Find us on Google+ Gastroparesis: vitamins

Copyright

“You agree that you will not modify, copy, reproduce, sell, or distribute any content in any manner or medium without permission."
Showing posts with label vitamins. Show all posts
Showing posts with label vitamins. Show all posts

Tuesday, May 13, 2014

My Personal Health Update - Anxiety & Edema

Last week, I went to my primary care physician (PCP). I had blood work done and a physical because I have been feeling really exhausted from everything during this Gastroparesis Attack. Some people call them flares, but it honestly feels like an attack on my body, so I stick with GP Attack. I also wanted to address my anxiety issues because they've gotten worse. That's to be expected with gastroparesis, especially since you don't know what could happen with your stomach, whether or not you'll be in the hospital next week, or whether you'll need emergency surgery and/or a feeding tube. There are just too many unknowns because there isn't a lot of research or awareness about gastroparesis. That's part of the reason that I started this blog.

Anyway, the doctor said that my vitamin levels were all low - vitamins A, B, C, and D. This is normal with me because I vomit daily. If I try not to eat anything for a day or two at a time, I'll still vomit up stomach acid. I've tried during multiple things to see if I'd vomit less. However, I think my anxiety is making my vomiting and GP worse, so I needed to get that taken care of.

The doctor put me on Buspar, and here is a description from Drugs dot Com, "BuSpar (buspirone) is an anti-anxiety medicine that affects chemicals in your brain that may become unbalanced and cause anxiety. BuSpar is used to treat symptoms of anxiety, such as fear, tension, irritability, dizziness, pounding heartbeat, and other physical symptoms." She also put me on Xanax to help with break through panic attacks. It's been a few years since I've gotten panic attacks, but I've had a lot of them lately. I'm not sure what's trigging them but I'm keeping them written down in my gastroparesis journal - when I have them, what time, how long they last, and what else happened that day. I hope I can discover a pattern. If you have anxiety, I recommend doing the same thing. I went in for medication because yoga, writing, and deep breathing were not helping anymore and I needed medicinal help at this point.

My blood pressure was also up again to 156/106, and the normal blood pressure for a person is 120/80. My blood pressure has been running high for a few months now. I'm not sure if it's due to stress, my pain in my back from surgery still, and/or my pain with gastroparesis. I guess it could be all of the above. Additionally, I had a bit of swelling in my arms and the bottom of my legs. This was new to me because I had never had swelling in my arms. I've had swelling in my legs due to injuries, but that was about it. So, the doctor put me on Hydrochlorothiazide, which, according to Drugs dot Com, "Hydrochlorothiazide is a thiazide diuretic (water pill) that helps prevent your body from absorbing too much salt, which can cause fluid retention. Hydrochlorothiazide treats fluid retention (edema) in people with congestive heart failure, cirrhosis of the liver, or kidney disorders, or edema caused by taking steroids or estrogen. This medication is also used to treat high blood pressure (hypertension)."

After my visit with the doctor, I left for Florida with my husband to go on a five day vacation to Universal Studios and to Disney's Magic Kingdom. I had never been to either theme park but I spent four days walking around. I really needed the vacation and was looking forward to spending time with my husband, and I wasn't going to let Gastroparesis stop me (and I did get sick but I pushed through it).


The hubs and I standing in front of Cinderella's Castle in Magic Kingdom, Disney.


I have taken my water pill daily, but on my last day at Disney, I noticed that my left foot had swollen so badly that the only shoes that would fit me were my flip flops. My tennis shoes and my flats I brought didn't fit at all. My knee was becoming the size of a softball and it was getting harder to bear weight on it. I, thankfully, had an ace bandage and some lidocaine patches that I brought with me, so I put some of the patches on my knee and wrapped it up to prevent swelling even more. I also iced it and kept it elevated the last day we were there. As soon as I got home, I did the same. I changed the patches, wrapped it back up, iced, and elevated it. I called my PCP who advised me to keep doing what I was doing. She said for me to use crutches if I had to walk long distances but to stay off of my left leg.

Do you know how hard it is to stay off of your leg? It's driving me crazy. My leg feels like it's on fire. And of course, I'm still vomiting and I'm almost out of emesis bags. I can't run to the bathroom right now, because I'd injure myself more and I wouldn't make it to vomit there anyway. So, I have a bucket beside the bed, just in case.



Shown, are a picture of my legs, side by side, so that you can see the difference in swelling.



Shown, are both of my feet so you can see the swelling in my left foot.


Shown, is my left foot swelling.


The good news is that the water pill has helped with my arms. They are still a little less swollen but I look less like I have "cabbage patch doll arms" as my husband so aptly described them.



So, what could be causing this?

