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Delicious kimchi recipes for a healthy gut

Kimchi, the Korean staple cabbage dish, became trendy over the past few years and can really give your health a boost. We have two simple recipes for you to try. But first, what’s all the hype about?

The good stuff

Kimchi is a fermented food, which means that it contains healthy bacteria called Lactobacilli. These bacteria are probiotic and great for the digestive system, as they regulate the bacteria in your gut, and prevent yeast infections.

Besides the good bacteria derived from the fermentation process, cabbage is also loaded with vitamins A, B and C, which is great for boosting the immune system. Research in the Journal of Medicinal Food shows that kimchi can be a powerful elixir for anti-ageing, brain health and healthy cholesterol levels.

While kimchi can be bought at selected supermarkets and health food stores, there’s no reason not to make your own.

You will need:

  • A sharp chopping knife
  • A large mixing bowl
  • A smaller mixing bowl
  • A pair of gloves if you prefer working with them
  • A cutting board
  • Sterilised glass jars

Sugar-free recipe

This recipe was originally developed by dietician, Kelly Schreuder.

Ingredients

  • 2kg cabbage
  • 1 bunch small red radishes (about 10-12)
  • 6 medium carrots
  • 1 bunch spring onions
  • 1 green apple
  • 3-4 pieces of ginger
  • 6 medium garlic cloves
  • 1/4-1/3 cup chilli flakes
  • ÂĽ cup good sea salt (or 1 tablespoon per ½ kg cabbage)

Method

  1. Adjust the salt quantity if you have more or less cabbage. Use approximately 1 tablespoon of sea salt per ½ kg cabbage.
  2. Rinse all the vegetables. Chop the cabbage into bite-sized pieces, and slice the radishes and carrots. Julienne the apple and slice the spring onions.
  3. Place all the prepared vegetables into a large bowl or container.
  4. Use a food processor to make a paste with the garlic, ginger and chilli first, or you can just finely chop those ingredients and add them to the vegetables.
  5. Add the salt and use your hands to mix all the ingredients together. You have to work at squeezing everything and mixing vigorously for a few minutes to get the vegetables to release fluid.
  6. Taste the mixture – it should be pleasantly salty. If it doesn’t taste salty like a pickle, add an extra pinch of salt.
  7. When you can see some fluid is released, pack the vegetables neatly and weigh them down. They might not be fully covered at first, but check on them after about an hour or two, and you will notice the water level rise as the salt draws out more fluid.
  8. Cover the top of the container loosely with a cloth to prevent anything from getting inside, but not with a tight-fitting lid – you want carbon dioxide to escape.
  9. Leave the jar on the counter for two to five days and taste it every day to see how it changes. You can leave it there for two weeks or more if you want full fermentation and maximum benefits, but the first time you try this you might prefer a fresher taste. If the kimchi goes bad you’ll know immediately because it will look, smell or taste really terrible! If that happens, just throw it out and try again.
  10. Once the kimchi has reached a stage of pickling that you like, you can transfer it to the fridge, either in the same container with a lid, or into closed glass jars, where it will keep for several months.

Something  a little sweeter

This recipe was adapted from the website, Mother Nature Network.

Ingredients

  • 1kg cabbage, stemmed and cut lengthwise
  • 6-8 cups + 1 tbsp filtered or distilled water
  • 1/4 cup + 1 tbsp kosher or sea salt
  • 5 garlic cloves, minced
  • 2 radishes, trimmed and cut into matchsticks
  • 1 bunch spring onions, trimmed and cut into 2.5cm pieces
  • 1 tbsp fresh ginger, grated
  • 3-5 tbsp red pepper flakes
  • 1 tsp white sugar
  • 1/2 Nori sheet, torn into small pieces, available at Asian specialty supermarkets

