Has your dog been experiencing some digestive issues lately? If you notice your dog having inconsistent bowel movements or other canine digestive problems and it hasn’t gone away, that could mean that he is coming down with an underlying health condition that needs to be treated. This is something that has happened before, and it usually clears up within a few days. A couple of weeks have passed, and you notice your poor pup is losing weight. He is not acting like the usual pet you know, which makes you concerned. Within the following days, intermittent vomiting begins. This is when you decide to take him to the vet to see what could be the underlying cause. You anxiously wait to see what the diagnosis will be. After thorough testing, your vet returns to you with his final diagnosis. It turns out, your dog is suffering from Crohn’s Disease. If this sounds similar to your situation, just know this is not an uncommon health condition in dogs. Although it may surprise you, dogs can develop Crohn’s Disease just like their human counterparts.
The best thing you can do if you notice your dog experiencing digestive issues is to take him to the vet right away for further testing. The sooner you can diagnose the problem, the faster your dog can get treatment.
What Causes IBD in Dogs?
The actual causes of IBD are still under debate. As of right now, professionals suggest genetics, infections, diet, or abnormalities within the immune system could all have something to do with this problem. Some veterinarians even believe that IBD is not a condition at all, and is only a response to other conditions present in the body. Some cases of Crohn’s Disease are also thought to derive from specific ingredients in a dog’s diet or parasitic infection that has yet to be treated. Even though it may be difficult for your vet to undercover the underlying cause, they will run a complete examination and use their best judgment to come up with a proper treatment plan.
Crohn’s Disease in Dogs Symptoms
As with any condition, the dog’s suffering from Crohn’s Disease can show a number of different symptoms depending on the severity and cause.
The most general signs to look out for include persistent vomiting, canine diarrhea, and weight loss. Dogs with Crohn’s Disease may also have mucus or blood present in their stool as well. Some dogs may also have the urge to defecate more frequently but be unable to do so.
As already stated, if the dog is having issues with the lower part of their intestines, he will most likely experience diarrhea and loose stool. If the inflammation occurs in the upper part of the gastrointestinal tract, he will be more likely to vomit. Regardless of what section has problems, it is important that the animal seeks treatment right away. Both persistent vomiting and diarrhea will cause a nutrient deficiency if left untreated. In severe cases, a dog may become lethargic, show signs of depression, or develop a fever. Other less common symptoms that dogs with IBD can suffer from may include:
- Abdominal pain
- Rumbling abdominal sounds
- Change in coat health
Diagnosing Crohn’s Disease in Dogs
Since the symptoms of IBD can be broad, diagnosing this condition can be quite difficult. In order for your dog’s health problem to be diagnosed with IBD, inflammatory cells must be present, the issue must be chronic, and all other possible causes must be ruled out. To begin the diagnosis process, your vet will first start off by reviewing your dog’s overall health history. This is the perfect opportunity to inform your vet of all your dog’s prior symptoms that have led up to this point.
From there, your vet will conduct a physical examination to identify the overall health status of your dog. After that, your vet will begin running lab testing to try and find the internal issues that are causing your dog’s problems. Some laboratory tests that are usually prescribed include urinalysis, blood count, and blood profile.
If your vet assumes that your dog has a parasitic infection, they will also need to take a fecal exam as well. Once these results have come back, the gastrointestinal tract will then be tested. X-rays or ultrasounds are often used to see any abnormalities in the intestinal walls. If an allergen causes the condition, another specific testing can be run. In severe cases where the underlying problem is difficult to diagnose, your vet can also take a small sample of the tissue in the intestines to identify the issue. Taking a sample of the intestines can be done through a surgical procedure or an endoscope. The biopsy will show the presence of inflammatory cells and the type of cells involved. The ultrasound helps to identify specific changes that have occurred within the cell walls.
Before coming up with a proper diagnosis, it is critical that all other possible causes have been ruled out. As stated earlier, diarrhea is a very common symptom for all types of health conditions, such as diseases, canine cancers, and parasites, which is why a thorough examination is necessary. Your vet will not be able to start a specific treatment regimen until all test results have come back.
How is Crohn’s Disease Treated in Dogs?
Since there are no known causes of Crohn’s Disease in dogs, there are no specific treatments that can be prescribed. However, with that being said, a vet can provide anti-inflammatory medication and other treatment regimens which will help significantly control a dog’s condition. Please remember that even if your dog seems 100% better, he can still become inflicted with symptoms if you stop treatment prematurely. Dogs with Crohn’s Disease may need lifelong medication in order to be alleviated of their symptoms.
