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Friday, July 12, 2013

Gastroparesis Patients vs Drug Seekers

A few nights ago, my roommate had a friend over who works as a nurse in an emergency room. She asked me about my gastroparesis (GP) and why I've gone to the emergency room for it. I tried to explain the basic symptoms of gastroparesis and how much pain it causes, especially when you haven't eaten in over a week on top of dehydration. The first thing she said to me was,


"Most patients with Gastroparesis I encounter are drug seekers."


I want to explain why we are not drug seekers for those who may know little to nothing about GP and why that comment bothered me so much. I also want to educate people in what gastroparesis is, and does to the body. I wanted to tell her, imagine the worst stomach bug that you have EVER had, now imagine throwing up constantly and projectile vomiting. Your abdomen would hurt, right? You would use muscles you normally do not engage. Now, imagine that not letting up for weeks at a time. When would you go to the emergency room and would you complain of pain?


No two GPers are a like - we are all different in some way, but that doesn't make us any less ill.


According to the Mayo Clinic (http://www.mayoclinic.com/health/gastroparesis/DS00612)

"Gastroparesis is a condition in which the muscles in your stomach don't function normally.

Ordinarily, strong muscular contractions propel food through your digestive tract. But in gastroparesis, the muscles in the wall of your stomach work poorly or not at all. This prevents your stomach from emptying properly. Gastroparesis can interfere with digestion, cause nausea and vomiting, and cause problems with blood sugar levels and nutrition.

There is no cure for gastroparesis. Making changes to your diet may help you cope with gastroparesis signs and symptoms, but that's not always enough. Gastroparesis medications may offer some relief, but some can cause serious side effects. Signs and symptoms of gastroparesis include:

Vomiting
Nausea
A feeling of fullness after eating just a few bites
Abdominal bloating
Heartburn or gastroesophageal reflux
Changes in blood sugar levels
Lack of appetite
Weight loss and malnutrition"


I am also going to add pain to the symptoms. That needs to be taken into account because I know that if I try to eat with Gastroparesis, my stomach starts spasming and doesn't stop until I vomit everything up. That's not even mentioning the pain my esophagus feels after vomiting up so much food/liquids.



Image credit: Flicker


Just like you, probably, I *hate* going to the Emergency Room. But I must go if I want nausea relief because I can't keep down pills, or fluids. I ask for pain medicine after the doctor presses on my stomach because I cry. I've been crying for a week now because of the pain. I read something on Physician's Weekly that I would like to quote that sums up how I feel,

"When a person goes to the ER it’s because their pain has become too much for them to handle on their own. You then need to take into account the fact that anybody who is in pain wants not to be in pain and the faster the better. Please don’t judge us too harshly because people like myself who live with chronic pain want our pain to go away as soon as humanly possible. Chronic pain is a hideous disease. It never gives you a moment’s peace. When we with chronic pain go to an ER then you can be certain that we’re at a level of desperation for the pain to stop that we are willing to endure the terrible irritation of waiting in an ER. Waiting in an ER when they are in pain makes people anxious. It’s a well-establish fact that anxiety magnifies the perception of the pain that someone is experiencing."




Image credit: Aubrey O. and Tiffany W.



Now, there's a difference in being legitimately sick and just seeking drugs.

According to Physician's Weekly about drug seeking behavior(http://www.physiciansweekly.com/drug-seeking-behaviors-emergency-department/),

"Studies have been conducted on screening tools to identify drug-seeking behaviors in chronic pain patients, but few have provided quantitative data on such behaviors in the ED (Emergency Department). With this in mind, Dr. Grover and colleagues performed a case-control study examining the relative frequency of various drug-seeking behaviors in drug-seeking patients as compared with all ED patients. The study was published in the January 2012 Journal of Emergency Medicine. 'Our goal was to provide emergency physicians with information as to which drug-seeking behaviors are most commonly used by drug-seeking patients,' says Dr. Grover. 'Identifying behaviors that are most commonly used by drug-seeking patients may help evaluations of patients suspected of drug-seeking behavior.'”

A retrospective chart review of 152 drug-seeking patients and of age- and gender-matched controls was conducted, with the authors noting several drug-seeking behaviors that were exhibited over 1 year. Drug-seeking patients accounted for 2,203 visits to the ED, averaging about 14.5 visits per patient per year. For the control group, patients accounted for 315 visits to the ED, which is an average of 2.1 visits per patient per year. Patients in the drug-seeking arm reported their pain level as 10 out of 10 more often than control group patients (Table 1). Additionally, drug-seeking patients occasionally complained of pain levels greater than 10 out of 10, while the control group had no instances of these events. Drug-seeking patients were also significantly more likely to request medications parenterally.

The odds ratios for both requesting parenteral medication and reporting pain levels greater than 10 out of 10 were significantly higher than all others observed in the study (Table 2). These were the most predictive of drug-seeking behavior, while a non-narcotic allergy was less predictive. However, the odds ratio for a non-narcotic allergy was greater than 1, and was still a behavior that was more commonly used by drug-seeking patients than the control group. For other studied behaviors, the confidence intervals were too wide to allow the authors of the study to meaningfully interpret the data."

Here are some common schemes of drug seeking behavior according to Acpinternist.com(http://www.acpinternist.org/archives/2002/04/drug_abuse.htm),

"Most scammers try to get the doctor to write a prescription or gain access to a prescription pad so they can write a script themselves.

Patients will sometimes say they're from out of state and the pharmacy won't fill their prescription. They try to evoke the practitioner's compassion to continue the medication.

Other times, a patient you've never seen before will present with a prescription, ask you to refill it and promise to schedule an appointment next week. If you fill that prescription, you've been had.

Some patients will misrepresent their medical condition to induce you to write a prescription. Others will use the old standby excuses: 'I lost my prescription,' or 'I didn't have enough money to fill the prescription and it expired.'

Drug abuse is a developing phenomenon. It starts with patients losing prescriptions, not being able to track the amount of prescriptions or claiming that the doctor wrote the wrong prescription.

A concatenation of events often indicates abuse rather than serendipity or accident. A single transaction by itself does not mean abuse. But if your record shows repeated violations, you are not only denying what's going on, but also making yourself vulnerable to DEA or even patient litigation."




In conclusion, there are several differences between chronically ill patients who may need medication to survive or even try to function while others just want to get high. At my most recent ER visit, the nurse told me I was the true emergency (dehydration and pain) and that he had gotten things like tooth aches all day. I know Gastroparesis is an invisible illness and most people think it's in our heads until they see our labs. That's another key difference.

Keep fighting to educate those out there who may still be skeptical of the illness. We shouldn't be punished because of lack of education. We should try to educate as many health workers whom we may come across. They need to understand what it's like throwing up or feeling abdominal pain with no end in sight. It IS different for us if we need medication, IV medication, to control it until we can get a handle on it ourselves. Sometimes, we do need that extra help and the hospital is the only way that we can get it.



Thursday, June 27, 2013

My Face





My face. I almost didn't recognize it in the mirror. My face carries my head, held high, with flashing fierce green eyes. My eyebrows are more relaxed on my face as well as the lines by my eye and forehead. My eyes dance and flicker green at you with specks of gold thrown in. My smile glowed,and I smiled at everyone,very brightly - as bright as the sun! My lips look look pursed and strained. Additionally, my skin is a grayish hue and there are dark circles under my eyes!


The person I was looking at wasn't smiling, didn't look great, and just looked really tired.But most of all, I look so unhappy!


I had this realization in my bathroom a few minutes after this picture was taken.

The person I was looking at wasn't smiling, didn't look great, and just looked really tired. She didn't look like me, or what I perceived me to look like. I guess I've never really paid attention to those small details in life because there are just too many big details to think about. To be honest, I have never spent much time in front of a mirror because I had been raised a tomboy.

I know sickness and stress have made things worse. I have never been a beauty queen or anything, but this picture does me me feel self conscious about my appearance. But, I feel trapped at the same time because most days I'm too sick to do anything about my appearance. What do you do about this at home?


But, it is MY face, so I will love it because I love myself.

Wednesday, June 26, 2013

How to Stay Positive - Especially, in Difficult Situations

I know sometimes when you're in the darkness, it's hard to find any light. I can't tell you how many times that I've been kicked while I'm down or just feeling down. Sometimes, I feel like there's nothing left to fight for. When you're chronically ill, this isn't a new feeling. Everyone experiences some depression when fighting a long term illness. With Gastroparesis, it comes and goes. I'm going to share some tips I've found online to help you find your way back up to stay positive and to keep fighting.



Thirteen Ways to Stay Positive
by Wikihow - you can click HERE.

According to the article,

1. Examine your situation. What's causing the pain you are feeling? This is going to be key to working your way back to positive territory.

If it's situational—for example, you got fired, it's pouring down rain, and on the way home with all your office belongings in the car, that little spare tire that you've been running on gives up the ghost, leaving you stranded on the other side of town—you're going to need a different set of "positive" tools than if you have been diagnosed with a melanoma.