Edema is the retention of fluid. I decided to look it up to see what could be causing this to happen to my left leg. According to WebMD, this is what I found out,

"Edema is the medical term for swelling. It is a general response of the body to injury or inflammation. Edema can be isolated to a small area or affect the entire body. Medications, infections, pregnancy, and many medical problems can cause edema.

Edema results whenever small blood vessels become "leaky" and release fluid into nearby tissues. The extra fluid accumulates, causing the tissue to swell.


Causes of Edema

Edema is a normal response of the body to inflammation or injury. For example, a twisted ankle, a bee sting, or a skin infection will all result in edema in the involved area. In some cases, such as in an infection, this may be beneficial. Increased fluid from the blood vessels allows more infection-fighting white blood cells to enter the affected area.

Edema can also result from medical conditions or problems in the balance of substances normally present in blood. Some of the causes of edema include:

Low albumin (hypoalbuminemia): Albumin and other proteins in the blood act like sponges to keep fluid in the blood vessels. Low albumin may contribute to edema, but isn't usually the sole cause.

Allergic reactions: Edema is a usual component of most allergic reactions. In response to the allergic exposure, the body allows nearby blood vessels to leak fluid into the affected area.

Obstruction of flow: If the drainage of fluid from a body part is blocked, fluid can back up. A blood clot in the deep veins of the leg can result in leg edema. A tumor blocking lymph or blood flow will cause edema in the affected area.

Critical illness: Burns, life-threatening infections, or other critical illnesses can cause a whole-body reaction that allows fluid to leak into tissues almost everywhere. Widespread edema throughout the body can result.

Edema and heart disease (congestive heart failure): When the heart weakens and pumps blood less effectively, fluid can slowly build up, creating leg edema. If fluid buildup occurs rapidly, fluid in the lungs (pulmonary edema) can develop.

Edema and liver disease: Severe liver disease (cirrhosis) results in an increase in fluid retention. Cirrhosis also leads to low levels of albumin and other proteins in the blood. Fluid leaks into the abdomen (called ascites), and can also produce leg edema.

Edema and kidney disease: A kidney condition called nephrotic syndrome can result in severe leg edema, and sometimes whole-body edema (anasarca).

Edema and pregnancy: Due to an increase in blood volume during pregnancy and pressure from the growing womb, mild leg edema is common during pregnancy. However, serious complications of pregnancy such as deep vein thrombosis and preeclampsia can also cause edema.

Cerebral edema (brain edema): Swelling in the brain can be caused by head trauma, low blood sodium (hyponatremia), high altitude, brain tumors, or an obstruction to fluid drainage (hydrocephalus). Headaches, confusion, and unconsciousness or coma can be symptoms of cerebral edema.

Medications and edema: Numerous medications can cause edema, including:

NSAIDs (ibuprofen, naproxen)
Calcium channel blockers
Corticosteroids (prednisone, methylprednisolone)
Pioglitazone and rosiglitazone
Pramiprexole

Most commonly, these medications produce no edema, or mild leg edema.



Symptoms of Edema

Edema symptoms depend on the amount of edema and the body part affected.

Edema in a small area from an infection or inflammation (such as a mosquito bite) may cause no symptoms at all. On the other hand, a large local allergic reaction (such as from a bee sting) may cause edema affecting the entire arm. Here, tense skin, pain, and limited movement can be symptoms of edema.

Food allergies may cause tongue or throat edema, which can be life-threatening if it interferes with breathing.

Leg edema of any cause can cause the legs to feel heavy and interfere with walking. In edema and heart disease, for example, the legs may easily weigh an extra 5 or 10 pounds each. Severe leg edema can interfere with blood flow, leading to ulcers on the skin.

Pulmonary edema causes shortness of breath, which can be accompanied by low oxygen levels in the blood. Some people with pulmonary edema may experience a cough with frothy sputum.
Treatment of Edema


Treatment of edema often means treating the underlying cause of edema. For example, allergic reactions causing edema may be treated with antihistamines and corticosteroids.

Edema resulting from a blockage in fluid drainage can sometimes be treated by eliminating the obstruction:

A blood clot in the leg is treated with blood thinners, and the clot slowly breaks down; leg edema then resolves as fluid drainage improves.

A tumor obstructing a blood vessel or lymph flow can sometimes be reduced in size or removed with surgery, chemotherapy, or radiation.

Leg edema related to congestive heart failure or liver disease can be treated with a diuretic (''water pill'') like furosemide (Lasix). When urine output increases, more fluid drains from the legs back into the blood. Maintaining a sodium-restricted diet will also help limit fluid retention associated with heart failure or liver disease.