When a vet is treating Crohn’s Disease, their main goal is to stabilize body weight, reduce the immune system’s responses, and reduce gastrointestinal symptoms. Antibiotics, immunosuppressive drugs, and anti-inflammatories may all be prescribed to mitigate your dog’s issue. Immunosuppressive drugs are used to reduce the number of inflammatory cells latching on to the digestive system. If the condition is caused by a bacterial infection, antibiotics would likely be prescribed. Another more natural approach to fixing the dog’s issue is through a change of diet. As stated before, some dogs can experience Crohn’s Disease due to dietary reactions. If this is the case for your pet, your vet will likely put him on a hypoallergenic diet. The dog can only eat this recommended food for a few weeks to see if symptoms lessen. After the two-week trial period, if his symptoms disappear, that means his issue is caused by an ingredient in his diet. If he does not get better, however, vets will then begin a different treatment approach with medication.
For dogs that respond well to a change in diet, he will most likely need a homemade meal plan for the rest of their lives. In order to make sure their food is balanced and nutritious, a specialized pet nutritionist will have to guide you through the process. You can expect multiple diets to be used before concluding with the perfect match.
If your dog’s condition is caused by a parasitic infection or canine worms, specific treatment will be required. Once your vet has run a fecal examination and the test results come back positive for parasites, they will then identify the type of parasite that is causing the inflammation, and then use that information to prescribe a specific medication. It is critical that you complete the entire treatment process when it comes to a parasitic infection. If you cut treatment short, your dog is at high risk of becoming reinfected with the same parasite. What is the Prognosis For Crohn’s Disease in Dogs?
Although this condition cannot be cured, it can be controlled in most cases. As long as your vet can find an effective treatment plan that caters to your dog’s condition, your pet should be showing improvement within the first month. The best thing you can do to ensure that your dog is alleviated of his symptoms is to follow your vet’s treatment plan as closely as possible.
The worst thing you can do in this situation is to stop using his medication because he appears to be doing better. As always, do not be alarmed if symptoms flare up once in a while. This is a standard-issue that dogs with Crohn’s Disease have to face on a regular basis. You should only begin to worry if your dog loses weight or appears to be lethargic.
Since this is a lifelong health issue, it is essential that your dog is closely monitored. If symptoms begin to worsen and are continuous, he should be checked out by his veterinarian. In some cases, a vet may need to alter medication dosages or change his diet. If your dog is experiencing continuous vomiting or diarrhea, he is at risk of becoming severely dehydrated. Take him to the vet if he appears to be weak and lethargic after his bout of vomiting. If his dehydration is serious, he may need intravenous fluids to get back to stability.
Although no dog owner wants to see their furry companion sick, it’s a common reality that all pet owners have to face. Just because your dog has been diagnosed with Crohn’s Disease does not mean he will be living a life in pain. It is entirely up to you to take your dog to the veterinarian when he has a change in health or behavior. Even if symptoms are intermittent, vomiting and diarrhea are not symptoms that should be taken lightly.
Once your vet can form a proper diagnosis for your dog, they can use that information and come up with an effective treatment plan. The best thing you can do for your pet is to follow this treatment plan as closely as possible and monitor him for any alarming symptoms. How you take care of your dog after he has been diagnosed will have a direct effect on his symptoms and overall quality of life.
‘The virus will be back’: Preparing for the second wave of Covid-19
Epidemics of infectious diseases can be unpredictable but they often come in waves. History has left hard lessons showing that a virus can quickly return – and with deadlier force.
Just over a century ago, the three-wave Spanish flu pandemic that claimed at least 50 million lives, killed more people in the more virulent second wave in the autumn of 1918 than in the first that spring, including in Ireland.
Public health responses during that pandemic were complicated by the fact that the world was at war. Regional inaction and the increased movement of people as the war drew to a close deepened the severity and death toll in 1918 and 1919.
Now, as Ireland reopens from a severe lockdown imposed to flatten the curve of infection and death, the risk of coronavirus infection rates rising again remains high with the increased interaction and movement of people. The risk is particularly high given that a vaccine to eradicate Covid-19 is some time, possibly years, away and seroprevalence studies which measure past rates of infection show little “herd immunity”, leaving large swathes of populations still susceptible to the virus.
The two-month steady descent from Ireland’s peak of deaths and infection in mid-April has allowed the country to move into the second phase of lockdown relaxations and accelerated the Government’s plan to reopen society and the economy. This will, inevitably, put more people in closer contact with each other and raise the possibility of new infections increasing again.
