet and blame themselves rather than the unrealistic programme they were following, according to a study.
The study carried out by Natural Ketosis Company involved 501 women aged between 35 and 55 who were three stones or more overweight.
Ninety per cent blamed themselves for their weight.
Of the 334 women on a diet in the past three months, 62 per cent had regained the weight lost. A total of 39 per cent felt that "diet companies actively make them feel like it's their fault when they fail to lose weight".
"Dieters should blame the diet not themselves. Long-term help is essential to change how you eat for life," the Daily Express quoted Hannah Sutter, of the Natural Ketosis Company as saying.
Clinical psychologist Alison Harper said diet failures led to huge cyclical problems, with patients more negative about themselves and less able to overcome problems. (ANI)
Subscribe to:
Posts (Atom)