I have an appointment with my orthopedist in the morning. He's the one who treated me for my left knee last time and was the doctor who referred me to get a spinal cord stimulator. My knee cap is not tracking properly and it pulled to far towards the left of my knee. I am scared I have a meniscus tear. I am hoping that whatever is causing the swelling has to do with an injury to my knee that will take a few weeks to fix with a brace, physical therapy, and no surgery. I'll update more tomorrow. Please, let's hope it's not something really serious. I'm really scared because I've never had my body swell up this much and in so many places at once.


EDIT: So, I went to the orthopedist this morning and had my swelling in my knee and foot looked at. The doctor thinks that I overdid it walking around the theme parks this past week. He took some x-rays and determined that my knee cap was floating around because of all of the fluid in my knee, and that was causing irritation, leg instability, and pain/pressure. He decided to drain the fluid from my knee and to give me a cortisone injection. I was scared about the cortisone injection, because the last time I had one, a different doctor did it and I ended up with sepsis in my knee and had to have emergency surgery. This is the fluid he removed from my knee joint this morning:

This is the fluid that the doctor removed from my knee before the cortisone injection.

I have to stay off of my leg for at least two days to help the swelling go down but the cortisone injection should help. My foot is still swollen but he says that should also go down in a few days if I baby my leg and try not to overdo it. He said that if he would have another barrel for the syringe (in the picture above) to remove fluid from my knee, he would have kept going because there's still more. However, my knee cap should stop floating around now and stop irritating everything. Let's hope so!

Friday, June 14, 2013

Vitamin Deficiencies; Causes, Signs, and Symptoms



What Causes Vitamin Deficiencies?

According to Right Diagnosis, vitamin deficiencies are caused when you are not able to have the nutrients your body needs to thrive. With Gastroparesis, our diet is strict and we cannot eat certain foods to replenish those vitamins. For me personally, I vomit up almost everything I eat, so I am unable to get the vitamins I need. A lot of GPers are the same way. I am going to list each vitamin deficiency and the signs and symptoms of each.





How to Test for Vitamin Deficiencies and What to Look Out For.

If you suspect or identify with any of the vitamin deficiency symptoms below, please make an appointment with your doctor to be tested. Dr. Oz has a video that you can view by clicking HERE that contains four easy steps to self test for vitamin deficiencies.

According to Fox News, there are five unusual warning signs that you may be vitamin-deficient. The good news: Most are fixable with dietary tweaks. However, if that doesn't work, please make an appointment with your doctor to discuss other options. The warning signs are:

Body Clue No. 1: Cracks at the corners of your mouth.

Body Clue No. 2: A red, scaly rash on your face (and sometimes elsewhere) and hair loss. (For more information on hair loss in relation to vitamin deficiencies, please visit: https://www.hairlossrevolution.com/vitamin-d-deficiency/)

Body Clue No. 3: Red or white acne-like bumps, typically on the cheeks, arms, thighs, and butt.

Body Clue No. 4: Tingling, prickling, and numbness in hands, feet, or elsewhere.

Body Clue No. 5: Crazy muscle cramps in the form of stabbing pains in toes, calves, arches of feet, and backs of legs.

Additionally, I am going to walk through each vitamin deficiency so that you know what the signs and symptoms are to watch out for.



Vitamin A Deficiency; What Causes It?

Vitamin A can be deficient due to dietary issues. According to Wikipedia, iron deficiency can affect vitamin A uptake. Excess alcohol consumption can deplete vitamin A, and a stressed liver may be more susceptible to vitamin A toxicity. People who consume large amounts of alcohol should seek medical advice before taking vitamin A supplements. In general, people should also seek medical advice before taking vitamin A supplements if they have any condition associated with fat malabsorption such as pancreatitis, cystic fibrosis, tropical sprue & biliary obstruction.

Infection is very draining on vitamin A reserves and this vitamin A deficit leaves the individual more susceptible to infection (Combs, 1991, Wikipedia).

According to Right Diagnosis, other causes for a vitamin A deficiency are:

Malabsorption

Inadequate diet

Malnutrition

Certain lipid-lowering medications



Vitamin A Deficiency; Signs and Symptoms.


The symptoms of a vitamin A deficiency are:


Reduced night vision

Night blindness

Dry eyes (the inability to produce tears)

Eye inflammation

Corneal inflammation

Rough skin

Dry skin

Vulnerability to respiratory infection

Vulnerability to urinary infection

Growth retardation in children





What Causes a Vitamin B1 (Thiamine) Deficiency?