In the early stages of the pandemic, public health specialists were able to predict how infections would soar in an unmitigated scenario, where, based on the reproductive rate of a highly transmissible disease, one Covid-19 case would infect four or five others.
“I honestly don’t have a crystal ball on this one. I don’t know what we’re going to learn about this virus over the next six months,” Prof Philip Nolan, chair of the modelling advisory group on Covid-19, told the Oireachtas special committee on the pandemic response on Tuesday.
Opinion is divided on how an increase in infections could come or indeed whether it is even likely. The State’s chief medical officer Dr Tony Holohan has said that a second wave is “not inevitable”. He said he hoped the reopening could proceed “without seeing a change in the level of disease that causes us either to have to pause or go back on some of the [lockdown] measures we have used”.
“This virus will almost definitely come back again. It is not a case of ‘if’ it is almost guaranteed that it will be a case of ‘when’,” says Prof Sam McConkey, infectious diseases specialist at the Royal College of Surgeons in Ireland.
Given the prevalence of the disease in countries such as the United States, Rusia and Brazil, McConkey believes the virus will be circulating in the world for the foreseeable future, possibly for between five and 10 years, and that the State has to become better at keeping coronavirus out and, if it is discovered again in the community, identifying it quickly and managing its suppression again.
“If we do a really good job, it might be a second ripple rather than a second wave and there might be a second and third and fourth ripple. We might deal with it better. If we do a really bad job, it will be a second tsunami and then we have learned nothing,” says McConkey.
1 Tracing and testing
The view of most public health and medical specialists is that the second wave will be different.
The past three months of lockdown have been so traumatic for people and caused such an upheaval in their lives that the response the next time around, should the virus return, has to be less severe and managed differently.
“There are two issues: one is when it will happen and the other is how big it will be. With a little bit of luck it will be just a wave, not a surge, and that it will be entirely manageable.”
Among the advantages heading into any potential second wave is that there is now a greater understanding of the virus, how it spreads and presents itself clinically in sick patients.
In March the State struggled to test people for Covid-19; it has since built a capacity to test up to 15,000 people a day for the disease, turning around tests from swab to result in 1.2 days on average, and taking three days to trace contacts of the newly infected.
Some believe the rapid Covid-19 alert and surveillance system may need to go further.
McConkey says the State may need to extend checks to second- and third-degree contact tracing, similar to how Facebook generates contact suggestions for friends of friends and friends of friends of friends. He uses the example of his wife potentially getting infected and people he works with being her second-degree contracts and having to self-isolate.
“The aim there is to try to control the resurgences of the disease really thoroughly and in a way that prevents it spreading into the general population again, through more extreme isolation and control of the people in the immediate vicinity of others who have it, but then at the same time have more relaxation on the general population,” he says.
Few expect a return to full lockdown or “phase zero” should the virus return, not because of the likely public anger to such a response, but because there may be strong evidence that the risk of transmission of the virus is lower in creches and primary schools, for example.
“We used a big sledgehammer when we locked people into their homes,” says Motherway.
“It would be very hard to lock people down totally again but hopefully over the next few weeks we will learn which bits of those public health measures did the most to reduce the curve and which bits can be applied without interfering with our economic life as much as we have,” she says.
From his position on the modelling advisory group, Nolan said this week that “the management of the second wave will be different” and that there could be “more targeted measures introduced to control the future outbreaks before the sort of blanket measures that we have seen”. Contingency plans will be needed, he said.
In Asia, large second waves were averted by such targeted, quick actions. Nationwide lockdowns being replaced by ones on regions or sectors and the partial reimposition of restrictions.
“The lesson for Ireland here is that we must remain vigilant for new cases,” said David Higgins, an analyst with consultancy firm Carraighill which tracks and compares new Covid-19 cases against first-wave peaks. “We cannot rule out some restrictions being imposed again.”
2 Being vigilant about indoors and alcohol
Two issues identified as posing the greatest danger for a return of the virus are indoor crowds and alcohol. The State’s chief medical officer has warned about house parties – events that can combine the two.
“Alcohol is a distance inhibitor because it doesn’t take more than one or two drinks for us all to say, ‘Ah sure I’ll be grand, I’m only here for 10 minutes’,” says Favier.
“By three or four drinks, everybody is everybody’s best friend and everybody’s sharing a corner of the bar along with bottles, glasses, food and cutlery,” say the doctor. “That is the biggest one we have to negotiate: the impact of alcohol on our social inhibitions and our ability to self-monitor.”
