Processed foods and additives exacerbate chances of acquiring inflammatory bowel diseases

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It is important to identify triggers and eliminate certain foods from the diet

New Delhi, 29 January 2018: Research indicates that there has been a spurt in the number of people with inflammatory bowel diseases (IBD) in India. The reasons attributed to this surge are usage of too many preservatives, additives, highly processed foods, and mineral water. Processed foods can alter the gut biome and eventually affect the immune system.

Emulsifiers or smoothing agents used in food to give a creamy texture can break down the heavy mucus that lines the gut and prevents bacteria from coming into contact with gut cells. In such cases, the bacteria cause inflammation in the gut, which can also lead to changes in metabolism.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said “IBD is an umbrella term for a number of long-term conditions that involve inflammation of the digestive tract, or the gut. I t is, however, different from an irritable bowel syndrome. If not addressed on time, IBD can lead to number of complications including damage to the bowel and malnutrition. The two main types of IBD are ulcerative colitis and Crohn’s disease. The gut micro biome is the cause and cure of gut diseases. To avoid IBD, people must opt for natural organic foods which are a healthier choice. This will also help in avoiding complications in the intestine. Making better food choices will ensure that the gut has a combination of different good bacteria which help the body systems function smoothly.”

Statistics indicate that about 50 lakh people around the world have IBD or inflammatory bowel disease. In India, the number of cases exceed 12 lakh annually. Signs and symptoms of IBD include diarrhea, fever and fatigue, abdominal pain and cramping, blood in the stool, reduced appetite, and unintended weight loss.

Adding further, Dr Aggarwal, who is also Group Editor of IJCP, said, “IBD is generally treated with anti-inflammatory drugs which are special derivatives of 5 ASA derivatives. These are used either orally or through enema, corticosteroids, immunosuppressants, biological agents, antibiotics, anti-diarrheal drugs, and laxatives. Regular treatment and frequent tests are imperative.”

IBD can be controlled through certain lifestyle modifications as follows.

  • Identifying the foods that trigger the symptoms and avoiding them is crucial.
  • Avoid beans, cabbage, and cauliflower as these can cause gas. Consume more of foods that are rich in omega-3 fatty acids.
  • Eat smaller meals as this will help the digestive system to adjust better to the condition.
  • Drink plenty of water and other fluids. However, limit the consumption of caffeine and alcohol.

ECRI Institutes 2018 Top 10 Hospital C-suite Watch List (Part 2)

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Implantable loop recorder cardiac monitor

This insertable cardiac monitor connects directly with a patients smartphone via Bluetooth. With Confirm Rx, the patients smartphone proactively transmits data to the patients physician and does away with the need for the patient to use a bedside telephone transmitter. Data can be uploaded and accessed at intervals programmed by the clinician. It is most useful for long-term monitoring of patients with arrhythmias such as atrial fibrillation (AF), a common cause of stroke, which may at times not show up on 24-hour monitoring.

The implantable cardiac monitor is a new small monitoring device, which may take the place of Holter monitor, which is worn externally. Holter monitoring also requires placing of many electrodes on the chest and abdomen and for the patient to carry a recorder, which patients find inconvenient.

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(To be contd)

Dr KK Aggarwal

Padma Shri AwardeeVice President CMAAOGroup Editor-in-chief IJCP Publications

President Heart Care Foundation of India

Immediate Past National President IMA