Method

  1. Place the cabbage strips in the large mixing bowl. Add 1/4 cup salt and massage the salt into the cabbage leaves. Pour water into the bowl until the cabbage is just covered. Place a plate on top of the cabbage to weigh it down. Set aside for at least three hours or overnight – fold the mixture over once or twice.
  2. Pour the cabbage into a strainer and rinse under cool running water. Set the strainer aside to allow the cabbage to drain. Dry your mixing bowl and set aside for later use.
  3. Combine the sugar, pepper flakes, Nori and sugar in a small mixing bowl. Add 1 tablespoon filtered water and stir contents until a thick paste forms. Combine 2 cups of water with 1 tablespoon salt and stir. Set aside.
  4. Meanwhile, rinse and prep the ginger, spring onions and garlic. Combine the ingredients with the cabbage in mixing bowl. Add the paste and fold until the cabbage is evenly coated with paste, about 2 minutes.
  5. Pack the kimchi into your glass jar. Add just enough brine from step three (if needed) to cover ingredients. Seal and place jar on a shelf out of direct sunlight for 24 hours. After 24 hours, open the jar to release gasses – a slightly pungent smell is normal. Then reseal and store the kimchi in the fridge for up to a month. Add to soup, a side dish or serve on top of steamed rice.

References

These good bacteria live on your skin

Your skin biome is home to the microorganisms that live on your skin. These include bacteria, fungi and viruses. Just as the microorganisms in your gut play a role in your overall health, your skin biome influences the health of your skin. This includes the way your skin looks and feels, how it functions, as well as its overall condition.

A 2017 study published in the journal Scientific Reports revealed that in acne patients, the skin microbiome bacteria are less balanced than in people with healthy skin. Skin biomes also play a role in skin conditions like eczema, psoriasis and even dandruff.

A healthy skin microbiome protects your skin from infections and conditions by preventing the overgrowth of bad bacteria and pathogens. It also allows wounds to heal faster, acts as a barrier to keep out toxins and keeps inflammation at bay. Unfortunately, if you don’t look after your skin microbiome properly, you’ll wreak havoc on your skin’s overall health.

For example, if you have blemish-prone skin, your skin microbiome is probably overpopulated with pathogens and bad bacteria; while healthy skin would have a balance of both good and bad bacteria.

The overuse of antibacterial soaps, preservatives in topical skin products and other harsh products we apply to our skin, are just a few factors that can send skin bacteria out of whack.

Here are a few ways to keep your skin bugs in check.

Protect your skin microbiome

Eat more prebiotics

In order to thrive, the bacteria in your skin needs food. Prebiotics are a kind of fibre that good bacteria feed on, but your body can’t produce. Include prebiotics in your diet to ensure that your skin’s bacteria are nourished and plentiful. Eat foods like soybeans, oats, garlic, artichokes and asparagus.

Up your probiotics

Besides prebiotics, have probiotics every day. Like prebiotics, probiotics help your skin microbiome’s good bugs thrive. Probiotics also boost digestion. You can find them in most fermented foods and good options include yoghurt, sauerkraut, kimchi and tempeh.

Find the balance

Avoid using antibacterial soaps on your skin to ensure you maintain a healthy community of bacteria. Avoid moisturisers with harmful ingredients and use natural ones instead. Have at least one serving of both prebiotics and probiotics each day.

Destress regularly

Just as stress negatively affects your general health, it also affects your skin’s wellbeing. Find a stress management technique and use it daily. This can range from journaling to meditation and even yoga. Working out also helps you let off steam while working up a sweat ups your body’s prebiotics.

References:

Which nuts are best for you?

They also pack a punch of essential vitamins and minerals, including Vitamin E and magnesium. What’s more; they’ll tide you over till your next meal.

But which nut is the greatest of them all? Let’s look at a few superior nuts and what they can offer you.

Best for your heart: Walnuts


Walnuts are an excellent source of Omega-3 fatty acids and contain heart-healthy monounsaturated fats. Furthermore, they have alpha-linolenic acid (ALA) which may help with heart conditions. These nuts also help decrease high blood pressure and help maintain your cholesterol levels. 
Nutritional value per 100g: Cholesterol 0mg, total carbohydrate 14g, protein 15g, total fat 65g

Best for your brain: Peanuts


A snack favourite amongst many, the humble peanut has lots to offer. Folate is a mineral that’s essential for brain development and the peanut is a great source. Folate is also important to protect unborn babies from birth defects. Most people enjoy peanuts but it’s specifically a good option for vegetarians who lack folate to get in their daily dose. Peanuts are also chockful of healthy fats and Vitamin E, both important brain boosters. 
Nutritional value per 100g: Cholesterol 0mg, total carbohydrate 16g, protein 26g, total fat 49g