External factors can be dealt with by taking positive steps to repair or at least address the root problem as best as you can. Whatever the primary cause of the suckage, that cause must be addressed first. You may or may not be able to solve the problem, per se, but at least knowing you're taking positive steps forward is one less weight to have to carry, and it will help you improve your outlook. It will not be easy, of course, or we wouldn't be calling this "sucking."

If it's physical or mental—maybe you're bipolar, or suffer chronic depression—you must balance any attempt at "being positive" with an understanding that the reality is, it's going to be an ongoing battle for your own survival. Because depression will undermine even the strongest of wills, you will need help to maintain—or at least be reminded of—a positive outlook. Counseling, psychotherapy, and the right combination of medication will play a crucial role in helping to keep you from sinking into that very dark place that is the essence of depression. Be patient, but don't look for miracles. It may be that you will need the help of professionals throughout your life to maintain a generally even keel.





2. Don't give in. When you're in the middle of a suck vortex, those words will have little meaning, because everything you know in your bones to be true is telling you that giving in would be so easy to do.

People will tell you "just get over it," or "get a grip." They know—and you know—that if you were to look objectively at the sum of your life, that it's not as bad as it feels; there are many people whose lives are measurably worse than yours. So what! Their lives, no matter how terrible, are not your life, and your situation is unique to you.

Don't try to "get over it." If one could "will away" depression, there would be no need of doctors or drugs. What you can do is understand why you feel like you do, and explain to your would-be counselors that you wish it were that easy, and that you appreciate their concern. Don't push them away—at the very least, you can be positive that they are there for you, however clumsy and unaware their platitudes may be. Who knows, their bumbling efforts may even provide some amusement or distraction!




3. Take care of your body and soul. Given that you are probably an emotional wreck in a world of sewage, swimming in the debris of whatever damage the suckage has wrought, this is not the time to become a world champion hotdog eater, consumer of tubs of ice cream, or finding the bottom of the bottle of Jack. Treat yourself well, even though you feel like hell. How, you ask? Here are some ideas:

Give your pet some love. They know you're not their normal human, but the beauty of pets is unconditional, unquestioning love. Be playful with them, find a simple game that amuses both of you (the fake ball-throw is always a canine favorite), and let yourself forget your troubles for 5 or 10 minutes. It won't solve your problem, but it will lighten the load.

My personal advice is to contact a GP friend - either by phone or on Facebook. Get all of your anger out/frustration/sadness out. The person on the other end of the line understands completely.

Another bit of personal advice I'd like to throw in is to write. Writing has always been my stress outlet and it helps me cope with isolation and sadness.



4. Cut back on the caffeine drinks. You don't need to quit, but cutting back will help reduce chemically induced anxiety and stress, and smooth any recovery time.

Exercise your body. It may be a sport you enjoy, yoga, cross training, or even a simple walk in the park. But keeping your body active will help your outlook.

Throw yourself into a hobby you enjoy. Whether it's art, photography, music appreciation, or building a ship in a bottle, focusing on something other than the suck factor will give your mind some time off for good behavior.

Join a community that you're not already part of. It could be a support group for whatever you're going through, or a group of people that share your love of Lord of the Rings, or a charity such as Habitat for Humanity. You may find solace and purpose in ways you never imagined.

Do not crawl into a hole and disappear. Your friends and loved ones probably know your life sucks. They may or may not be able to help you directly, but they can give you emotional and moral support.

Sleep. You don't need to be told this. Your body is probably begging you for it when you are in the middle of hard times. You may actually be drawn to sleep all day. While that might feel good at the moment, it only puts off the inevitable, so try to maintain good sleeping habits. Maintain a consistent sleep schedule, but allow yourself some leeway. If you sleep fitfully for half the night, then finally fall asleep at 4am, don't get up at 6:30 unless you absolutely must. Let your body get about 8 hours for the best results.




5. Seek help immediately. Yes, life sucks. Sometimes, it can become overwhelming to the point where you figure that swallowing a bottle of pills, or a 9 mm, will be preferable to another day of pain. If those thoughts start to invade your senses, deal with them as if your life depended on it—because it does.

If you're just starting to have those thoughts, speak to your physician or your therapist. They may prescribe something to help steer you back to the center, emotionally. It may be the act of talking about it is therapeutic enough, but don't assume that. Leave that call to the professionals.

If you're at a more advanced stage, thinking about last meals, what to write, how you'll do it, and if anybody will even care (or that this will "teach them a lesson"), stop whatever you 're doing. Pick up a phone. Dial 1-800-273-8255, and tell them what's on your mind.
If your urge is not quite immediate, go to Google, and enter "suicide hotline." The results should include the number above, plus local resources that can help, no matter what the cause.

Note that if your in the end stage of a terminal illness, the above suggestion may be not be the best course. Some countries, and one State in the United States, permits physician-assisted suicide—its purpose to provide for a quiet, controlled departure from this world.


Some Tips:


Remember to laugh. Laughing is a natural way to release tension.

Thinking positively means hanging on to hope and looking for new possibilities at the time when life's gotten too hard. It means striving against its challenges, however extreme. It means hanging on to what is good in yourself if everything else gets swept away and valuing your compassion, your warmth, your capacity to find beauty. There is always the sky, there is always a dewdrop on a weed. Speaking broadly, there is always tomorrow.

When you think positive, positive things do happen, in times of crisis it's hard but remember as hard as it seems the world does not owe us anything. Things happen for a reason. Stay strong, this is just a chapter in your life.

Be positive and active.

If the above fails for you, take the Buddhist view: Life is difficult. The fallacious thought is that we can change that. In accepting that life indeed is difficult, we begin to make it less painful...not less difficult.

To "go for it," simply get up and do it. If there's even the smallest voice inside saying, "Get up!", to do what it says; just dive in! Turn off the computer, turn off the TV, and get going!

When you think positively, you begin to view the world around a little more gently; you tend to look on the better, clearer side. Being resentful will render positive thinking useless.

Find a friend and talk it out. Ask them just to listen. Sometimes telling the situation out loud you hear it from outside your own head and see the situation more clearly. Talk therapy is great.

Leave bad fears in the past,don't let them ruin your future because its your future that your future that counts the most....

Love, forgive yourself. Don't be harsh on yourself.









How to Train Your Brain to Stay Positive - Article can be found by clicking HERE.

According to the article,

You can learn to cultivate resilience by training your brain to stay positive when times are tough.

"People tend to have a cognitive bias toward their failures, and toward negativity," says Matthew Della Porta, a positive psychologist and organizational consultant. Our brains are more likely to seek out negative information and store it more quickly to memory.
Related




Work Positive in a Negative World Work Positive in a Negative World
By Joey Faucette


Of course, that bias is not always bad. Acknowledging problems and facing failures can lead us to better solutions. But too often, we go overboard, and beat ourselves up for our failures or let ourselves dwell in the negative.

By consciously increasing our focus on the positive, we start to even the balance. We find a happy medium where we can address failures and challenges without letting them get us down, leaving us more motivated, productive, and likely to succeed.

Try these three tips to help you train your brain to stay positive:

1. Express gratitude.Negative events loom large unless you consciously balance them out. "When you're faced with challenges, it's important to take stock of what's going well," Della Porta says. Thinking about the good in your life can help balance that bias, giving your brain the extra time it needs to register and remember a positive event.

To help your brain store positive events, reflect on what you're grateful for and why at least once a week. Write down your blessings, such as the opportunity to pursue a career you love or a family that supports you. If you prefer a daily habit, then keep a nightly log of good things that happened that day. "Just keep it very short," Della Porta says. "If you try to hammer [gratitude] home, then it becomes mundane." Day One, a journaling app for Apple devices ($4.99), or OhLife, a free email-based journal, can to help you do this.



2. Repeat positive affirmations. As any politician or advertiser knows, the more often you hear a message, the more likely you are to believe it. The same goes for messages about who you are and what you are capable of doing. By repeating positive affirmations with conviction several times each morning, you are training your brain to believe them. "Over time, you'll start to internalize them," Della Porta says. Repeat your affirmations silently if you feel self-conscious.

Choose two to three affirmations that represent your values and goals, such as 'I can handle whatever comes my way,' 'There is plenty of time,' or 'I’m getting better every day.' The repetition will influence the way you interpret negative events, making you more resilient. "Especially if you're predisposed to negative thinking, this can be extremely effective," Della Porta says.



3. Challenge negative thoughts. Each time a negative thought arises, we choose how to respond. If left to our own devices, we tend to dwell. Our brains home in on negative events so they seem much bigger and more significant than they are. To combat that, start by imagining the thought as separate from yourself, as something you can observe and deconstruct. "Get in the habit of distancing yourself instead of dwelling," Della Porta says.