In South Korea, a cluster of new infections was discovered in early May after weeks of almost no fresh cases and traced to Seoul’s nightclub district as social distancing was relaxed. Some 90,000 people were traced for contacts and almost 300 infections were linked to the clubs. The infection of more than 100 people was linked to a single person attending three clubs over one weekend.
3 Being sensible about individual behaviour
Personal responsibility and individual action – from adhering to physical distancing and respiratory etiquette to early awareness of symptoms and contacting a GP quickly – is seen as essential to building an early-warning system that could help avoid a second wave.
“All of us with sniffles, coughs or fevers should be getting our Covid-19 tests,” says McConkey. “Then if it does start to spread in Ireland again, we will see it at a very early stage, rather than waiting until there are thousands of cases.”
The low prevalence of the disease makes individual, preemptive action essential.
The reopening of society means public health officials can no longer rely on the few simple rules that applied during the lockdown for the multitude of risk scenarios facing the public.
“We have to rely on people’s individual decision-making and good sense in order to reduce the risk,” says Pete Lunn, head of behavioural research at the Economic and Social Research Institute.
“People need to be alert to and understand situations that are more risky than others and act to reduce the risk of transmitting the disease.”
4 Preparing the hospitals
The risk of a second wave of the Covid-19 pandemic coinciding with an outbreak of other infectious diseases, such as seasonal flu or measles, raises the potential for a “double wave”.
Doctors want the prepandemic “baseline” of 250 intensive care beds across the State’s hospitals doubled permanently and more isolation units to segregate Covid and non-Covid cases over the winter.
“You can’t do that in one season but they need to start making significant plans,” says Motherway, whose term as president of the Intensive Care Society ended last week.
Unlike during the first wave, when hospitals suspended non-Covid care to create capacity to cope with the pandemic, the acute care system must have plans to tackle a second wave of Covid-19 along with managing surgeries and accidents that were not happening in the first wave.
“We only got one shot at the first wave where we could just suspend everything. You can’t do that a second time. It is just not going to be tenable,” says Favier.
“The big challenge now with any surge is that we now have to run non-Covid work in parallel with Covid and our hospitals will really, really feel that strain. I would have more concern about that than we did in the first place with how many ventilators we had.”
She says there is now no situation that carries zero risk from Covid-19 and hospitals “need to find workarounds and doing the new normal” and to move beyond “this paralysed, rabbit-in-the-headlights of Covid” that is preventing the return of some regular healthcare.
5 Preparing the nursing home sector
The sector worst hit by the pandemic is the one facing the biggest challenge from a second wave. Many nursing home staff were forced out of work having contracted Covid-19, leaving care facilities struggling to cope with a virus that killed many elderly residents.
McConkey believes care homes will need at least 20 per cent extra staff for “surge capacity” for a second wave. This will inevitably result in some privately-run homes not being economically viable and the larger nursing home groups being able to staff-up more quickly and to cope better.
“Nursing homes have been chronically under-staffed for several years. They are going to have to start cherishing their staff as the most important thing they have,” says McConkey.
Given the risks to nursing homes from Covid-19, staying prepared generally, not just for a second wave, is essential to beating the virus, with increased focus on stringent restrictions on visitors, social distancing, hand hygiene and the wearing of personal protective equipment.
Regular, mass testing of care homes – or even batch testing of all nursing home staff and residents before testing individuals to identify the positive cases – is considered critical to being able to isolate Covid-19 cases and protect the most vulnerable group to the coronavirus disease.
Appetite for risk
Predicting how or when a second wave might emerge is even more unclear than preparing for the first wave because it comes down to the risks members of the public are willing to take.
“Some people will take more risk, some less. That is the nature of humans. They differ in how much risk they could take whereas before we just knew we had to get the number of cases down,” says behavioural economist Pete Lunn.
“The world has become more complex and then you are also in a far more complex set of rules for governing the behaviour so it has become much more messy and hard to predict.”
Tips for Traveling With IBS /Crohns Disease
Don’t let your IBS symptoms keep you from seeing the world or visiting relatives. With planning and perseverance, you can have a wonderful vacation.
Visions of vacations dance in many heads at this time of year. But if you’re one of the estimated 58 million people in the U.S. with irritable bowel syndrome (IBS), the idea may sound torturous.
It’s bad enough to worry about recurring symptoms of bloating, gas, stomach cramping, constipation, or diarrhea when in your own hometown. What about when in unfamiliar territory?