Best for preventing diseases: Almonds


Almonds are a go-to super snack for many, enjoyed both raw or roasted. Their health benefits are even better. Almonds are high in calcium, rich in fibre and low in calories. They also contain Vitamin E which helps fight and prevent inflammation and certain chronic health conditions including heart disease. 
Nutritional value per 100g: Cholesterol 0mg, total carbohydrate 22g, protein 21g, total fat 49g

Best for your eyes and waistline: Cashews


Known for their sweet, buttery taste, cashews are popular nibbles. Besides being delicious, cashews boast certain health perks. They’re filled with good fats which help prevent heart disease and reduce the risk of stroke. Their healthy fats, Omega-3 fatty acids, protein and fibre help keep you satisfied which can assist in managing weight. Cashews also contain lutein and zeaxanthin which act as antioxidants that protects the eye from damage. 
Nutritional value per 100g: Cholesterol 0mg, total carbohydrate 30g, protein 18g, total fat 44g

Go nuts

  • Although nuts are healthy, too much can ruin your appetite and pack on the kilos.
  • Limit yourself to a small handful (30g) of any kind of nut.
  • Don’t eat nuts with sugary or salty toppings.
  • Roasted nuts are a good option as the nutritional value stays the same, but the nutty flavour is more intense.

References:

What do wholegrains do for your body?

Grains are the seeds of grass-like plants called cereals. Common grains include rice, corn and wheat. Others are oatmeal, millet, popcorn, quinoa, buckwheat, whole rye and barley.

Wholegrains have three parts: the brain (the nutritious outer layer), the germ (the seed’s nutrient-rich embryo) and the endosperm (the germ’s food supply which is packed with starchy carbs).

Wholegrains have a range of health benefits, so unless you have celiac disease or another health reason to avoid them, you might not want to miss out.

Get to know grain



It packs a lot of fibre


Adults need at least 25 to 35 grams of fibre daily for their body to function at its best. Wholegrains contain both soluble and insoluble fibre. Fibre offers many health benefits and is known to help keep you fuller for longer.. Not all grains are high in fibre though, so stick to ones like oats, barley and bulgur which can help you reach your daily quota.

It keeps you regular


If you’re struggling to stay regular, wholegrains could help. The fibre found in wholegrain contains a lactic acid which promotes the growth of good bacteria in the large intestine. This bacteria helps with digestion, ups your body’s immune system and promotes nutrition absorption. The fibre also helps prevent constipation, diarrhoea and the pain that comes with it.

It keeps the kilos away


Keeping your weight in check is easier if you include wholegrains in your diet. Wholegrains make you feel fuller for longer because they take longer to digest. This creates a satiating effect which means you’re less likely to reach for more food after a meal containing wholegrains. You’re also more likely to have smaller portions at every meal. To reach maximum fullness, include rye or quinoa in your meals.

It boosts your immune system


Wholegrains boast a range of vitamins and minerals that keep you healthy and lower your risk for certain chronic conditions. These include iron, which helps move oxygen throughout your body, and zinc, which ensures your immune systems stays in good condition. Grains are also rich in magnesium which helps to build strong bone, and immune-boosting B vitamins like thiamine, riboflavin, folate and niacin.

It lowers your blood pressure


Besides being packed with a range of vitamins, wholegrains have heart benefits too. A study found a 19% lower risk of high blood pressure among men who regularly ate wholegrains. The researchers concluded that wholegrains helped with weight control, which in turn lowered the stress placed on blood vessels.

Go gluten-free


If you have a gluten sensitivity, it may seem difficult to include grains in your diet, but it’s easier than you think. Here are some healthy, gluten-free wholegrain swaps.

  • Brown rice. Promotes a healthy heart
  • Non-GMO corn meal. Contains fibre and antioxidants.
  • Buckwheat. Filled with nutrients and antioxidants.
  • Oats. Helps to keep you full.
  • Quinoa. Packed with protein, vitamins and minerals.
  • Sorghum. Has B vitamins, iron and dietary fibre.

References:

The seeds you should include in your diet

Adding seeds to your everyday meals can help boost your intake of protein, fibre and heart-healthy fats. Here are some specifics on good seeds to include into your diet to enhance your overall wellbeing.

Flaxseeds


Flaxseeds are a great source of protein, fibre and key micronutrients like manganese, thiamine and magnesium. These seeds are also packed with different polyphenols which act as important antioxidants in the body.

They have shown to assist in reducing blood pressure and even the risk of cancer.