Next, challenge negative thoughts that are unfairly self-deprecating. For example, if your start up doesn't get the traction you hoped, you might think, "I'm a failure." That's untrue and unproductive. Instead, practice interpreting the same event differently. You might say, I worked really hard but I didn't account for a quirk of the market, so I'm disappointed, but now I’m going to try again with new information. That interpretation is gentler, truer, and more proactive. "At first, [this strategy will] be hard and you’ll think it doesn't work," Della Porta says. "But over time, it'll become automatic and negative thoughts will be less likely to come up. No one does this naturally; you have to learn and practice."

Read more: http://www.entrepreneur.com/blog/225683#ixzz2XLKRcKIx








That leads me into the next article I found:



How to Stay Positive in Challenging Times which you can read by clicking HERE.

According to the article,

Are you having trouble staying in a positive state of mind when challenging circumstances present themselves? The universal laws state: So without, so within. Everything is a mirror. We cannot change the reflection, but we can change the original (ourselves), and then, automatically, the reflection changes.

Here are my top five keys that can help you cultivate not only a positive mindset, but also the feeling state necessary for the positive law of attraction. The more you focus on bringing awareness to accepting and loving yourself, the more your inner beauty and harmony are reflected in your outer circumstances.

1. Relax and Accept - Relax and accept the challenging situation. Don't fight it, because that will make it worse. The more relaxed you are, the more productive you are. Creativity arises out of a relaxed state. And it's creativity that you need to come up with solutions to the situation you are in. Notice that I use the word "situation" and not the word "problem." There is no such thing as a problem, only a situation. When you shift your perspective and see the situation as it is, without negative commentary, then you come up with creative solutions, and/or you find the right person to help you.


2. Watch the Mind- Make a practice of watching the thoughts of the mind with non-judgment and compassion for yourself. It is not the thoughts that are the problem, it is our identification with them that creates stress and anxiety.

For five minutes a day, sit with eyes closed, body relaxed, and observe the thoughts of the mind. You don't have to censor them, or force them to be other than they are, simply observe with non-judgment, and let them pass by.

Over time, you become less identified with the thoughts, and more connected to your creativity, wisdom and clarity.

3. Create Positive Thoughts - A powerful way to undermine the influence of negative thoughts on your wellbeing is to create a practice of saying positive thoughts to yourself. At the beginning, these might seem tedious or silly, but, believe me, it works! The easiest way to break a bad habit of self-judgment and criticism is to create positive phrases that you repeat to yourself as often as possible. Even if you don't really believe them in the beginning, say them anyway! Over time, they become a habit and the negative thoughts simply dissolve.

4. Surround Yourself With Positive People - Be alert to people who like to complain, bad-mouth others, and/or have a depressed outlook on life. Avoid them. Keep yourself in the company of positive thinking people. This is a powerful way to keep yourself in a positive energy field that will lift you rather than bring you down. Your life is not determined by outside circumstances, but rather by how you respond to those outside circumstances.

Remember that all things are possible, there is a lot going on that is unseen to you.

The more you keep yourself on a positive vibrational level, the greater your chances of having positive outcomes to challenging situations.


5. Be Grateful, Laugh, Celebrate - Be grateful for what you have. If things are really bad, be grateful for being able to breathe, get out of bed in the morning, use your legs. Be grateful for the sunrise and sunset, for the beauty of the sky, the trees, the birds and flowers. There is always something to be grateful for. Put your focus there and celebrate what you have. Laughter is a powerful attractor factor. Seek out ways to bring more laughter into your life. You will be amazed at the miracles that occur.

Meditation: Befriending the Mind

Benefits:
When you befriend the mind you are surprised how radically life can change. It becomes much easier to dis-identify from the mind's constant chattering and see yourself, and life's situations, with more clarity and objectivity. You see life's dramas with perspective and compassion, and insights and understandings arise naturally.

Directions:
Find ways to befriend your mind. The mind is our bridge from the subconscious to the conscious, our gateway of expression to the outer world. Be grateful for it. Find ways to appreciate the insights, understandings, and creativity it brings. See it not as an enemy but as a friend.

As this friendship with the mind deepens, your mind no longer disturbs you. You are not fighting it; you are simply letting it's thoughts pass by.The mind and the ego want to make it complicated, but it is not. Life sings a different tune when you are not controlled by the mind. Your natural joy, spontaneity, self-acceptance, love and compassion arise quickly and easily.

There is one other article that I think you should read and it's at Live Your Life Well. It describes tools, much like the articles I've just quoted, that could help you too. Click HERE to read it.

I know it's hard to stay positive, but look inside yourself and find one positive thing that's happened to you today. Mine was that I was able to leave the bed. It seems such a small thing but it's the little victories that make you pick yourself up to keep fighting.










Friday, June 21, 2013

Poop - What the Different Colors and Smells Mean

Image taken from Doctor Oz here: http://www.doctoroz.com/videos/poop-color-chart


I know this is a taboo subject because many of us are embarrassed to ask for help. I, myself, have had issues going number two in the bathroom. If I do have a bowel movement, it takes weeks.

When I finally can go to the bathroom, I'm in there pretty much nonstop. There is no warning for it, I have to go RIGHT THEN. So I decided to share some sources with you to help you when you are questioning weird smells or colors of stool.

Stool color is generally influenced by what you eat as well as by the amount of bile — a yellow-green fluid that digests fats — in your stool. As bile pigments travel through your gastrointestinal tract, they are chemically altered by enzymes — changing the pigments from green to brown. Below are the colors and what they mean.


According to Wikihow, here's how they break it down,

"An Article From Wikihow which is here: http://www.wikihow.com/Check-Your-Health-by-Poop-or-Stool-Colors

Medium brown bowel movement: Think "mb-BM" -- the healthy, reassuring color for your well being. Keep your GI system running smoothly, checking these suggested color-rules -- regularly and keep regular (twice a day is great, but even harder with GP).

Virtually all brownish-tan to medium shades of brown (color caused by bile during digestion) and even green (colored by green vegetables) are considered normal. Very dark brown stool color indicates a potentially serious intestinal condition due to bleeding.


Dull red or dull black bowel movement. Scary, but not always bad! Check this: dark or reddened stool, may often be:


Related to food or medications. Red shades? That may be from red food: beets and tomato sauce/paste products (eating a lot of various red sauces), BBQ, loading up on Ketchup, beets, cranberries, tomato juice (or soup), red gelatin or drink mixes, paprika and red pimiento peppers in sufficiently large amounts.


Dulled blackish shades may be seen after eating black jelly beans, black licorice, blueberries, iron pills, or using some anti-diarrhea medications.

Green bowel movement. Shades of green are considered unusual but normal (including green seen in diarrhea, regardless of color can be very serious, when food passes through the colon too quickly for final digestion there that can cause a green shade).[2] Green stool is not only on Saint Patty's Day, but can be from the green beer (green dyes in the food). And, also the result of consuming:

Green vegetables, including greens, spinach

Iron supplements (see black)

Or certain medications.






When to Seek Out Emergency Help:


Urgent -- tarry black, "black as tar": This is a sign of dangerous, deadly "bleeding" (a significant amount of digested blood). Call your doctor -- or get 'emergency care'! about checking bleeding or hemorrhaging in the upper GI tract: intestines, the stomach or the esophagus.


Urgent -- ashy pale colors: these can indicate liver or pancreas problems -- Call your doctor! If you see gray, clay-like stool that not only may suggest a liver problem, but also could mean your pancreas is inflamed and/or infected. Bile made by the liver is what makes stools turn brown; by not having enough bile, you'll get those ashen shades indicating:

Obstruction (possibly gallstones) of bile creation or its ducts, such as by infections, scarring, possibly by tumor or cancer, in the area of the liver, pancreas or gallbladder, Pancreatitis, Cirrhosis (Hardening) of the liver, or hepatitis.

Light-colored, white or clay-colored may suggest a lack of bile in stool. This may indicate a bile duct obstruction. Side effect of certain medications, such as "large doses" of bismuth subsalicylate (Kaopectate, Pepto-Bismol) and other anti-diarrheal drugs.

Caution: If there is a significant amount of bloody red stool, blood streaking, often caused by bleeding of internal or external hemorrhoids, or a maroon/red poop which means undigested blood: including other internal bleeding in the lower intestine, such as the large intestine or rectum -- Call your doctor -- or get 'emergency care' if: These red poops can also be of other kinds and due to:

Intestinal bleeding, including diverticulitis, ruptured intestinal walls (Dial that doc!).



Needs diagnosis. Yellow, greasy, foul-smelling. Excess fat in the stool can be due to a malabsorption disorder, for example, celiac disease, involving the protein gluten, as in breads and cereals. But, see a doctor for evaluation. Yellow stool is unusual, and may be a symptom of a serious medical condition. Yellow stool can be caused by conditions that reduce pancreatic lipase production or that block its transport to the intestines.