According to article writer, Paul Simms, a vitamin B1 deficiency can occur because of many different causes. The most basic form of thiamine deficiency results simply because the individual does not consume enough of the vitamin in the food sources they eat. Vitamin B1 deficiency can also be caused by a problem absorbing the nutrient in the small intestines. There are several disease states that can cause this, but the most usual cause is over consumption of alcohol, which inhibits vitamin B1 absorption. Because vitamin B1 is necessary for energy production in cells, the most notable symptoms are related to low energy levels. These can be very striking when involving the brain because brain cells require large amounts of energy to function properly, and when functioning improperly, the effects are quite visible and dramatic.

There are three general causes of vitamin B1 deficiency. The first is caused when not enough thiamine is consumed in the foods eaten by the individual. The can be because of poor food choices, or because the food is prepared improperly. It is very easy to accidentally destroy or remove vitamin B1 during cooking and boiling. Diseases that effect the small intestines can also greatly reduce the amount of vitamin B1 that is absorbed from the foods that are eaten. Finally, the most common cause of vitamin B1 deficiency in the western world is the over consumption of alcohol. Alcohol prevents thiamine and many other nutrients from ever being absorbed by the small intestines.

Here is what vitamin B1 does for your body:






Vitamin B1 (Thiamine) Signs and Symptoms.

There are many basic symptoms that are associated with vitamin B1 deficiency. In most cases, these symptoms can be reversed easily if nutritional levels of vitamin B1 are increased or if supplements are given. Most of these symptoms result from the beginning stages of cellular starvation. Simply put, the cells do not have the energy to function any longer. In the brain, these symptoms include depression, irritability and memory loss. In muscle cells, a short term vitamin B1 deficiency will result in muscle fatigue, tenderness and weakness. The peripheral nervous system can also be effected, with symptoms such as pins-and-needles, poor coordination and slowed reflexes.

In more severe and long term cases of vitamin B1 deficiency, a disease called Beriberi will result. This is a severe condition that can lead to death. Symptoms of Beriberi disease caused by vitamin B1 deficiency include extreme weight loss, emotional imbalances (anger,depression),muscle weakness, and pain in the extremities. The individual will also often lose control of the use of arms and legs temporarily. The most dangerous aspect of Beriberi disease is it's effect on the heart. congestive heart failure and death is a real possibility when vitamin B1 deficiency has reached this level of severity.

Another condition that can develop either individually, or in association with Beriberi disease is Wernicke's encephalopathy and/or Korsakoff syndrome. These are severe mental conditions that result in amnesia, impaired sensory perception, mental confusion and loss of control of motor skills. These conditions usually result in the patient being deranged and uncontrollable. When the vitamin B1 deficiency reaches the stages where it causes these symptoms and disorders, much of the damage is no longer reversible. It is also important to note that the major cause of the severe of a case of thiamine deficiency is chronic alcohol abuse.

The symptoms include:

Vomiting

Involuntary eye movements (nystagmus)

Mental confusion

Speech difficulties

Pain

Weight loss

Difficulty walking (loss of balance and coordination)

Emotional disturbances

Impaired sensory perception

Loss of muscle function or paralysis of the lower legs

Weakness and pain in the limbs

Tingling or loss of feeling (sensation) in hands and feet (numbness)

Periods of irregular heart rate

Edema (swelling of bodily tissues)

It may increase the amount of lactic acid and pyruvic acid within the blood. In advanced cases, the disease may cause high output cardiac failure and death (other symptoms are described in Wernicke's encephalopathy in Wikipedia).








What Causes a Vitamin B3 (Niacin) Deficiency?

According to Web MD, Niacin deficiency is a condition that occurs when a person doesn't get enough or can't absorb niacin or tryptophan (the ingredient that makes you sleepy found in turkeys). Tryptophan is one of the amino acids that makes up protein. Your liver can convert tryptophan from high-protein foods like meats and milk into niacin.

Also known as vitamin B3 or nicotinic acid, niacin is one of eight B vitamins. Like all B vitamins, niacin plays a role in converting carbohydrates into glucose, metabolizing fats and proteins, and keeping the nervous system working properly. Niacin also helps the body make sex- and stress-related hormones and improves circulation and cholesterol levels.

In the 1800s, pellagra was common among poor Americans whose diets consisted mostly of corn, molasses, and salt pork -- all poor sources of niacin. Today, most people in the developed world get plenty of niacin in their diets. Niacin deficiency is more likely to be caused by problems that affect absorption of niacin or tryptophan. The most common cause is alcoholism. Other possible causes include disorders of the digestive system and prolonged treatment with the tuberculosis drug isoniazid (Laniazid, Nydrazid).




Vitamin B3 (Niacin) Signs and Symptoms.