Add flaxseeds to super shakes, wholegrain cereals, salads, salad dressing or sprinkle on cooked vegetables.

Chia seeds

These seeds contain a good amount of manganese, phosphorus and calcium, as well as protein and heart-healthy fats. Chia seeds may also play a role in lowering blood glucose levels and reducing appetite.

Add chia seeds whole or ground to smoothies and juices, into yoghurt or oatmeal, or sprinkled on top of a salad.

Quinoa

Quinoa is prepared and consumed as a grain but is considered a type of edible seed. One cup of cooked quinoa is rich in iron, can promote muscle and nerve function and can keep you regular. Bonus!

This superfood is a plant-based protein and a good source of B vitamins.

Add quinoa to vegetable or chicken broth, salads and wraps. Try sweetening up your quinoa by cooking it like oatmeal.

Pumpkin seeds

Pumpkin seeds are a quick and convenient snack option. They’re rich in nutrients and provide many health benefits including regulating blood sugar, , promoting digestion and even preventing insomnia. These helpers are a good source of polyunsaturated fatty acids and antioxidants and may also help to prevent iron-deficiency anaemia.

Add pumpkin seeds to salads, veggies or simply roast them for a snack.

Hemp seeds

These are an excellent source of vegetarian protein. Hemp seeds are loaded with vital nutrients. They supply a good amount of protein and healthy fats, manganese, Vitamin E and magnesium.

Hemp seed oil may have a beneficial effect on heart health by increasing the amount of Omega-3 fatty acids in the blood. The anti-inflammatory action of the Omega-3 fatty acids may also help improve symptoms of eczema.

Sprinkle hemp seeds whole or ground in your cereal or yoghurt. You can add them to smoothies and salads too. Challenge yourself by making your own hemp milk at home using whole seeds.

References

Pregnancy piles? Here’s how to treat them

Piles, or haemorrhoids, are described as varicose veins in your bottom, and they can be painful. When these vessels are swollen, they’re likely to cause aggravation and may hang out of the anus after passing a stool. The sizes of piles vary too.

The good news is that there’s treatment for your piles which has no risk to your baby.

Piles are usually caused by strain on the area due to:

  • Constipation or diarrhoea.
  • Pregnancy.
  • Difficult bowel movements causing straining.
  • Sitting on the toilet for long periods.
  • Obesity.
  • Anal intercourse.
  • A low-fibre diet that can cause difficult bowel movements.

Why are piles during pregnancy so common?


Piles is a very common condition for women during pregnancy or labour. You’re more likely to be effected by the condition when you’re pregnant due to the change of hormones, particularly progesterone. This hormone relaxes the walls of your blood vessels and makes piles more likely to develop. Fortunately, they often clear up in days or weeks after giving birth.

Another cause for the condition is the weight of your baby as it grows. Your baby puts more pressure on your veins and along with constipation; it increases the likelihood of developing piles. If you’re concerned about the length of time you’ve had piles, speak to your doctor or midwife.

Symptoms include:

  • A hard and painful lump around the anus.
  • After passing a stool, you may experience the feeling that the bowels are still full.
  • Visible bright red blood after a bowel movement.
  • Itchy, sore and red area around the anus.
  • Pain during passing a stool.

Piles can worsen into more severe conditions like:

  • An infection.
  • An inability to control bowel movements.
  • Anal fistula (an infected tunnel that forms between the skin and anus).
  • Excessive anal bleeding which could possibly lead to anaemia.

Avoid getting piles in pregnancy

  • Be sure to drink enough fluids to avoid dehydration and constipation.
  • Eat a diet that’s high in fibre which includes fruit, veggies and wholewheat bread.
  • Exercise regularly to improve circulation.
  • While on the loo, don’t strain, take your time or try again later after drinking some water.

How to treat piles in pregnancy

  • Place a towel that’s been dipped in ice-cold water on the piles to relieve the pain and irritation around your bottom.
  • Carefully clean the area around your bottom after going to the loo. It might be easier to use moist toilet wipes rather than toilet tissue. It’ll also help to pat rather than wipe.
  • You may try and gently push the piles back into the rectum using a lubricating gel when in the bath or shower.
  • Speak to your doctor or midwife who can prescribe ointments or medication to help soothe the symptoms.