Infection, yellow diarrhea, if Giardia. That is a parasite that can be found in waste products and contaminated water, can cause yellow diarrhea, fever, and flu-like symptoms. "If your yellow stool persists for more than a day or two or causes you concern, seek prompt medical care."



When to Worry:

Record notes on getting worried about "any other colors" you're passing/dropping: think about all the possibilities:

Keep a record for 3- to 7-days to share your shades with your medical team to get the doctor's blessing/discursive views.

Check the reasons change color and "Poop Color Chart" (which you will see as the first picture posted at the beginning of this entry). You can see a page of facts about poop color at an online school.



Newborns, infants and toddlers

Observe newborns and infants, see also, Understand Baby Health by Poop Colors, Stool:
Newborns early-on will pass a dark green stool called meconium, which is normal, as are:
Breast-fed infants often producing yellow-green, green-brownish stool colors.
Formula-fed infants often moving yellowish, light-tan or brownish stool colors. See a doctor. Black, very dark, bloody after the first few days from being born is not normal."



I wanted to get a broaden my research to see if there are other perspectives that might be helpful as well. I mean, I knew what most stools meant but I'm learning things I never knew while writing this article.

According to WebMD, the link found here: http://women.webmd.com/pharmacist-11/digestive-problems this information could be helpful:

"Bowel movements are the end result of your body taking the nutrients it needs from the food you eat and eliminating what's left.

“Bowel movements are important for your health because they are the body’s natural way of excreting waste from the body,” says Eric Esrailian, MD, section head in general gastroenterology at the David Geffen School of Medicine at UCLA.

When it comes to frequency, color, shape, and size, a general rule of thumb is that normal bowel movements are defined as what’s comfortable for you. But being knowledgeable about your digestive process can help you identify when normal goes awry.

Frequency: “There is no normal when it comes to frequency of bowel movements, only averages” says Bernard Aserkoff, MD, a doctor in the GI Unit at Massachusetts General Hospital in Boston.

It’s average to go once or twice a day, he says, but many people go more, and some go less -- maybe every other day, and or as infrequently as once or twice a week. As long as you feel comfortable, you don’t need to give your BMs much thought.

Color: “Bowel movements are generally brown in color because of bile, which is produced in the liver and important to the digestion process,” Aserkoff tells WebMD.

The food you eat typically takes three days from the time you eat it until it finishes its journey in your toilet, Aserkoff says. If it takes a shorter time, the result may be greener stool because green is one of the first colors in the rainbow of the digestive process.

Color can be a red flag when it’s a drastic change, Aserkoff says.

“If stool is black, it can mean that you are bleeding internally, possibly as a result of an ulcer or cancer,” he says. Stool that is black due to bleeding is also "sticky" (tarry) and smells bad. However, black stools are common when taking a vitamin that contains iron or medications that contain bismuth subsalicylate.

Stool that is light in color -- like grey clay -- can also mean trouble if it’s a change from what you normally see. Although it doesn’t happen often, very light-colored stool can indicate a block in the flow of bile or liver disease.

Size and shape: “We used to believe that size was indicative of a problem if the stool was ‘pencil-thin,’” Aserkoff says. “But recent research indicates that this is actually not true.” Size and shape are irrelevant, Aserkoff says, if what’s coming out is normal for you.

Odor: Bowel movements usually smell. But is it normal if your trips to the bathroom mean that the rest of the family has to avoid that part of the house for an hour or two?

The answer is yes. It’s normal, and probably a good sign that your gut is abundant with bacteria that is working hard to keep you healthy.

Your intestines are swarming with trillions upon trillions of bacteria that enhance digestive and metabolic processes. They are also the reason why poop smells -- a direct result of the bacterial activity in your GI tract. So although it's no bed of roses, it is normal for your bowel movements to stink.
Poop Problems

So what happens when your poop process gets out of whack? The first sign that your intestines aren’t up to par is a shift from your normal GI routine, and as a result, discomfort below the waist.



Constipation and Diarrhea

Constipation is a concern when you normally have a bowel movement once or twice a day, and that changes -- maybe you haven’t gone in three days, or more. However long it’s been, you now feel gassy, bloated, and generally uncomfortable. When you try to go, you have to push and strain, and what comes out is a whole lot of nothing.

Constipation can have many causes. It might be that you’ve had a shift in your diet, such as a drop in fiber intake, or maybe because you’re not drinking enough water each day, or because your physical activity level has decreased, slowing your metabolic processes down, including digestion. Certain medications (such as narcotic pain medicines and iron supplements) can also cause constipation problems.

Although constipation causes one set of problems, diarrhea can also mean digestive disaster. Whether it’s caused by a meal that just didn’t sit right, or a harmful bacterium or virus, it's categorized by loose stool, and another hallmark of GI trouble -- discomfort.

“Diarrhea can be caused by any number of factors,” Aserkoff says. “But the problem with diarrhea, in addition to the obvious, is that it can cause other health problems, like dehydration, if you’re living with it for more than two or three days.”

Generally, you recoup from a bout of diarrhea or constipation in a day or two, Aserkoff says. If not, it’s probably worth a trip to the doctor for further GI troubleshooting.



Blood in the Stool

“One of the most significant warning signs when it comes to bowel movements is blood in the stool,” Esrailian says.

Blood in your stool could be a symptom of something as significant as cancer and warrants a call to your doctor right away -- even if you think it could be hemorrhoids, or tiny tears in the anal tissue, as a result of constipation and straining, he says. If you’re over 50, or if you have a family history of colorectal cancer, a colonoscopy is probably in order.

Other warning signs to watch for when your bowel movements have taken a turn for the worse are fever, abdominal pain, or dehydration -- any one of which could be tied to GI trouble, such as a virus, appendicitis, or food poisoning.

Proper hydration is also key for your colon, ensuring you have enough fluid in your body to move stool through the digestive track and out the other end on a regular basis, Esrailian says.

Exerciseis also beneficial for your bowels. It helps improve GI “motility,” he says, and can often alleviate constipation by improving your metabolic and digestive processes.

Overall, normal is a pretty easy mark to make when it comes to your bowel movements, both experts say, and aside from the warning signs they offered, what goes in one end usually comes out the other with minimal problems along the way."



Poop Smells and What They Mean:

According to Kymberly Snyder, with her link here: http://kimberlysnyder.net/blog/2011/10/18/what-your-poop-and-pee-are-telling-you-about-your-body/,


++ Click to Enlarge Image ++
What is your poop and pee telling you
Source:What Your Poop and Pee Mean





Five Ways Poop can Advise you for Your Health:
Article by Lynda Thrasybule, link here: http://www.livescience.com/36689-poop-health-signs-disease-infection.html


"A person's poop can say a lot about his or her health. How often you go to the bathroom, and how much waste you expel, can indicate your general digestive health.

"The digestive tract contains more bacterial cells than there are cells in the entire body," said Dr. Jean-Pierre Raufman, a gastroenterologist at University of Maryland School of Medicine. "It's very important that our bowels work well to absorb necessary nutrients but also keep out any foods, chemicals and germs that could do us harm."

While most people probably don't want to put much thought into pooping, it's an essential body function that can tell them if something is wrong. A change in bowel movements could be due merely to a change in diet, but it could also mean the body is fighting an infection or dealing with a serious condition.

Here are five hints that your poop could be giving you about your health"




Color

Stool color is often a reflection of what you eat. While various shades of brown are considered normal, some colors like black or yellow are not.

"Black stool could indicate bleeding in the stomach or the first part of the small intestine," Raufman said.

Iron supplements can darken the stool to more of a dark green, he added. Taking bismuth-containing medicines, such as Pepto-Bismol, or eating black licorice or blueberries also may cause black stools.

Bright red stool usually suggests that blood is coming from the lower part of the digestive system, such as the large intestine, rectum or anus.

Pale white or yellow stool also can mean a problem.

"The reason why stool is brown is because of our normal production of bile," Raufman said. "If there's a problem with bile flow, that may mean a problem like cancer of the bile ducts, or pancreatic cancer or hepatitis."



Shape

A change in stool shape also could be cause for concern. Stools that are narrow and pencil-thin are thought by some experts to be a symptom of colon cancer.

"It could be a sign of obstruction in the lower part of the colon," which means the bowel is partially blocked, getting in the way of the fecal matter that is passing through, Raufman said.

Another sign of a potential problem is soft stool. Stool that sticks to the side of the toilet bowl, or is difficult to flush, could indicate the presence of too much oil.

"Oil floats, so you'll see it in the water," Raufman said. "They look like fat droplets, which can mean the body isn't absorbing the fats properly." Diseases such as chronic pancreatitis block the body from properly absorbing fat.

Whether stool floats depends on how much gas is in it. "Generally, stool that sinks or floats don't mean there's a problem," he said.




Smell

Though the smell of poop can be rather unpleasant, smells that are particularly strange or foul shouldn't be ignored.