Symptoms of mild niacin deficiency include:

Indigestion

Fatigue

Canker sores

Vomiting

Depression

Severe deficiency, called pellagra, can cause symptoms related to the skin, digestive system, and nervous system. They include:

Thick, scaly pigmented rash on skin exposed to sunlight

Swollen mouth and bright red tongue

Vomiting and diarrhea

Headache

Apathy

Fatigue

Depression

Disorientation

Memory loss

If not treated, pellagra can lead to death.




If you don't eat a lot of niacin-rich foods or if you have a medical condition that affects the absorption of niacin or tryptophan, speak to your doctor. Niacin supplements or multivitamin/mineral supplements, which usually contain at least 20 milligrams of niacin, can help prevent niacin deficiency.






What Causes a Vitamin B12 Deficiency?

According to Web MD, vitamin B12 has many important functions in the body. It works with the B vitamin folate to make our body's genetic material. It helps keep levels of the amino acid homocysteine in check, which may help decrease heart disease risk, and it is essential to the production of red blood cells, which carry oxygen through the blood to the body's tissues.

But many people are deficient in this important vitamin.

Vitamin B12 deficiency can have a number of possible causes. Typically it occurs in people whose digestive systems do not adequately absorb the vitamin from the foods they eat.

This can be caused by:

Pernicious anemia, a condition in which there is a lack of a protein called intrinsic factor. The protein, which is made in the stomach, is necessary for vitamin B12 absorption.

Atrophic gastritis, a thinning of the stomach lining that affects up to 30% of people aged 50 and older.

Surgery in which part of the stomach and/or small intestine is removed.

Conditions affecting the small intestine, such as Crohn's disease, celiac disease, bacterial growth, or a parasite.

Excessive alcohol consumption.

Autoimmune disorders, such as Graves' disease or systemic lupus erythematosus.

Long-term use of acid-reducing drugs.

Gastroparesis (which I'm going to add because it affects absorption).


Vitamin B12 deficiency can also occur in vegetarians, because the best food sources of the vitamin are animal products. Strict vegans (people who don't eat any animal products, including meat, eggs, or milk) are at greatest risk. Vegetarians who eat eggs and milk products are also at risk, because, on average, they consume less than half the adult Recommended Dietary Allowance (RDA) of vitamin B12. Babies born to mothers who are vegetarians may also be deficient in vitamin B12.





Vitamin B12 Deficiency; Signs and Symptoms.

A deficiency of vitamin B12 can lead to vitamin B12 deficiency anemia. A mild deficiency may cause only mild, if any, symptoms. But as the anemia worsens it may causes symptoms such as:

Weakness, tiredness or light-headedness

Rapid heartbeat and breathing

Pale skin

Sore tongue

Easy bruising or bleeding, including bleeding gums

Stomach upset and weight loss

Diarrhea or constipation

Anemia

If the deficiency is not corrected, it can damage the nerve cells. If this happens, according to Harvard, vitamin B12 deficiency effects may include:

Tingling or numbness in fingers and toes

Difficulty walking

Mood changes or depression

Memory loss

Disorientation

Dementia

Yellowed skin (jaundice)

Difficulty thinking and reasoning (cognitive difficulties), or memory loss

Paranoia or hallucinations







What Causes a Vitamin C Deficiency?

The essential vitamin known as vitamin C is one of the most important elements in an individual’s daily diet, according to Discovery Health. We need Vitamin C to help contribute to good cellular growth, promote function of the circulatory system, and generally help our bodies to develop and maintain themselves. A vitamin C deficiency is a serious issue, and should be caught early and treated with natural foods or dietary supplements that contain plenty of this critical ingredient.

Vitamin C is destroyed by the process of pasteurization, so babies fed with ordinary bottled milk sometimes suffer from scurvy (which is a disease resulting from a vitamin C deficiency)if they are not provided with adequate vitamin supplements. Virtually all commercially available baby formulas contain added vitamin C for this reason, but heat and storage destroy vitamin C.

With Gastroparesis, it is hard for us to eat citrus or other foods that are high in vitamin C, so we become deficient. However, if you juice and can tolerate it, try and incorporate as much vitamin C as you can.






Vitamin C Deficiency; Signs and Symptoms.

According to Fit Day, a variety of symptoms will show that an individual is suffering from a vitamin C deficiency. Here are some of the top signs of this kind of shortage in the system.

Fatigue – Early on, someone with a vitamin C deficiency will tend to get tired easily and experience reduced energy. Because chronic fatigue is a symptom of so many illnesses, it can be hard to catch a specific condition based on this symptom.

Mood Changes – Individuals with a vitamin C deficiency may become irritable or short tempered.

Weight Loss – As with other “wasting conditions” someone with a vitamin C deficiency may experience sudden weight loss.