Plus, your digestive system may be so finicky that any changes in routine may aggravate symptoms.
Such worries prevent many people from taking out-of-town trips. In a survey of 1,000 Americans, 28% of respondents with IBS-like symptoms avoided travel at least once in the past year, reports the International Foundation for Functional Gastrointestinal Disorders (IFFGD).
Nonetheless, IBS patients need not be deprived of holiday travel.
“If it’s something that you’re really looking forward to doing, by all means, do it,” says Nancy Norton, the IFFGD’s president and founder. “We talk to people (with IBS) all the time who have been apprehensive about traveling, but they go and let us know they’ve had a wonderful time.”CONTINUE READING BELOW
With courage, preparation, and determination, it is possible to explore new places with IBS. Perhaps the trip, if relaxing, could even have a therapeutic effect.
Of course the hassles of travel, such as lost luggage, unhappy kids, or a bout of traveler’s diarrhea, could work against that. But even then, you may be able to use the same stress management strategies used for daily pressures at home.
Stress busters include eating a well-balanced diet appropriate for your IBS, getting enough sleep and exercise, meditation, and doing something enjoyable.
Reducing stress may, indeed, be one of the crucial elements to a good retreat.
“There’s definitely a benefit to taking a vacation, but people need to plan it so that it’s not too stressful,” says Sheila Crowe, MD, a gastroenterologist and spokeswoman for the American Gastroenterological Association (AGA). “Don’t feel like you have to see all the sights in the city. Maybe just enjoy a leisurely breakfast, and then only see two sights instead of four.”
It’s important to do things you want to do rather than things you feel you ought to do, such as visiting everything and everyone, says Crowe. Resist over-planning and leave room for spontaneity. Yet plan enough so that you know there are safe places to go to the bathroom.
Here are a few more tips from the experts on how to ease travel with IBS:
Before Your Trip
- Choose a destination that you will enjoy. “Anyplace calm and relaxing is probably good,” says Edward Blanchard, PhD, professor of psychology at the State University of New York at Albany. He says a frenetic, multicity tour of Europe might be more difficult for IBS patients.
- Check travel advisories for different parts of the world. This is a smart thing to do even if you don’t have IBS. The CDC web site (www.cdc.gov) has a traveler’s health section. It contains information about disease risks (such as travelers’ diarrhea), vaccinations, and other prophylactics. Make sure to visit the site well before your trip as some immunizations take weeks to become effective.
- Ask a lot of questions. Knowing the who, what, when, where, and how of your journey can help avert stress and anxiety. Allow enough time to get to places to avoid rushing and to have time to assess a situation. “The less surprised one is, the better,” says Leslie Bonci, MPH, RD, author of the American Dietetic Association Guide to Better Digestion. “The only surprises should be delightful surprises because you’re in a beautiful place, or you discover a fantastic buy on silver.”
Some questions to ask include:
- Is there an early check-in for the hotel if I arrive in the morning?
- Is there a late check-out if I need one?
- Is there a refrigerator for my own snacks in the hotel?
- Is there a restaurant on the premises? What is on the menu?
- Are there grocery stores and restaurants in the area?
- Will I be able to request special meals in the plane, hotel, or restaurant?
- Investigate the bathroom situation. Is there a toilet on the bus? Are there designated times when airplane passengers cannot leave their seats? Will I need special coins or to buy toilet paper at certain restrooms? The answers to these questions could help better plan lavatory trips.
Some IBS patients request aisle seats rows closest to the bathroom. Others feel more comfortable driving to their destination so they can stop as many times as they want. When driving, or out and about in an unfamiliar place, it may help to know the location of the nearest bathroom.
Norton says people have checked the Internet for bathroom diaries and have mapped out the location of large chain bookstores with restrooms. Palm Pilot users have used Vindigo, a high-tech directory service.
- Learn how to say key words if traveling to a foreign country. Besides knowing how to say ‘Where’s the bathroom?’ it will also help to be able to ask the locals things like: ‘Can you make (a dish) without …’ and ‘I can’t tolerate. …’ You fill in the blanks with your particular food sensitivity or intolerance. This may mean going to a local library, a university, or private companies such as Berlitz for consultation on language, says Bonci.
- Be up front with your travel companions. The destination may not matter as much if people are honest with tour guides and travel buddies. “People have gone through bus tours of Europe, and they let (guides) know in the very beginning that if they needed to stop for a restroom, they would appreciate it,” says Norton, noting that people are usually very understanding.