"It's hard to tell people that stool can smell even worse, but it can," Raufman said. "If there is a change in your stool that persists or is unusual, you should see your doctor."

Stool is made up of undigested food, bacteria, mucus and dead cells. It usually smells bad because of the bacteria and parasites, but it also can have compounds that produce an especially unpleasant smell.

"If you have blood in your stool, that usually comes with a particular strange odor," he said. "Also, stool with a lot of fat can smell particularly bad."

Reasons for a foul smell could include certain medications, having food that's been stuck in the colon for too long, or having an infection, he said.



Constipation

Dry, hard stools that are hard to eliminate are a sign of constipation. People who are constipated may have bowel movements fewer than three times a week.

Constipation is a common complaint, and most people experience it at least once in their lives. More than 4 million Americans have frequent constipation, according to the National Institute of Diabetes and Digestive and Kidney Diseases.

Constipation could be caused by a number of factors, including a poor diet, lack of exercise, certain medications, lack of fluids or various bowel disorders.

If ignored, constipation could lead to complications such as hemorrhoids or rectal bleeding. The best way to relieve symptoms is to follow a well-balanced high-fiber diet, drink plenty of water, try to exercise regularly and go to the bathroom when you feel the urge.



Diarrhea

Diarrhea happens when loose, watery stools pass through your bowels too quickly. Generally it lasts one or two days and goes away on its own.

"It's a normal way for the body to get rid of toxic substances, like bacteria or viral infections," but it also can lead to dehydration, Raufman said.

Parasites found in water and food can enter the body and disrupt the digestive system, causing diarrhea that can last several days.

Diarrhea also can suggest a more serious problem. Diarrhea that lasts for at least four weeks may be a sign of a chronic disease, such as irritable bowel syndrome or Crohn's disease.

But diarrhea also could be a sign of chewing gum that contains sugar alcohol, such Xylitol or sorbitol. Raufman said, "Someone who chews one or two packs of sugar-free gum a day could also get diarrhea.""


I hope this has been as informative to you as it has to me! I learn new things all of the time about GP. But, the poop question, I couldn't pass up. I know a lot of people are curious about it, so I hope this article helps!

Thursday, June 20, 2013

Aversions to Food and Why the Smells Make You Ill

I recently received a request to cover this subject. I have to admit that I was a bit curious too. If anyone cooks (my room is off of the kitchen) or makes coffee, I start vomiting. If I sit down and try to eat, I can't I'm being conditioned not to eat by my scumbag brain and here's why:




The psychology of food aversions
Written by: David Solot with CNN

He writes,
Is there a food you just don’t like, and you can’t explain why? Or perhaps a food that made you sick once, and now you can’t come near it? It could be the result of a million-year-old survival mechanism.

When I was about six years old, I started hating cherry Jell-O. There was no apparent reason for it. I liked cherry Kool-Aid and shaved ice, and I was fine with other flavors of Jell-O. But the sight or smell of cherry Jell-O would instantly make me nauseated.

My reaction to it was so bad that my parents used to tell people I was allergic to it, just to avoid my reaction. They even wrote it down under “allergies” on a school form. I just couldn’t touch it without feeling sick.

Perhaps you feel the same way about raw tomatoes, yogurt, or eggs. If there’s a food that makes you feel sick on sight, chances are that your brain is enacting a behavior that’s been passed down for millions of years. It’s called taste aversion, and it’s one of the strongest conditioned reactions in humans.

Here’s how taste aversion works: You and your buddies go out for a few drinks. You’re young and wild and love drinks with the strong coconut flavor of Malibu Rum. Things get a little out of hand, and you spend part of the night praying to the porcelain god. You recover, and next weekend go out for drinks again. The bartender passes you your favorite drink, but this time the smell of coconut immediately makes you want to vomit. You loved Malibu for years, but now, the very thought of it makes you sick.

What you’re experiencing is your brain protecting you from being poisoned. When we were primitive creatures, we weren’t sure what was safe to eat so we tested things out.

If you survived the experience, your brain had to make sure that you never ever ate that same thing again. So, if you ate something that made you feel ill, your brain decided "better safe than sorry," and conditioned you to feel sick anytime you saw, smelled or even thought about that same food.

The next time you went foraging for food and came across a berry that made you feel sick in the past, you would get hit with an overwhelming feeling of nausea and go eat something else. The people who were good at developing taste aversions lived and had children. The ones who were bad at it - well - they largely got poisoned and died. So over the centuries, our ability to form taste aversions got stronger and stronger.

The reason your night of drinking resulted in a hatred of Malibu is due to this same survival mechanism. When you felt nauseated at 3am, your brain sensed that you had been poisoned. Your brain didn’t know for sure what caused it, but it did remember a really strong coconut flavor from earlier that night.

To protect you, your brain decided "better safe than sorry," and assumed that the coconut flavor was to blame. To make sure you don’t poison yourself in the future, it set up a conditioned response so that the smell or taste of coconut will make you feel sick.

That’s how taste aversions work properly - you no longer want to eat the thing that made you sick. But it can get more complicated than that.

You may find that you suddenly hate coconut shavings on ice cream. A year later, you may push away a plate of coconut-battered shrimp at a restaurant, and have no idea why you find it so repulsive. Taste aversions are just that powerful, and they can last for years after only one bad experience.

To make matters more confusing, sometimes aversions form for the wrong food. Imagine that on the way to work one morning you stop off for your traditional cup of coffee. Later that day, your coworkers all go out for Indian food. You’ve never had Indian food before, but you’re up for something new. You have a delicious meal and try lots of new items. But around 3pm, you start feeling queasy. It gets worse and worse, and by the evening you’re sick to your stomach and not able to hold anything down.

Your brain senses that you’ve been poisoned. Once again, it isn’t sure what did it, but it does remember a lot of strong spices and flavors that it never tasted before. To make sure you don’t poison yourself in the future, your brain decides “better safe than sorry,” and conditions you to feel sick any time you smell, taste or even think about Indian food.

The problem is, it turns out that there was nothing wrong with the Indian food - it was the creamer in your morning coffee that had gone bad! “No way,” says your brain, “we’ve had that coffee every day for a year. We know that it’s safe. It had to be that weird new food we ate.”

Suddenly you have a strong aversion to Indian food, even though it tasted good and there was nothing wrong with it. To make matters worse, you’ll probably never know your hatred of Indian food is irrational, because you don’t know that the real cause of your illness was your coffee. You’ll likely think that Indian food makes you sick and avoid it in the future.

This kind of thing is happening to us all the time, and we’re mostly oblivious to it. Have you ever had a really bad cold, and decided to make yourself feel better by eating your favorite food? You might find a few days later that you’ve stopped liking your favorite food. That’s taste aversion in action! Your brain assumes that the illness was caused by the food, and is teaching you to not like that food any more.

This effect is so strong that people undergoing chemotherapy (which can cause severe nausea) are cautioned to avoid their favorite foods. You might think you’re comforting yourself, but what you’re really doing is teaching your brain that "favorite food = feeling sick."

Luckily, our conscious minds are mostly able to overcome this effect. The key is to recognize what is happening and to think about the reason for the reaction.

Consciously reminding yourself that what you’re about to eat is not poisonous can help you to interrupt the automatic survival mechanism. With practice, you may find that you are able to stomach the foods that used to hate. You may even start to like them again.

The key is to go slowly, and expose yourself to the food in positive surroundings. Teach your brain that there’s no connection between the food and feeling bad.

As for my cherry Jell-O aversion, I remembered that back in kindergarten I was served room temperature cherry Jell-O and whipped cream, all swirled together. I got sick to my stomach, and that’s when I started hating it. By thinking about the cause of my reaction, I was able to teach myself to enjoy cherry Jell-O again. But if I put whipped cream on it, I still get a little queasy. A million years of evolution is hard to overcome!

Is there a food that you just can't eat because you got sick from it? Please share below.



There is another website where the scientists are conducting research on food aversion. You can read more about it http://www.answers.com/topic/aversion-to-food.

With my personal experience, I keep vomit bags in my purse in case my husband has to meet with people, and that usually involves a restaurant. I would actually sneak off and vomit because I didn't want to embarrass myself. But, the food smell at the restaurant really bothered me. I haven't been to a restaurant in a while because of that. As a matter of fact, it's been but three days since I've eaten because my stomach is still spasming from botox.

I hope this helps somewhat! But there is a scientific reason behind it - your brain is trying to protect you.

Monday, June 17, 2013

Laxatives - Friend or Foe for Gastroparesis

Laxatives and My Story

As always, do not try laxatives or anything without first consulting with your GI/Motility Doctor to make sure that this is the right course for you. According to Wikipedia, "Laxatives are foods, compounds or drugs taken to loosen the stool, most often taken to treat constipation. Certain stimulant, lubricant and saline laxatives are used to evacuate the colon for rectal and/or bowel examinations, and may be supplemented by enemas under certain circumstances. Sufficiently high doses of laxatives may cause diarrhea. Laxatives work to increase the movement of feces along the colon. Some laxatives combine more than one active ingredient. Laxatives may be oral or in suppository form."