Joint and Muscle Aches – Chronic pain in the limbs or joints can be a symptom of a vitamin deficiency.

Bruising – Individuals with a vitamin C deficiency will tend to bruise easily. Excessive bruising is a sign that the body’s chemistry needs to be improved.

Dental Conditions – Just as a healthy daily dose of vitamin C contributes to healthy teeth and gums, a deficiency can cause deterioration of the gums. Periodontal problems are a symptom of a vitamin C deficiency that has been allowed to develop to a hazardous level. This kind of deficiency was classically called "scurvy" when it happened to mariners who had no access to nutrients (or sometimes even fresh water) on long trips at sea. In today’s world, it is a rare but frightening condition.

Dry Hair and Skin – A change in hair and skin conditions can also signal that the body is not getting enough of vitamin C and other essential vitamins and minerals.

Infections – When an individual does not have enough vitamin C over time, this can have a negative impact on general healing of wounds and the fighting of infections. Generally, the body’s immune system will be compromised.

A shortage of vitamin C in the system can be treated with dietary supplements. However, it’s important to seek professional medical help, rather than self-medicating with natural medicine. Vitamin C supplements are generally not known to have side effects, although at extremely high levels, they can cause nausea or indigestion. Those who experience any of the above negative symptoms should see qualified family practice doctors to talk about what may be the issue and whether a dietary deficiency may be the root cause.






What Causes a Vitamin D Deficiency?

According to Web MD, Vitamin D deficiency can occur for a number of reasons:

You don't consume the recommended levels of the vitamin over time. This is likely if you follow a strict vegetarian diet, because most of the natural sources are animal-based, including fish and fish oils, egg yolks, cheese, fortified milk, and beef liver.

Your exposure to sunlight is limited. Because the body makes vitamin D when your skin is exposed to sunlight, you may be at risk of deficiency if you are homebound, live in northern latitudes, wear long robes or head coverings for religious reasons, or have an occupation that prevents sun exposure.

You have dark skin. The pigment melanin reduces the skin's ability to make vitamin D in response to sunlight exposure. Some studies show that older adults with darker skin are at high risk of vitamin D deficiency.

Your kidneys cannot convert vitamin D to its active form. As people age their kidneys are less able to convert vitamin D to its active form, thus increasing their risk of vitamin D deficiency.

Your digestive tract cannot adequately absorb vitamin D. Certain medical problems, including Crohn's disease, cystic fibrosis, gastroparesis, and celiac disease, can affect your intestine's ability to absorb vitamin D from the food you eat.

You are obese. Vitamin D is extracted from the blood by fat cells, altering its release into the circulation. People with a body mass index of 30 or greater often have low blood levels of vitamin D.





Vitamin D Deficiency; Signs and Symptoms.

The best way to discover vitamin D deficiency is to take a blood test that will measure the level of the vitamin in your blood. You can either ask your doctor to administer the test or buy a home test kit do the test yourself. However, you are certainly vitamin D deficient if you have any of the following ailments, and you need to consult with your doctor regarding your preventive, as well as curative, options as soon as possible, according to Natural News.


Symptoms of bone pain and muscle weakness can mean you have a vitamin D deficiency. However, for many people, the symptoms are subtle. Yet even without symptoms, too little vitamin D can pose health risks. Natural News says the following,
1.) The flu - In a study published in the Cambridge Journals, it was discovered that vitamin D deficiency predisposes children to respiratory diseases. An intervention study conducted showed that vitamin D reduces the incidence of respiratory infections in children.

2.) Muscle weakness - According to Michael F. Holick, a leading vitamin D expert, muscle weakness is usually caused by vitamin D deficiency because for skeletal muscles to function properly, their vitamin D receptors must be sustained by vitamin D.

3.) Psoriasis - In a study published by the UK PubMed central, it was discovered that synthetic vitamin D analogues were found useful in the treatment of psoriasis.

4.) Chronic kidney disease - According to Holick, patients with advanced chronic kidney diseases (especially those requiring dialysis) are unable to make the active form of vitamin D. These individuals need to take 1,25-dihydroxyvitamin D3 or one of its calcemic analogues to support calcium metabolism, decrease the risk of renal bone disease and regulate parathyroid hormone levels.

5.) Diabetes - A study conducted in Finland was featured in Lancet.com in which 10,366 children were given 2000 international units (IU)/day of vitamin D3 per day during their first day of life. The children were monitored for 31 years and in all of them, the risk of type 1 diabetes was reduced by 80 percent.

6.) Asthma - Vitamin D may reduce the severity of asthma attacks. Research conducted in Japan revealed that asthma attacks in school children were significantly lowered in those subjects taking a daily vitamin D supplement of 1200 IU a day.

