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How To Manage Dehydration When You Have IBD

Do you find that you have trouble staying hydrated because of the signs and symptoms of inflammatory bowel disease (IBD)? Diarrhea can lead to dehydration even in healthy adults and can be a special problem when IBD causes chronic diarrhea. People with Crohn’s disease and ulcerative colitis sometimes also have surgery to treat their disease, which can include the removal of some or all of the large intestine. The large intestine is where most water is absorbed, and when part or all of it is missing, less water might be absorbed by the body. This is why hydration is a special area of concern for people who have an ileostomy or have had j-pouch surgery (ileal pouch-anal anastomosis or IPAA). Dehydration is a major cause of readmission to the hospital after ileostomy surgery.

The Origin Of Sports And Energy Drinks

Many people turn to sports drinks as a source of hydration. There are a few different groups that developed drinks that were meant to provide hydration and energy before, during, and after exercise. The most famous of them was originally developed for use by athletes who may lose a lot of water by sweating, especially during hot weather. Dr. Robert Cade of the University of Florida, at the request of the university’s assistant football coach, led a team that originally developed a drink containing electrolytes and carbohydrates. The football team went on to have a successful season while using the drink, and other colleges started asking for it. This, of course, was the start of the sports drink Gatorade.

In time, manufacturers began adding other ingredients to their drinks, including stimulants like caffeine, to create energy drinks. Most energy and sports drinks also contain artificial colors and sweeteners.

Sports Drinks May Not Be the Answer to Dehydration

There are a few things about sports and energy drinks that make them a less than perfect choice for people with IBD who need to replenish fluids and electrolytes. The first is that they don’t actually offer the right mix of nutrients: most don’t contain enough electrolytes. The second is that some brands contain things that aren’t needed that make them taste better (sugar or artificial sweeteners), look colorful (artificial colors), and provide a burst of energy (caffeine).

The World Health Organization has developed an oral rehydration salts (ORS) solution that is used across the world, especially in areas where severe dehydration is a cause of illness and death.2 Using a special combination of salts and water to rehydrate is called oral rehydration therapy (ORT), and it saves lives in areas of the world where diarrheal disease is a leading cause of death in children. ORS is available in Western countries at pharmacies, hospital supply stores, and sometimes in sporting goods stores with the first aid kits. There are also recipes for ORS that can be made at home. ORS is usually fairly inexpensive but checks with a doctor before resorting to buying it or making it at home for rehydration.

How Can People With IBD Get Hydrated?

Short of keeping a supply of ORS on hand (although it’s not a bad idea to keep some with your emergency supplies), how can people with a j-pouch, an ileostomy, or IBD, rehydrate at home? According to the University of Michigan IBD Team, rehydration is probably best done with a mix of a few things most people with IBD probably already have at home. The experts at U of M recommend that the sports drink is just a start.4

To bring hydration up, they suggest eating and drinking the items in this “recipe” designed to mimic ORT:

  • 1 liter of sports drink
  • 1/2 cup of chicken soup
  • One of the following:
    • 1.6 bananas
    • 1.6 sweet potatoes
    • 1.6 medium avocados
    • 1.5 cups of yogurt
    • 1 cup of spinach
  • 3 1/2 tablets of 650 mg of sodium bicarbonate (or 7 325 mg tablets)

The United Ostomy Association of America also has recipes available for replacing electrolytes and fluids. This is the suggested homemade electrolyte drink:5

  • 1 teaspoon salt
  • 1 teaspoon baking soda
  • 1 teaspoon white Karo syrup
  • 1 6-ounce can freeze orange juice
  • Add water to make one quart, mix well

What To Do If You’re Dehydrated

Mild cases of dehydration can usually be dealt with at home. Severe cases of dehydration may need to be treated by a physician or in a hospital. For severe dehydration, with symptoms of confusion, dizziness, or fainting, call 911. If you have more questions about how to avoid becoming dehydrated, or what you should eat or drink if you are dehydrated, ask your physician.

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Coronavirus: What Happens When You Get Infected?

There are many types of coronaviruses. Some give you the common cold. The new coronavirus behind the 2019-2020 pandemic causes an illness called COVID-19.

How Does Coronavirus Attack Your Body?

virus infects your body by entering healthy cells. There, the invader makes copies of itself and multiplies throughout your body.

The new coronavirus latches its spiky surface proteins to receptors on healthy cells, especially those in your lungs.

Specifically, the viral proteins bust into cells through ACE2 receptors. Once inside, the coronavirus hijacks healthy cells and takes command. Eventually, it kills some of the healthy cells.

How Does Coronavirus Move Through Your Body?

COVID-19, the illness caused by the coronavirus, starts with droplets from an infected person’s cough, sneeze, or breath. They could be in the air or on a surface that you touch before touching your eyes, nose, or mouth. That gives the virus a passage to the mucous membranes in your throat. Within 2 to 14 days, your immune system may respond with symptoms including:CONTINUE READING BELOW

  • Fever
  • A cough
  • Shortness of breath
  • Trouble breathing
  • Fatigue
  • Chills, sometimes with shaking
  • Body aches
  • Headache
  • A sore throat
  • Loss of taste
  • Loss of smell
  • Nausea
  • Diarrhea

The virus moves down your respiratory tract. That’s the airway that includes your mouth, nose, throat, and lungs. Your lower airways have more ACE2 receptors than the rest of your respiratory tract. So COVID-19 is more likely to go deeper than viruses like the common cold.