I always see questions about laxatives when it comes to Gastroparesis. The most recent question that was asked by anonymous, "Does anyone use laxatives to manage their GP?"

From my personal experience, the Mayo Clinic doctor I saw told me to use Milk of Magnesia nightly. There are many different flavors of it, so I could pick and choose which one I wanted to take. In the end, I chose cherry. The image source can be found by clicking HERE.


After trying laxatives for about a month, it helped somewhat. My advice, if you are just starting out using laxatives to help constipation with Gastroparesis, try a low dosage first. Then, gradually increase the dosage until something happens. You don't want to start off with a huge dose and suffer for hours in the bathroom, which I'm ashamed to admit has happened to me before.

But, my body has the issue where nothing seems to really move down but everything comes back up. With the Milk of Magnesia, I was able to have a bowel movement maybe once a week and a half which is more than what I was doing before. However, my Mayo doctor wasn't impressed with that and had me up the dosage. I take it nightly but since I barely eat, nothing really comes out. My specific problem is that almost everything I eat or drink comes up, instead of going down.

So, I posed a question to the Gastroparesis Page on Facebook (www.facebook.com/greensnoteasy) and Gastroparesis groups on Facebook to ask about different people's experiences and results with Laxatives. I received an amazing amount of responses.

Jax replied, "I have a laxative regimen for severe slow transit constipation - Movicol liquid 40ml 4 x a day (easier than sachets) I take Paraffin Liquid 3 times a day - Glycerin Suppositories twice a day - Docusate 3 times a day - microlette micro enema (daily) - Bisacodyl (my colo-rectal Specialist swears by that) and various other stool softeners. However none of that moves by bowel so I need it removed. Even pre-op bowel cleaning meds/bowel wash outs don't work for me, I was admitted for a week to have them all to try and kick start the bowel with no success at all. The large amounts I take do cause me to have more nausea/vomiting at times. Some aren't too pleasant to taste and the volumes I take don't sit well. Sometimes I get the crampy feeling that I'm about to have diarrhea but it never happens as I'm so impacted (except overflow after a few months). Before it all got this bad, I simply used Senna (Senokot) 8 a day and they helped provide gentle relief."

Alison says, "Hi Emily. I have to use laxatives every day or else nothing occurs. I have found the best ones for me are bisocodyl (ducolax is the counter name). I have to take a minimum of 6 a day if I take less nothing happens & wen I need to take more then its a stay nearer to toilet facilities than usual. If I take just the 6 I go once any less than 6 I won't go at all. The only issues I get are cramping sometimes but that's usually if they haven't worked the day before. Tried picolax & a dissolvable sachet one before but they didn't do anything so ended up compacted. Not nice lol. It helps but adds extra stress of having to take extra meds but thanks GP is all I can say to that is lol."

Brittany responds, "I live on Miralax daily, take laxatives very often, and do enemas and suppositories also very often. This isn't related to my GP though. I've always had chronic constipation and if I don't take anything, I just don't go. I've been diagnosed with colonic inertia (slow transit colon), and there are talks of having my colon removed in my future."

Brandy says, "I used to before I started using 2 body by vi shakes as meals and just eating one solid meal/small snacks. I haven't had to in months now."

Jami replies, "I was diagnosed with colonic inertia around the same time I was diagnosed with GP. We realized I had been severely constipated my whole life after I developed a rectal prolapse (at age 21). Medtronic has another pacer that's the same as the gastric pacer except that its implanted in your back and helps to stimulate your colon. I got that. It didn't help with my colon (but helped my bladder issues tremendously, so we kept it in). I ended up having to have a colectomy (3 surgeries in one: colectomy, rectal prolapse repair, & pelvic hernia repair). That helped me so much. I never knew what it was like to have a BM everyday. Before the surgery I had a bm maybe once every 2-3 weeks (but I didn't know that wasn't normal bc I've never had a discussion with anyone about the frequency of BM's and because I've only gone once every 2-3 weeks for as long as I can remember). The biopsy of my colon showed that over half the cells weren't functioning at all, which basically means that my colon barely worked and that it might be paralyzed (possibly GP related)? I still have to take Mirolax occasionally but that surgery made my life much easier."


So are Laxatives a friend or a foe? Well, with Gastroparesis, they can be both. I usually view them as a foe because of all of the pain they cause - the cramping, waiting around, and pain. But, there are times that laxatives can be useful. So, I'll let you decide which camp you fall into - friend or foe.





Sunday, June 16, 2013

Juicing Recipes and Tips for Gastroparesis



Juicing; How Healthy Is It? What to Know Before Adding Fresh Juice to Your Diet.

According to Anna Nguyen through Web MD, Juicing is popular. A lot of my friends with Gastroparesis juice to get the nutrients that they need. But before you try it, you might want to know what it may or may not do for your health.

For example, what are the nutritional benefits and drawbacks? Nguyen goes into more detail with pros and cons of juicing.

Jennifer Barr, a Wilmington, Del., dietitian, occasionally makes fresh juice as a snack for her kids. Her favorite juice combines kale, carrots, ginger, parsley, and apples. She then adds the leftover pulp from her juicing machine into muffins.

“If you’re not big into fruits and vegetables, it’s a good way to get them in. It can help you meet daily recommendations in one drink” and be part of a healthy diet, says Barr, MPH, RD, LDN, who works at Wilmington's Center for Community Health at Christiana Care Health System.

But you shouldn't count on juicing as your sole source of fruits and vegetables.

"Don’t think because you’re juicing that you’re off the hook with eating fruits and vegetables,” says Manuel Villacorta, MS, RD, CSSD, an Academy of Nutrition and Dietetics spokesman and founder of Eating Free, a weight management program.

Aim to eat two whole fruits, and three to four vegetables a day. They should come in different colors, as the colors have different vitamins and minerals, Barr says.



Is Juicing Healthier Than Eating Whole Fruits or Vegetables?

According to the Mayo Clinic Website and expert Jennifer K. Nelson, R.D., L.D., Juicing probably is not any healthier than eating whole fruits and vegetables. Juicing extracts the juice from fresh fruits or vegetables. The resulting liquid contains most of the vitamins, minerals and plant chemicals (phytonutrients) found in the whole fruit. However, whole fruits and vegetables also have healthy fiber, which is lost during most juicing.

Proponents say that juicing is better for you than is eating whole fruits and vegetables because your body can absorb the nutrients better and it gives your digestive system a rest from working on fiber. They say that juicing can reduce your risk of cancer, boost your immune system, help you remove toxins from your body, aid digestion, and help you lose weight.

But Nelson says there's no sound scientific evidence that extracted juices are healthier than the juice you get by eating the fruit or vegetable itself. On the other hand, if you don't enjoy eating fresh fruits and vegetables, juicing may be a fun way to add them to your diet or to try fruits and vegetables you normally wouldn't eat. You can find many juicing recipes online or mix up your own combinations of fruits and vegetables to suit your taste.

If you do try juicing, make only as much juice as you can drink at one time because fresh squeezed juice can quickly develop harmful bacteria. And when juicing, try to keep some of the pulp. Not only does it have healthy fiber, but it can help fill you up. If you buy commercially produced fresh juice from a juicing stand or store, select a pasteurized product. Note that juices from some fruits and vegetables can contain more sugar than you might realize, and this can add unwanted calories and lead to weight gain.







What's Left Out When You Juice?

Still continuing from the article by Nguyen,

"A juicing machine extracts the juice from whole fruits or vegetables. The processing results in fewer vitamins and minerals, because the nutrient-rich skin is left behind. Juicing also removes the pulp, which contains fiber.

You can add some of the leftover pulp back into the juice or use it in cooking.

Besides muffins, Barr uses other combinations -- such as spinach, pears, flaxseed, celery, and kale -- to make broth for cooking soup, rice, and pasta. She calls it 'going the extra step to fortify your meals.'

Juicers can be expensive, ranging from $50 to $400. Some more expensive juicers will break down a lot of the fruit by grinding the core, rind, and seeds, Barr says.

You may not need a juicing machine to make juice. You can use a blender for most whole fruits or vegetables to keep the fiber -- add water if it becomes too thick, Villacorta says.

You’ll also want to remove seeds and rinds, and some skins."



Calorie Count

As with any food, it’s important to consider calories and sugar content.

A medium piece of fruit has about 60 calories. A cup of vegetables has about 25 calories, and 3 cups of leafy greens have about 25 calories. Each 60-calorie serving of fruit equals about 4 ounces of juice. A typical juice is usually 12 to 16 ounces.

Those calories add up.

"You could be taking up to four fruits and now the calories start adding up. If you use vegetables to juice, the calories are a lot less. If they use mainly vegetables, add an apple or kiwi for flavor. Calories are a concern if it’s pure fruit juice," Villacorta says.