- Pack essentials. Bring a carry-on bag with extra clothes, medications, fiber supplements, bottled water, and snacks. You will want all of this with you in case your luggage gets lost and when there are no good food choices in transportation terminals. For emergencies, it will help to have handy your doctor’s contact information and possible sites for medical care at your destination.
During Your Trip
- Premedicate. For a long trip, it’s a good idea for IBS patients with diarrhea to take antidiarrheal medicines such as Imodium or Lomotil if they know they can tolerate it, says Crowe. Some people become too constipated with the drugs.
Crowe says IBS patients need to pay attention to their symptoms and to bring their usual medications and fiber supplements. “You want to have them in the plane or train, where you can’t purchase these things,” she says, noting that some destinations may also not have these drugs readily available.
There are travelers, for example, who experience gas with changes in altitude. For these people, Crowe recommends bringing antiflatulents such as Gas-X. Other drugs that might give relief, depending on symptoms, include antacids, prescription antispasmodics (such as Levbid and Bentyl), and laxatives (such as Lactulose and MiraLax).
Visit your doctor to find out the appropriate treatment for you.
- Keep meals as consistent as possible. Try to keep to the same serving amount and to the same number of meals. Many people end up miserable because they don’t eat or drink enough, they gorge, or they eat foods that aren’t agreeable to their systems.
“Somebody might say, ‘Hey, I didn’t snack because I’m in a hotel room and there’s nothing available,'” says Bonci. To this, she offers the following solution: Bring healthy snack foods you can tolerate, such as nuts, crackers, trail mix, a sports bar, or yogurt. They are better options than the fare offered in vending machines and transportation hubs.
- Watch your food and drink choices. To keep hydrated, opt for bottled water or Gatorade instead of carbonated beverages. It’s better to buy liquids and other edibles from a hotel restaurant or grocery store instead of small fruit stands. Americanized guts may not be able to tolerate some foods in these places, says Bonci.
If you decide to try a new food, experiment in small amounts, and try only one new thing per day, advises Bonci.
However, Norton says vacation isn’t a good time for people to experiment. “Stick with foods you’re comfortable with,” she says.
- Don’t despair if IBS symptoms flare up. “I would invite people to think of vacation as almost like a scientific experiment,” says Mary-Joan Gerson, PhD, a clinical psychologist in private practice in New York. “That gives people a sense of control.”
She suggests IBS patients ask themselves, ‘What kind of IBS person am I?’ Then try to learn something from the answers.
In addition, Gerson says vacation is the perfect time to experiment with meditation and its healing properties. “If you start a simple type of meditation a week before (vacation), you can shift into that state at a moment’s notice, even for 5 minutes somewhere, whether at a beach or pool-side,” she says.
Bonci recommends different foods, depending on the symptoms. Chamomile tea has an antispasmodic effect for stomach cramping. For constipation, she suggests traveling with fiber supplements or a box of ground or milled flaxseed. The dietary supplement can be sprinkled on salads, cooked vegetables, or cereals.
To ease diarrhea, try fruit pectins such as Sure-Jell or Certo. “Fruit pectins are used to make jelly – to make jelly gel – but they also have a wonderful effect of slowing the emptying from the gut,” says Bonci.
Oatmeal can apparently do the same thing. The good news is that both oatmeal and fruit pectins come in small, easily transportable packets.
While on vacation, it is, indeed, important to look out for your personal needs with IBS. After that, just try to take whatever comes your way in stride.
Remember, traveling with any ailment takes some effort, but with IBS, it is entirely possible to take an out-of-town journey, and have fun. But make sure you first check in with your doctor for appropriate treatments.
Hand Sanitizer Will Be Hard to Find for a Long Time
Weeks ago, Americans went to great lengths to buy up all the hand sanitizer they could find. This sudden bum-rush on hand sanitizer has wiped out supplies across the country to the point that liquor makers are making their own. Unfortunately, this lack of supply could continue to impact consumers and businesses alike for sometime, reports Bloomberg.The link to buy Hand Sanitizer is in my bio
Right now, the chemical compounds needed to make the gel for sanitizer are in very short supply. But interestingly enough, the long-term shortage of hand sanitizer might not only due to a lack of ingredients. A big issue is that the plastic bottles in which the sanitizer is packaged are in very short supply.
When hand sanitizer is made and ready to be shipped out, it’s understandably going to healthcare facilities. As a result, consumers and businesses who desire the product have to scavenge for what is left.
The link to buy this pruduct is in my bio
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