References:

3 tasty recipes to help with arthritis

Red lentil and squash curry stew

Lentils are packed with protein and fibre. Squash is rich in manganese, which plays an important role in boosting bone strength and helping the body to process fats and carbohydrates.

Ingredients

  • 1 tsp extra virgin olive oil.
  • 1 sweet onion, chopped.
  • 3 garlic cloves, minced.
  • 1 tbsp curry powder (or more to taste).
  • 4 cups low-sodium broth.
  • 1 cup red lentils.
  • 3 cups cooked butternut squash.
  • 1 cup greens of choice.
  • Salt and black pepper, to taste.

Optional

  • Fresh grated ginger, to taste.

Method

  • In a large pot, add the extra virgin olive oil, chopped onion and minced garlic. SautĂ© for about 5 minutes over low-medium heat.
  • Stir in the curry powder and cook for a few more minutes. Add the broth and lentils and bring to a boil. Reduce heat and cook for 10 minutes.
  • Stir in cooked butternut squash and greens of choice. Cook over medium heat for about 5-8 minutes. Season with salt and pepper. Add some freshly grated ginger to taste if desired.

Italian-style stuffed red peppers

Peppers are packed with Vitamin C, crucial for preserving bones and protecting cartilage cells.

Ingredients

  • 500g lean ground beef.
  • 3 red bell peppers.
  • 2 cups pasta sauce of your choice.
  • 1 tsp basil/oregano seasoning (or any blend of Italian herbs).
  • 1 tsp garlic powder (or 1 garlic clove, pressed).
  • ½ tsp salt and pepper.
  • ½ cup frozen chopped spinach (or veggie of choice) or (de-thawed and squeezed dry with paper towel).
  • 2 tbsps grated parmesan cheese + 6 tbsps to garnish over the top of each pepper.

Optional

  • 1 tsp (or 1 packet) low-calorie sweetener of choice to put in the sauce.

Method

  • Preheat oven to 400°C. Line baking sheet with foil, coat with non-stick cooking spray. Wash red peppers, and cut around the stem to remove.
  • Remove the stems.
  • Cut peppers in half, length-wise, and remove the seeds and ribs inside the peppers. Set the peppers on baking pan.
  • In the meantime, cook the ground beef in a large non-stick pan over medium-high heat. Stir and break up the beef while it’s cooking. When it’s almost completely cooked through, add the sauce and seasonings to the pan. Stir and continue to cook until the beef is completely cooked. Add the spinach and Parmesan and stir until everything is well combined.
  • Scoop ½ cup of the beef mixture into each pepper.
  • Sprinkle 1 tbsp of Parmesan over each pepper (or another low-fat shredded cheese, like mozzarella).
  • Bake for 20-30 minutes, or until cheese is melted, and lightly golden brown.
  • Remove from the oven, let cool, and enjoy!

Roasted cauliflower, fennel and ginger soup

Cauliflower contains high amounts of Vitamin C, a powerful antioxidant and well known for its anti-inflammatory properties. The vitamin and mineral content in fennel contributes to building and maintaining bone structure; and ginger helps to ease muscle pain and soreness.

Ingredients

  • 1 quarter red onion.
  • 4 garlic cloves.
  • ½ head large cauliflower (cut into florets).
  • 2 fennel bulbs chopped and cored.
  • 500g stock of choice.
  • 1 tsp turmeric and pinch of cinnamon and black pepper.
  • 1 tsp sage leaves.
  • Pinch of fennel seeds.
  • 2 tbsps wheat-free tamari (soy sauce).
  • 2 tbsps lemon juice.
  • 1 knob ginger (peeled).

Method:

  • Preheat oven to 200°C.
  • On a baking tray, place red onion, garlic cloves, cauliflower and the fennel.
  • Bake for 30-35 minutes until crispy.
  • Remove from the oven and place in a blender with remaining ingredients.
  • Blend until creamy.
  • Pour into the saucepan and place on stovetop.
  • Heat through on low heat to allow flavours to mix.
  • Season to taste.
  • Allow to cool slightly and serve warm.

References:

What to do when a pain in the butt is a pain in the butt

You’ve been spasming, having difficulty passing a poop, or have even seen streaks of blood after a stool. Don’t panic. Anal pain, or proctalgia, is not often a sign of any major problem, but might sometimes need medical attention.

What causes anal pain?