To make a juice more balanced with protein, some good sources are almond milk, Greek yogurt, flaxseed, or peanut butter.




Food Safety and Juicing

When juicing, follow these food safety guidelines:

Wash your hands before touching the fruits and vegetables.

Thoroughly clean the produce.

Use hot, soapy water if you have to hand wash the juicer or blender. Let all parts completely dry before putting away, to prevent bacterial growth.

Use your dishwasher's sanitize cycle if the juicer is dishwasher safe.

Don’t keep juice longer than a week. It’s best to drink it the same day, since the juice isn’t pasteurized.





Juicing Health Claims

There are many health claims about juicing on the Internet. For instance, juicing fans say that juicing can reduce your risk of cancer and boost your immune system.

It's true that eating a plant-based diet is linked to lower risk of heart disease or cancer. But there hasn't been a lot of research done that's specific to juicing.

There is some research on juicing and immune system, but any immune system benefits probably come from eating fruits and vegetables, whether it's in juice or not, Barr says.

Fans of juicing also say that juicing is better than eating whole fruits and vegetables because the body can absorb the nutrients better and it gives the digestive system a rest from working on fiber.

But "the nutrients might not have the same potential because you’ve processed them," Villacorta says. "There’s nothing like eating the whole fruit or vegetable." However, with Gastroparesis, it's really hard for us to do that or even attempt that.

It's true that too much fiber can sometimes block the absorption of nutrients. But most people don't even get the recommended amount of fiber per day, Villacorta says.

It’s important to speak with your health-care provider before integrating juicing into your diet to avoid any potential food and drug interactions.

For instance, large amounts of foods high in vitamin K, such as kale and spinach, may change how an anti- blood clotting medication works, Barr says.
Juicing for Weight Loss and Cleansing

Juicing as an extreme weight loss measure is a fad diet. You can't stick to it for long -- and you shouldn't.

On a juice-only diet, you may not get enough fiber to make you full. And it's so limited that you may rebel.

“If you’re doing a juicing diet, you’ll be so tempted to eat something like a cake or donut because you’ve restricted yourself,” Barr says.

You may also not get enough protein. If you are trying to lose weight by only juicing, then you are putting yourself at risk to lose muscle mass. Research shows that adding protein is essential to preserve muscle mass during weight loss.

By the end of any extreme diet, your metabolism may have temporarily slowed down. Once you start eating a more normal diet, you’ll be prone to building fat cells, Villacorta says.

What about juicing as a way to detox or cleanse your body? “I haven’t seen any research or science paper to support that cleansing is happening from juicing,” Villacorta says.

Your liver and kidneys take care of that -- whether you're juicing or not. This article was brought to you by Web MD.



A Lesson in Juicing


According to A Lesson in Juicing, fresh juice is invigorating - straight up, blended, or as part of whatever I'm making. It seems the most important thing is to use vibrant, healthy produce. Use the best quality produce you can get, great if it's organic or sustainably grown. If that's not happening, wash it gently, but thoroughly. A few other observations: The blender and juicer are entirely different beasts.

According to the article, the author knows this seems obvious, but the blender does chop-chop, and the juicer seems to separate all the fibers and solids from the juices. The juicer produces essences that are incredibly intense, alive, and bright. The flavor is main-lined. Below is a picture of a juicer:





Article Sources:

For the picture at the top of the article: http://www.ginnybakes.com/wp-content/uploads/2013/01/Juicing-Weight-Loss2.jpg

For the picture for Lessons in Juicing: http://www.101cookbooks.com/archives/a-lesson-in-juicing-recipe.html

http://www.webmd.com/diet/features/juicing-health-risks-and-benefits

http://www.mayoclinic.com/health/juicing/AN02107

http://www.doctoryourself.com/juicing_2.html



Recipes for Juicing from A Lesson in Juicing.

According to A Lesson in Juicing:

Almond Milk: Soak 1 cup / 5 oz almonds overnight, covered, in filtered water. Drain. Add three cups water, and ladle into juicer. This produces a full-bodied almond milk. If you like it a bit thinner, go with 4 cups water. The flavor really sings when you season it with a touch of salt and sugar. Just go with your taste buds, until it tastes good to you. Makes about 3 1/2 cups. Also, be sure to keep the meaty by-product of making the almond milk, just scrape it out of the juicer. Salt it a bit, and it's a great homemade almond butter.

Oat Milk: Soak 1 cup / 3 oz rolled oats (not instant) overnight, covered, in filtered water. Drain, add 3 cups water, and ladle into juicer. Makes about 4 cups. Note to self to try a version with toasted oats. You could experiment with it as and ingredient in custards, puddings, french toast, and the like.

Pistachio Milk: Soak 1 cup pistachios / 5 oz overnight, covered, in filtered water. Drain, combine with 3 cups water, and ladle into juicer. This is the author's favorite non-fruit juice by a stretch. Really nice. The author kept trying to combine it with little accents like orange blossom water, or citrus zest, but in the end the author liked it best straight. Makes about 3 1/2 - 4 cups. And like the almond milk be sure to keep the meaty by-product of making the pistachio milk, just scrape it out of the juicer. Salt it a bit, and it's a great pistachio butter.

Sesame Milk: The author had high hopes for this one but it really didn't work. The unhulled seeds never broke down in the juicer.

Fennel Juice: Trim the root end, but use all the rest of it. 1 large bulb = ~1 cup juice.

Celery: Lob off the root end and use the rest. And I didn't bother restringing. 1 medium bunch = 1 1/2 - 2 cups juice. I'm enjoying using the celery juice as a component in all things brothy. The fennel juice as well, but to a lesser extent.

Cucumber: Juice it all. And leave the skin on, it lends a nice color. 1 large (8 oz) cucumber yields about 1 cup of juice. Not really the season for cucumber juice at the moment, but I juiced it anyway. Super cooling.

Cilantro:1 big bunch, leaves and stems = 1/3 cup juice. I threw a couple serranos (deveined and deseeded) into the juicer here as well for a spicy version. You just know it's going to be good swirled into yogurt or creme fraiche and spooned into a bowl of roasted tomato soup!

Dill: 1 large bunch (stems and fronds) yields about 3 tablespoons juice. Equal parts dill juice + olive oil and a pinch of salt has been great over greens, savory pancakes, and eggs this week. I imagine like the other intense herb juices, it would be welcome as a vinaigrette component, drizzled over gratins, and tarts as well.

Ginger: 8 ounces unreeled yields about 3/4 cup ginger juice. Freezes quite well. I've been using in teas, broths, citrus juice (grapefruit-ginger is my favorite), dipping sauces, etc.

Grapefruit: 1 large = 1 cup juice. I could live on this during the winter.

Pomegranate: I'm not sure I'd recommend using a juicer here. Mine definitely wasn't happy. That said, the resulting juice is electric - straight-up incredible. Juice the seeds only, but review your juicer's guidelines before an attempt. 1 large pomegranate = ~ 1 cup of seeds = 1/3 cup fresh juice.

Carrots: 1 lb = 1 cup juice. You know, it's just occurring to me as I'm typing this to try a carrot soup with pure juiced carrot. Use it to make the silkiest carrot soup ever.



GP Member's Juicing Recipes:

Lynn W. shares her juicing recipe with us: I started off with Carrot, apple, tomato, orange, ½ slice of lemon. Add beet once a week. Add greens slowly. Today I went a little crazy, using things from the garden. I did a small beet (peeled), the greens from the beat, 1 granny smith apple, half lemon with rind, 1 a medium tomato, 1/4 C carrot, 1 large kale leaf, small piece of endive, 1/2 cup cabbage, 2 large strawberries, 1/4 c cantaloupe, and 8 big cherries. I got roughly 8oz of juice. I have been adding cherries and strawberries every time since cherries are supposed to help with inflammation and that is a huge problem I have with fibromyalgia. I have even put arugula and mustard greens in it. Depends on what I get from the garden that day. I even tasted the granny smith apple juice alone today and it was real good. I normally cannot stand apple juice. Here is a website with some simple recipes: http://juicerrecipesnow.com/15/

Amber shares her Smoothie recipe with us: Ingredients: 1 cup frozen blueberries, 1/2 peeled cucumber, 1 cup coconut water, 1/2 cup cranberry juice, 1 tsp liquid ginger, 1 serving Vega One nutrition (Berry), 1 serving Vega Sport Pre-Workout Energy, 1 serving Vega Sport Protein (Vanilla), 1 digestive enzyme capsule (empty capsule contents into smoothie) Blend for at least 30 seconds, until completely smooth. On days that I have a flare-up, I modify recipe by removing the serving of protein, removing the blueberries (the two items that are the hardest to digest). My diet is comprised of liquids, smoothies and purees. I can't tolerate any solid food, but I always make sure I pack everything I can into my morning smoothie. If I have a good day, I can take in more calories; if I have a bad day, I at least know that I got in a large dose of nutrition to get me through the day. Hope this is helpful. Finding your staple food or drink is really just a matter of experimentation. It took me a year to find mine. Good Luck!