Your lungs might become inflamed, making it tough for you to breathe. This can lead to pneumonia, an infection of the tiny air sacs (called alveoli) inside your lungs where your blood exchanges oxygen and carbon dioxide.

If your doctor does a CT scan of your chest, they’ll probably see shadows or patchy areas called “ground-glass opacity.”

For most people, the symptoms end with a cough and a fever. More than 8 in 10 cases are mild. But for some, the infection gets more severe. About 5 to 8 days after symptoms begin, they have shortness of breath (known as dyspnea). Acute respiratory distress syndrome (ARDS) begins a few days later.

ARDS can cause rapid breathing, a fast heart rate, dizziness, and sweating. It damages the tissues and blood vessels in your alveoli, causing debris to collect inside them. This makes it harder or even impossible for you to breathe.

Many people who get ARDS need help breathing from a machine called a ventilator.

As fluid collects in your lungs, they carry less oxygen to your blood. That means your blood may not supply your organs with enough oxygen to survive. This can cause your kidneys, lungs, and liver to shut down and stop working.

Not everyone who has COVID-19 has these serious complications. And not everyone needs medical care. But if your symptoms include trouble breathing, get help right away.NEWSLETTERStay Up-to-Date on COVID-19

What Else Does COVID-19 Do to Your Body?

Some people also have symptoms including:

  • Pinkeye
  • Rashes
  • Liver problems or damage
  • Heart problems
  • Kidney damage
  • Dangerous blood clots, including in their legs, lungs, and arteries. Some clots may cause a stroke.

Researchers are also looking into a few reports of skin rashes, including some reddish-purple spots on fingers or toes.

A few children and teens have been admitted to the hospital with an inflammatory syndrome that may be linked to the new coronavirus. Symptoms include a fever, rash, belly pain, vomiting, diarrhea, and heart problems. The syndrome, now being referred to as multisystem inflammatory syndrome in children, or MIS-C is similar to toxic shock or to Kawasaki disease, a condition in children that causes inflammation in blood vessels. We’re still learning about these cases.

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Suvex Soothe® Intensive Cream – 100ml

Suvex Soothe is clinically proven kind to skin and naturally steroid free. It is a revolutionary new natural source emoilliient cream suitable for dry, itchy and eczema prone skin. Its replenishing properties help to relieve dry, red and itchy skin  Suvex has been developed to both hydrate and soothe whilst helping to protect the skin from further irritation. From the rainforests of Brazil to the high mountains of Chile, from the plains of Africa to the sun kissed soil of the Mediterranean, our experts have chosen the finest ingredients that care for you, your skin and your environment, whilst delivering fast, visible results. Suvex enhances skin renewal and increases skin firmness.

> Soothing –  Natural plant compounds actively calm redness and itchiness associated with dry skin

> Moisturising – A unique combination of naturally occurring essential fatty acids, polyphenols and polysaccharides combine to retain water within the skin

> Protecting- Gentle plant dervived compounds form a natural protective coating on the skin to defend against everyday irritants.

Suvex Soothe is dermatalogically tested and helps soothe sensitive, dry, itchy and eczema prone skin. We have not added any perfume or perfume oils which can irritate eczema. Suvex Soothe has not been naturalised like many other creams,  so it smells completely natural, like natural creams should.

Naturally soothing:

Ethically sourced Shea butter, Cupuacu butter, Rose hip oil, Rice bran oil and Aloe Vera are all combined with a proprietary blend of plant oils and a unique seaweed extract to create a cooling, replenishing, luxuriously textured cream that helps soothe dry, red and itchy skin.

100% Plant Sourced Ingredients include:

> Shea butter: A wonderfully nourishing extract used extensively around the globe

> Capuacu butter:  A creamy emollient from the seeds of this native Brazilian tree

> Rose hip oil:  Rich in essential fatty acids that help form a protective barrier in your skin to lock in moisture

> Rice bran oil:  Naturally rich in Vitamin E, Rice Bran Oil enhances skin quality

> Aloe Vera:  Renowned for its soothing properties, Aloe Vera is rich in many vitamins and amino acids

> Brown Kelp: Nourishing and moisturising, Brown Kelp helps maintain pH balance in the skin

> Olive extract:  Softens and conditions the skin

> Homeo-Soothe™:  Reduces inflammatory responses and protects the skin against environmental irritants.  

Recommended use:

For best results simply apply a small amount of Suvex Soothe on the target area 2 to 3 times daily. Do not apply to bleeding or broken skin. Always ensure your hands are clean before applying the cream.

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Coronavirus: Adults should take vitamin D, researchers say

The Government should immediately change recommendations for vitamin D supplements as a matter of urgency by urging all adults to take them during the coronavirus pandemic, according to scientists at Trinity College Dublin.

This follows evidence highlighting the association between vitamin D levels and mortality from Covid-19 produced by Dr Eamon Laird and Prof Rose Anne Kenny, who lead the Irish Longitudinal Study on Ageing.

They analysed European adult population studies completed since 1999 which measured vitamin D, and compared vitamin D and death rates from Covid-19.

The pivotal role of vitamin D in fighting viral infections is known but it can also “support the immune system through a number of immune pathways” involved in fighting Covid-19, they conclude in a study published in the Irish Medical Journal.

The correlation is so strong taking vitamin D should be advised immediately, Prof Kenny said. This was because vitamin D deficiency was common among those at risk of Covid-19 (particularly older people); there was no toxic risk from taking it at the recommended dosage level, and growing evidence of benefits.

Last week, scientists at Northwestern University in the US found those with severe vitamin D deficiency were twice as likely to experience Covid-19 complications.

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