Stress: There’s now plenty of evidence that stress can literally make you sick to your stomach, especially in the part of your digestive system that includes your rectum and anus.
Treatment: Relax! Try deep breathing, drinking warm water and massaging your tummy in clockwise circles.

Anal fissures: These are small tears in the skin of the anus, which can be caused by an especially large or hard poop, vaginal delivery, long-term diarrhoea, or an old injury. Symptoms include sharp pain or rectal bleeding or a burning pain that lasts a few hours after your visit to the toilet. You might also feel pelvic pain.
Treatment: Add more fibre to your diet and drink more water. Sometimes you may need surgery, or your doctor will prescribe an ointment. A Botox injection may also be an option.

Haemorrhoids (piles): Many pregnant women can tell you about piles, which are essentially swollen veins in your bum. These are often caused by pregnancy or appear after constipation. It’s one of the most common anal problems and mostly affects people between 45 and 65 years old. You’ll know you have piles if your bottom is itchy or you pass blood after a poop, you feel like you have lumps around your anus, or if there’s redness with pain.
Treatment: Eat more fibre and drink lots of fluids. See your pharmacist for an effective pain remedy. Sometimes blood clots in the veins need to be removed under local anaesthetic.

Anal fistulas and abscesses: If you have a fever, experience irritation around your anus, pass blood after a visit to the loo, have swelling and redness in the area, and constant pain that gets worse when you sit down, you may have an abscess or anal fistula. These are serious and you will need medical help.

Treatment: If you catch it early, you can treat the abscess with antibiotics, but a large one will need to be removed through surgery.

More serious causes of anal pain 

Proctalgia fugax involves sudden pain in the rectal and anal area that can last for up to 30 minutes or more at a time. More women than men, and those between 30 and 60 years old report it.
Treatment: Your doctor may recommend muscle relaxants.

Levator ani syndrome shows similar symptoms to proctalgia fugax but incudes pelvic muscle pain. The pain may also be felt after sex, a poop, when you are stressed, or travelling long distance.
Treatment: Pelvic muscle exercises can relieve the symptoms.

Crohn’s disease: Around 1.6 million Americans suffer this disease. Along with anal pain, symptoms can include tummy cramps, bloody diarrhoea and weight loss.
Treatment: Speak to your doctor about the right treatment for you.

Fungal or sexually transmitted infections (STI): Itching may signal a fungal infection or STI.
Treatment: To avoid these, keep the area clean and use condoms during sex. Your GP will advise any antifungals or antibiotics.

Bone problems such as tailbone pain or pain from arthritis or bone tumours.
Treatment: Your doctor will refer you to a specialist.

Prostatitis: infection or inflammation of the prostate gland is quite common.
Treatment:
Antibiotics are the go-to for this problem.

Anal cancer tumours: These aren’t common but are increasingly being reported as men practise unsafe sex, spreading the Human Papilloma Virus (HPV), which is a cause of cervical cancer and anal cancer. The symptoms are similar to those of piles and anal fissures.
Treatment: Practising safe sex and getting an HPV vaccination can help prevent cancer. A specialist will advise treatment if these do develop.

When to see a doctor

If the pain isn’t going away, is becoming draining, and you’re still bleeding, visit your GP, who will do a rectal exam and refer you to a specialist if necessary.

References:

Could your baby have Hirsprung’s Disease?

Hirschsprung’s disease is a condition where the large intestine makes it difficult for stool to pass through it. It’s usually found in babies and is present at birth.

Between the fourth and twelfth week of pregnancy, the foetus develops nerve cells in the digestive tract. When these cells don’t grow sufficiently past a specific point in the intestine, digested food and stool can’t move through that part of it.

After this happens, Hirschsprung’s Disease develops, and your baby becomes constantly constipated and unable to have normal bowel movements.

This condition is found in approximately one in five thousand births. Males are more vulnerable than females and children with Down syndrome are at high risk.

Symptoms of Hirschsprung’s Disease differ depending on the severity of the condition. Signs commonly show after birth but may also appear later.

Common symptoms in a newborn:

  • Not having a bowel movement within 48 hours after being born
  • A swollen stomach
  • Vomiting
  • Constipation or gas

How is it diagnosed?

Abdominal X-ray
This is to check if the baby’s bowel area is blocked.

Contrast enema
The large intestine is examined with an X-ray to check for abnormalities. The rectum is coated with a substance so that the intestine will be seen on the X-ray machine.