7.) Periodontal disease - Those suffering from this chronic gum disease that causes swelling and bleeding gums should consider raising their vitamin D levels to produce defensins and cathelicidin, compounds that contain microbial properties and lower the number of bacteria in the mouth.

8.) Cardiovascular disease - Congestive heart failure is associated with vitamin D deficiency. Research conducted at Harvard University among nurses found that women with low vitamin D levels (17 ng/m [42 nmol/L]) had a 67 percent increased risk of developing hypertension.

9.) Schizophrenia and Depression - These disorders have been linked to vitamin D deficiency. In a study, it was discovered that maintaining sufficient vitamin D among pregnant women and during childhood was necessary to satisfy the vitamin D receptor in the brain integral for brain development and mental function maintenance in later life.

10.) Cancer - Researchers at Georgetown University Medical Center in Washington DC discovered a connection between high vitamin D intake and reduced risk of breast cancer. These findings, presented at the American Association for Cancer Research, revealed that increased doses of the sunshine vitamin were linked to a 75 percent reduction in overall cancer growth and 50 percent reduction in tumor cases among those already having the disease. Of interest was the capacity of vitamin supplementation to help control the development and growth of breast cancer specially estrogen-sensitive breast cancer.



Low blood levels of the vitamin have been associated with the following:

Increased risk of death from cardiovascular disease

Cognitive impairment in older adults

Severe asthma in children

Cancer

Research suggests that vitamin D could play a role in the prevention and treatment of a number of different conditions, including type1 and type 2 diabetes, hypertension, glucose intolerance, and multiple sclerosis.


These various health conditions associated with vitamin D deficiency need not be something to fear. A proactive approach to prevention can assist in the avoidance of the many chronic diseases associated with vitamin D deficiency. For one, thousands of dollars can be saved, not to mention the peace of mind, simply at the cost of taking a walk under the sun. Save the umbrellas for the rainy days.




What Causes a Vitamin K Deficiency?

According to Paul Simms, a writer on the subject, vitamin K deficiency is rarely seen on its own, it is usually the result of another problem within the body. Not only is Vitamin K found in a large variety of easily obtainable foods such as vegetables and dairy products, it is also synthesized by bacteria in the small intestines where it is absorbed into the body. The body is also very efficient at recycling Vitamin K; each molecule can be used multiple times before degrading.

The most frequent cause of Vitamin K deficiency is the long term use of antibiotics. Since about half of the Vitamin K in the body is produced by bacteria in the small intestines, the use of antibiotics, which kill that bacteria will lead to a drastic decrease in the amount of Vitamin K available for absorption. For this reason, individuals taking antibiotics are often given Vitamin K supplements. Related to this, often times newborn infants will have a Vitamin K deficiency, not because of antibiotics destroying the beneficial bacteria, but because the bacteria has not had time to properly populate the small intestines.

Another reason an individual might develop a Vitamin K deficiency is because of an illness, injury or disease that affects the small intestines and prevents the absorption of the nutrient. Inflammatory bowel disease or other chronic diseases of the intestines often result in deficiencies of many different vitamins and minerals because the cells lining the intestines are unable to extract the nutrients before they pass through the body.

The final reason for the appearance of many symptoms of Vitamin K deficiency is because of liver damage or disease. After being absorbed by the small intestines, Vitamin K is processed into it's functioning forms in the liver. When there is damage to the liver, like is seen in cases of alcoholism or Hepatitis, sometimes the processing of the Vitamin K is diminished to the extent that it cannot perform its functions.








Vitamin K Deficiency; Signs and Symptoms.

According to Newsmax, deficiency of vitamin K results in serious complications such as prolonged blood clotting time and an increased risk to haemorrhages. Inadequate intake of vitamin K can lead to a deficiency. The best way to counter the symptoms of vitamin K deficiency would be to add foods like soybeans, leafy vegetables (spinach and broccoli), wheat bran, berries, etc. in the diet.

Signs of vitamin K deficiency:

Deficiency of vitamin K causes delayed blood coagulation, gum bleeding, nose bleeding, easy bruising, and tendencies toward nose-bleeding and gum-bleeding. Symptoms and signs of vitamin K deficiency further include bleeding within the digestive tract

Appearance of blood in urine or stool and experiencing heavy bleeding during menstrual cycle are also signs of vitamin K deficiency.

Deficiencies of vitamin K are not very common among adults, but newborns are found to be at a higher risk as breast milk is typically low in vitamin K and the infant’s natural vitamin K cycle may not be fully developed.

Signs of vitamin K deficiency include weakening of bones, osteoporosis, and fractures.