Angela shares her daily GP smoothie with us: My daily gastroparesis smoothie! Ingredients: 1 cup frozen blueberries, 1/2 peeled cucumber, 1 cup coconut water, 1/2 cup cranberry juice, 1 tsp liquid ginger, 1 serving Vega One nutrition (Berry), 1 serving Vega Sport Pre-Workout Energy, 1 serving Vega Sport Protein (Vanilla), 1 digestive enzyme capsule (empty capsule contents into smoothie) Blend for at least 30 seconds, until completely smooth.

Simply Carrot Juice


5 Medium carrots

This one is pretty simple!

Wash and top the carrots, juice and enjoy.


Wash your juicer immediately it is not made with stainless steel, otherwise the carrots will stain it.
If you drink enough carrot juice every day your skin will start to turn slightly orange! This is because carrot juice is very high in beta-carotene, an orange-colored antioxidant that gives carrots their color. If we consume a lot of beta-carotene it will build up in our skin. This is not dangerous however.





Simply Green Juice

- 1 cup of spinach

- 2 cups of kale

- 2 cups of parsley

- 1 cucumber

- 3 celery stalks
Add a little garlic and/or ginger if you like. Wash thoroughly and juice.



Apple and Cucumber Zipper


-2 1/2 apples

- 1/2 cucumber

- 1″ of ginger

Remove apple stems and juice everything together. Ginger has potent anti-inflammatory properties that can help some people reduce arthritis based joint pain. Evidence points to one of the antioxidants in ginger called gingerol. It helps to combat oxidation damage to joint cells.









Alkaline Juicer Recipes Heaven.


- 1 cup of spinach

- 1/2 cucumber

- 2 stalks of celery including leaves

- 3 carrots

- 1/2 apple

Wash all vegetables thoroughly, top the carrots, remove apple stem but don’t peel apple (the peel is full of flavored antioxidants), enjoy.



The Cucapple


-1/2 cucumber

- 2 apples

Remove stems from apples, cut a cucumber in half and juice.

The nice thing with apples and especially cucumbers, is you get a lot of juice out of them. This is a great when you just need something quick







Parsley Pep Up


- 1 cup of parsley

- 1/2 apple

- 2 carrots

- 3 celery stalks

Wash all thoroughly, remove apple stem, top the carrots, juice and enjoy!












Carrot and Apple Zip.



- 2 carrots

- 1 apple

- 1″ of ginger

Top carrots, remove apple stem and juice.














Eye Eye Captain.


- 6 carrots

- 1 cup of kale

That’s right, it’s good for your eyes!











Liver Health.



- 1/2 beet with greens

- 3 apples

Wash all thoroughly, remove apple stems and put the whole 1/2 a beet in.










Green Juice Recipes Energizer.


- 2 apples

- 1/2 cucumber

- 1/2 lemon (peeled)

- 1/2 cup of kale

- 1/2 cup of spinach

- 1/4 bunch of celery

- 1/4 bulb of fennel

- 1″ of ginger

- 1/4 head of romaine lettuce

This one is a real blast, brimming with goodness.







Sweet Green Juice.



- 1 cucumber

- 1 carrot

- 1 green apple

- 1/4 cup parsley

- ¼ cup mint

- 1 stalk of celery

- ½ inch of fresh ginger
- ½ lemon (peeled)







Katie Lovebomb, a GP member wanted to share her testimony with us:

"THE LIFE SAVER FOR ME

Nobody knows your body, like you. I mean hell, think about how much time you spend shopping to make
sure clothing fits, shoes are comfortable and your new haircut is visually pleasing.

Why the hell don't we spend that much time finding a perfect doctor?

I used to believe that getting well meant going to a doctor for answers. I used to believe that doctors truly knew better than I did because they were the "educated" ones.

I would take the first appointment I could get, with whoever was covered by my insurance. I saw many
doctors from a very prestigious hospital. When I realized that my body had started to shut down and that I wasn't going to make it, I found my voice. I challenged their thinking, I challenged their diagnosis, I challenged their medication options and their treatment plans. Many Doctors don't want us to have a voice, to challenge their opinions. My medical files were labeled “Defiant and Difficult”.

If I didn't challenge the doctors I was seeing at that time of my life I wouldn't be here today. Accept fate or create your own!

I found my voice and used it to own my health, to own my life and my future. I took hold of my life because I realized that feeling sorry for myself because of my illnesses was causing me too much negativity and frustration.

Since then I have taken part in many medical treatment options as well as holistic practices. I am confident saying that nothing, NOTHING, has offered me the physical healing, mental healing and emotional healing that Juicing has offered me. The comfort and the peace of mind that I have experienced is absolutely the best thing that has happened to me. It has been THE LIFE SAVER FOR ME.

I have been juicing on and off since 2005 but I have became a hard core juicer for the past 8 years. I
watched Crazysexycancer the Documentary and was able to witness the benefits juicing had for patient
Kris Carr. I knew this would be a big change for me and it was socially not the norm.

In 2006 I was lucky enough to have parents who believed that I knew what my body needed. They gave me
a gift, the Breville Juicer, something I desperately wanted. I had done a lot of research and knew that this juicer would extract the most pulp. I have now been juicing for years.

Before juicing I lived off NG tube feedings, unnatural meal replacements made up of chemicals. They
were inconvenient and everything I was taking in made me feel worse. I felt sluggish, tired, and lethargic. I started listening to the cues my body gave and began to connect the dots. I promised myself to be patient while I tried to find a healthier alternative.

Overtime I discovered that while juicing, I look better, feel better and have a healthier body. My blood work comes back perfect, my weight went up, I am active, my mind is clear, the bloating is far less. My body cannot handle anything else. Do I slip up, sure I am human, but I don't get angry with myself, I let it go, and move on.

I know there are plenty of recipes, I have so many books of them. But sometimes what I find is, listening to my body and its cravings and buying those ingredients. I do a green juice once a day, and for another meal I do one sweetened up with apples or clementines. Sometimes I just toss any and all into the juicer and hope for the best. Some of the best juices were mistakes or left over combos.

I am always willing to share my experiences and stories with anyone who wants to listen to help us all heal.

The natural route is absolutely the one that needs to be taken if you have any desire to live normal and own your own life.

I create the chapters of my life, not my illness. And I am so excited for all the pages I have yet to write ahead.

To read Katie's Blog, Please visit:http://www.memyselfpigtails.com/

-------------------

These are not my favorite recipes however, they are GINGER based ones. Sometimes the only thing to help you work through a flare up or episode.

So I am listing them. I also make ice cube ginger combos to suck on for the summer. I have a tough time wanting to take ginger into any drink but I know the physical response from my body is well worth it.

1 Carrot

1/2 Honey Dew Melon

1 Limo

1 inch cube Fresh Ginger Root

or

3 carrots

2 large celery sticks

1 inch cube Ginger Root

1 tbs spirulina

(1/2 fennel build small) I don't use this but it was listed.

MY FAV:

Peaceful Greenz

1/4 lb broc

1/4 kale

1/2 parsley

2 apples (fuji I love most)

Celery sticks (more for more juice quantity)"







I am willing to start another blog entry with nothing but Juice and/or Smoothie recipes. Please email: gnewithgp@gmail.com if you would like to share a recipe.


My board, which a lot of GPers are pinning to right now with juicing recipes can be found here: http://pinterest.com/chikensrule/juicing-recipes-and-tips-for-gastroparesis/






Sources with Juicing Recipes and How to Make Them:

http://www.justonjuice.com/juicing-recipes/

http://www.101cookbooks.com/archives/a-lesson-in-juicing-recipe.html

http://juicerrecipesnow.com/15/

http://juicerecipes.com/

http://pinterest.com/search/pins/?q=juice%20recipes&rs=ac&len=8

http://pinterest.com/search/pins/?q=gastroparesis%20juicing

http://pinterest.com/judy_mason/gastroparesis/

http://pinterest.com/gmcasc/gastroparesis-recipes-tips/

http://myshakeology.com/utotallyamazing

https://www.facebook.com/photo.php?fbid=10200825391904637&set=gm.256840887795103&type=1

https://www.facebook.com/FatSickandNearlyDead?fref=ts

https://www.facebook.com/VegetableJuicing?fref=ts

https://www.facebook.com/TheEarthDiet?fref=ts

http://www.amazon.com/Hurom-Juicer-HU-100S-Silver-Cookbook/dp/B007V26FCM/ref=sr_1_2?ie=UTF8&qid=1371340886&sr=8-2&keywords=Hurom+Slow+Juicer

Movie for Juicing: http://www.fatsickandnearlydead.com/



If you have any suggestions for juicers and and/or more links for recipes, please comment in the comment section and I will keep this article up to date. Thanks!