Rectal biopsy
For this procedure, a sample of the cells in the rectum is examined under a microscope. The aim of this exam is to check if the cells in the intestine have developed properly. This isn’t a painful process and a suction rectal biopsy can be done while your little one is in bed.

How is it treated?

As Hirschsprung’s Disease is a life-threatening one, it needs treatment, usually in the form of surgery. Surgery involves removing all or part of the colon and is called a colectomy.

There are different kinds of colectomies:

Pull-through procedure
The surgeon removes the part of the large intestine where nerve cells are missing and connects it to the healthy parts of the anus. This procedure is usually done very soon after a baby is diagnosed.

Ostomy surgery
This procedure changes the route that the stool takes to exit the body when a piece of the bowel is removed. This means that a part of the intestine is brought through the abdominal wall so that stool can leave the baby’s body without going through the anus. After surgery, a removable collection pouch, called an ostomy pouch is worn outside the baby’s body to collect stool. Parents will need to empty the pouch a few times a day. Ostomy surgery is often done with babies who have a severe case of the disease and need to get better before having the pull-through procedure.

Good to know:

  • After having a colectomy, a baby will need time to heal.
  • Stools may be loose and frequent at first after surgery. Clean the anal area carefully to remove any loose stools.
  • Apply rash creams or lotions to help prevent irritation on your little one’s skin.
  • For older children, they may struggle to understand when they need a bowel movement. Talk to your doctor about techniques that can be used to help them to become more aware of this.

References:

What is bowel cancer?

Cancer is when abnormal cells in your body begin to divide and grow uncontrollably. These cells can grow into your organs and tissues, spreading to different areas in your body.

Bowel cancer is when cancer starts to grow in your large bowel (colon) or the back passage (rectum). Common symptoms of bowel cancer include:

  • Blood in your stools for no obvious reason.
  • Changing bowel habits. For example, going to the toilet less or more often.
  • Persistent lower tummy pain, bloating and discomfort.
  • A loss of appetite.

Who is at risk?

Both men and women can get bowel cancer and it’s most common in older people. The risk factors for getting bowel cancer include age, genetics, family history, and diet and lifestyle.

Bowel cancer can occur in different parts of the bowel:

Rectal cancer

This kind of bowel cancer starts in the rectum (large bowel). The rectum is where stool is stored until it’s ready to leave your body.

Anal cancer

This cancer starts in your anus, the opening at the end of your large bowel. The anus is also where poo leaves your body.

Small bowel cancer

Your small bowel is found between your tummy and large bowel.

When bowel cancer spreads

Bowel cancer can spread to other parts of the body. It does this by moving through the lymphatic system which forms part of your immune system. A common place for bowel cancer to spread to is the lymph nodes found in the tummy.

It may also move to other places in your body through the bloodstream. For example, the liver can be easily affected as the blood flows directly here from the bowel. The lungs or bones can also be affected, although this is less common.

How to detect bowel cancer

There are two kinds of screening tests that can check if you have bowel cancer. Getting tested or screened can prevent cancer as any cancerous growths will be removed. If you have bowel cancer already, getting screened can lower your chances of serious consequences

  • If you’re between the ages of 60 to 74, a faecal occult blood test (FOB) is recommended at least every two years. There are home kits available that can collect a stool sample to be checked too.
  • A bowel scope screening is offered to men and women aged 55 and older. It involves using a thin, flexible instrument to look inside the lower part of your bowel.

Good to know

  • See your doctor if you’ve experienced one or more symptoms for more than four weeks.
  • Your doctor may do some tests. For example, he may check your tummy and bum for any lumps.
  • He may suggest a screening if he finds any bumps.

References:

Is your anxiety linked to your gut health?

Most of us don’t pay much attention to the microorganisms that live in and on our bodies. Yet, these miniscule bugs play an interesting role in keeping us healthy. If you live with anxiety or any other mental health conditions, controlling the balance of microorganisms in your digestive system could potentially help improve your symptoms.

Here’s what the latest research on the so-called “gut microbiota-brain axis” shows.

What is the gut microbiota-brain axis?

Scientists have long known that the trillions of bacteria, viruses, fungi and other single-celled animals that live in our intestines are intricately involved in our digestive processes. Most of us also instinctively know that there’s a strong connection between our digestive systems and emotions (ever had a runny tummy just before a big exam?).