Other symptoms of vitamin K deficiency are hardening of heart valves, owing to calcification, purpurea, and neural tube defects.

A deficiency of vitamin K can affect a new-born baby or fetus as well. Vitamin K deficiency may result in internal bleeding (in the skull), malformed fingers, and under-developed facial features like ears, nose, and chin. Vitamin K helps in the overall development of the fetus. This explains why a pregnant woman is usually given vitamin K in the form of food supplements.

Hemorrhages are also among the signs and symptoms of a vitamin K deficiency. Deficiency of vitamin K leads to a reduction in the prothrobin content of blood. If you are deficient in vitamin K, you will suffer from blood clotting. Deficiency of vitamin K can also lead to Alzheimer’s disease.

Other prominent signs and symptoms of vitamin K deficiency are prolonged clotting times, hemorrhaging, and anemia.

Vitamin K deficiency-related symptoms lead to excessive deposition of calcium in soft tissues. Hardening of the arteries or calcium-related problems are the other common signs of vitamin K deficiency. So are biliary obstruction, malabsorption, cystic fibrosis, and resection of the small intestine.







Here are some charts that go along with vitamin deficiencies that I wanted to include:





List of Sources:

http://listverse.com/2012/03/16/top-10-vitamin-deficiencies/

http://www.dummies.com/how-to/content/signs-of-vitamin-deficiencies-in-your-diet.html

http://www.doctoroz.com/videos/4-easy-self-tests-vitamin-deficiencies

http://en.wikipedia.org/wiki/Avitaminosis

http://www.mayoclinic.com/health/vitamin-deficiency-anemia/DS00325

http://www.webmd.com/diet/vitamin-d-deficiency

http://www.rightdiagnosis.com/v/vitamin/causes.htm

http://www.doctoroz.com/videos/4-easy-self-tests-vitamin-deficiencies

http://www.emilysstomach.com/2013/06/information-about-malnutrition.html

http://www.helium.com/items/1802449-vitamin-b1-thiamine-deficiency---causes-symptoms-side-effects

http://www.health.harvard.edu/blog/vitamin-b12-deficiency-can-be-sneaky-harmful-201301105780













Tuesday, April 2, 2013

Second Easter with Motility Issues & Vitamin Deficiencies

I just got a call from my doctor a week ago - my vitamin levels are really low and my lipase (liver enzymes) are REALLY high still. I'm basically malnourished, and starving. He said for me to take 800mg of Vitamin D, 1200mg of Vitamin C, and he's going to call in Vitamin B injections for me to take 1ml for 1 week for 4 weeks and then monthly after that.

The issue is that I can't take pills because they usually don't stay down, so my husband bought me dissolvable tablets to take. The problem is that the Vitamin C has such a low dosage that I have to take twenty of the dissolvable tablets to make it work. It's not very efficient.

I just don't know what to do. No one will listen to me when I tell them I'm starving. Just because I'm not 90 pounds yet doesn't mean I'm not malnourished. I can't take pills because they have a hard time staying down. I don't know if those vitamins come in injection form, and overall, I'm just exhausted both mentally and physically. I'm worried about my liver. My enzymes have been really high for over a year and they can't figure out why. The doctors don't seem to be very concerned and it's worrisome. I'm worried that I'm going to get sucked down into a hole of deficiencies and then not be able to claw my way back up. It's hard for me to keep food, or even liquids down right now. When I get into these attack cycles, I can't seem to break them.


Step 1: Find needles for a sub-q injection.




Step 2: Get medication ready.



Step 3: Fill up syringes with 1ml of medication.




Step 4: Injection medication.



I have to repeat this process weekly for another two weeks and then I need to do it monthly for a while. I still need to remember to ask my doctor about other injections since needles don't bother me. I would rather inject the vitamins than try and ingest them. It makes my arm a bit sore but I'd rather have that than violently vomiting later.


Also, it was also my second Easter with motility issues. I managed to cook for my family but I couldn't manage more than two bites of food. It made my family feel bad but honestly, I was just SO happy that I could cook without an issue. I was very thankful for that. I had to sit down for a bit when the stomach spasms started, and my mother could tell when they started, because she said that I became incredibly pale. I felt almost overheated when they started. I took a muscle relaxer and then the spasms became a bit more bearable. I ate a bite or two of potato salad, which I probably shouldn't have.

Today, I feel a bit better but I haven't eaten much in the past few days. I have not been hungry and I am trying to ignore the nausea. I managed to drive today. It was good to leave the house for a bit but I was worried about vomiting on the side of the road again. I manage to make it through driving without an issue but the day isn't over yet. I'm trying to take it easy and take care of myself so that I can go back to Mayo. I need to call the doctor and schedule my next visit.