But it’s only fairly recently that several scientific studies have shown that our gut microorganisms also influence our thoughts, emotions and behaviours.

Exciting research from the past decade has shown that the gut microbiome affects the enteric nervous system (the network of neurons and supporting cells found in the gastrointestinal tract), the immune system, and the central nervous system.

Researchers now know that communication channels exist between these systems, allowing for messages to travel from the gut to the brain, and vice versa – either directly or via nerve cells. This is known as the “gut microbiota-brain axis”.

What research shows

In 2011, a study by the Karolinska Institute in Sweden indicated that the absence of normal gut bacteria influenced the development of certain behaviours in mice. Study animals that weren’t exposed to microorganisms at all were less anxious than those who grew up in a normal, bug-filled environment.

Many other animal and human studies have delivered fascinating results. Recently, researchers have found that adults with depression show differences in specific groups of gut bacteria and, interestingly, that the gut microbiome may play a role in Alzheimer’s disease.

Thanks to decades of research, scientists also know that people with gastrointestinal problems (e.g. inflammatory bowel disease) can develop mental health conditions like depression and anxiety. In turn, stress and anxiety can make gastrointestinal problems (like irritable bowel syndrome) worse.

Good to know

While scientists are still trying to establish the degree to which the microorganisms in our intestines contribute to health and disease, and how to build therapies around this, it can’t hurt to pay close attention to your digestive and mental health.

Remember: if something goes wrong in the one system, it could very well affect the others.

Give your gut health a hand

  • Eat a wide variety of vegetables, fruits, legumes, nuts and grains.
  • Add natural sources of probiotics (good bacteria) to your diet. These include yoghurt, kefir, kimchi and kombucha.
  • Exercise several times a week.
  • Don’t smoke, as it increases your risk for diseases of the digestive system and makes anxiety worse.
  • Maintain a healthy weight.

References:

How to keep worms out of your stomach

The thought of having a parasite crawling around in your body can be quite scary, but you’re not alone; parasites are more common than you think.

Parasites are animals or plants that can only survive by living in another plant or animal. Parasites vary in size and type and feed off different things. There are several parasites that, if left unmanaged, can cause health problems.

How do you get parasites?

Some live off the food you eat and mainly exist in your digestive tract. Other parasites attach themselves anywhere on the body and feed on the nutrients and energy from your cells. Common parasites include roundworms, tapeworms, pinworms, whipworms and hookworms. Some eat your food, leaving you hungry after every meal. You may notice you’re losing weight without even trying! Others feed off your red blood cells which can cause anaemia. Some lay eggs that trigger irritation, and itching. You can also get parasites from:

  • Drinking contaminated water.
  • Eating foods from contaminated soil.
  • Being in contact with contaminated faeces.
  • Poor sanitation.
  • Poor hygiene.
  • A bug bite.
  • Sexual contact.

Prevention

Parasites and germs need three things:

  1. An environment or source to live.
  2. An animal or person to carry it around.
  3. A host: which is the person or animal that gets infected with the germ or parasite and gets sick.

Lower your risk of contracting a parasitic infection:

  • Wash your hands regularly, especially after handling uncooked food or faeces.
  • Always use a condom during sex.
  • Cook food up to its recommended temperature.
  • Drink clean water.
  • Avoid swallowing water from lakes, streams, or ponds.
  • Avoid cat litter and faeces when you’re pregnant.

Change your diet

Both fibre and probiotics are important to keep your bowel movements regular and help empty out parasites from your intestines. Yoghurt is a good source of probiotics, while fresh vegetables, wholegrains and nuts are your best choice of fibre. In addition:

  • Go easy on sugar and fat.
  • Cook all meat thoroughly.
  • Wash fresh vegetables carefully.
  • Wash your hands before and after using the toilet.
  • Wear gloves when gardening or working with soil.
  • Deworm your pets regularly and handle kitty litter with gloves.

Treatment

Your doctor will prescribe medication depending on the type of parasitic infection  They might also include :

  • A blood test.
  • An exam where a sample of your stool will be checked for parasites and their eggs.
  • X-rays, magnetic resonance imaging (MRI), or computerised axial tomography (CAT): These scans are used to check for signs of injury to your organs caused by parasites.

Your doctor may also do tests to check for bacteria or other things that cause infections.

References