Ah-Choo! Kids & Allergies

August 4, 2009 by Dr. Manny  
Filed under Articles, Featured, Kids' Health

349_sneezeForty percent of American children have seasonal allergies. When a parent has allergies, his or her child will probably have them too.

Most allergies tend to appear in childhood. So, if you have seasonal allergies as an adult, you probably started getting them as a kid.

As children, boys get more allergies than girls, but as they get older, women usually catch up to men.

Even though we say allergies are seasonal, they can occur year-round. In the spring, you can get allergies to grass and pollen, and in the fall you can get allergies to ragweed, molds and spores of different kinds.

Allergies occur when pollen, mold or dust kick your immune system into high gear, triggering a release of histamines, those chemicals that are mostly responsible for the sneezing, the runny nose, the itchy throat, and the watery eyes.

If teenagers weren’t properly exposed to their environment as children, their immune system won’t be able to recognize as harmless the pollen, dust and mold spores around them every day.

Loading the Virus Protection Program

Your immune system is essentially a system of specialized cells and organs that protects you from outside threats such as viruses, bacteria and other biological outsiders.

It is during the first decade of life that it learns which biological intrusions it needs to protect you against. What this means is, if you don’t get exposed to many of the harmless biological threats in your environment during your first decade of life, if you do not challenge the immune system early, you may pay the price with seasonal allergies and asthma throughout the rest of your life.

I’m talking about the dangers of over protecting our children. Some of this overprotection has been institutionalized in the form of widespread use of antibiotics, vaccinations against various diseases, cleaner food and water, and better living conditions.

But some parents may make this “problem” worse by keeping their kids at home in a “sterilized” environment – never taking them to the park, never letting them play in a sandbox, never letting them roll around in the grass, never letting them have a pet at home, and keeping them away from other kids who may be sick.

By underexposing our children to bacteria, certain viruses, and other minor threats in the environment, their immune systems will not develop the appropriate responses, and they may end up with seasonal allergies and other problems of an inexperienced immune system.

Studies show that if you have a pet when you’re a kid, you are less likely to get asthma. The same applies to running and rolling around in the grass at the park when you are three years old; those who do tend to have fewer seasonal allergies later on. A little exposure is a good thing.

Allergy Prevention

Prevention is the best treatment for seasonal allergies. Have you heard of spring cleaning? They don’t call it that for nothing.

If people in your household have allergies, it is important to do a thorough cleaning of the house, especially in the spring, by removing all the dust that has collected in your house over the winter.

It’s a good time to shampoo your rugs, vacuum all the nooks and crannies, and remove the mold from all kitchen, bathroom and garage surfaces.

If you have allergies in the spring and summer, take a few precautionary steps to avoid bringing allergens back into the house.

When you come in from the outdoors, don’t bring the clothes you’ve worn outdoors into the bedroom; change in another part of the house and take a shower, if you can.

Avoid being outdoors from the late morning to early afternoon, as those are the peak hours for pollen production. Keep your windows closed if you’re really allergic.

Doing It, or Not?

July 6, 2009 by Dr. Manny  
Filed under Articles, Men's Health

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349_sexual_issuesOne reason—if not the main reason—we diet and exercise is that we want to look good to the opposite sex (or maybe the same sex).

And, of course, one reason—if not the main reason—we want to do that is to be attractive to our (real or imagined) sexual partner.

Now, what does any of this have to do with health, you wonder? The answer is, plenty. A healthy sex life improves your overall quality of life. It improves your immune system because it significantly relieves stress. Good physical exercise burns calories, and it improves your mood by pumping endorphins into your bloodstream that make you feel good. It also plays a key role in keeping couples together, so the benefits of sex are innumerable.

But once you get on into your forties, you might find your sex drive shifting into a lower gear. This diminished or lack of sex drive is more common in women than it is in men. Even men with erectile dysfunction usually have a normal sex drive. While libido problems can be either physical or psychological, the root causes tend to be the same in both sexes. Alcoholism is the main physical factor responsible for a decreased libido; another is drug abuse, of cocaine, for example.

Obesity and anemia are other potential physical problems. And there are certain tumors of the pituitary gland that increase the hormone prolactin, which lowers the libido. Some prescribed medications, especially antidepressants, lower the level of the hormone testosterone, which is needed by both sexes to maintain an adequate sex drive. Psychological factors influencing libido include depression, stress, and confusions about sexual orientation.

Anyone with a lack of sexual desire should first try to take these factors out of the equation. So if you’re drinking excessively, overweight, depressed, or taking medications, these issues need to be dealt with to resolve a flagging libido. Counseling can help with the psychological problems of sexual hang-ups, depression, or stress.

There is no magic remedy for the loss of sexual libido. Though testosterone has been identified as a key hormone that improves sexual appetite in women, doctors who have been giving women testosterone supplements for the past 30 years have found that it has little effect on their libido, while it sometimes causes facial hair growth, a deepened voice, and an enlargement of the clitoris.

I have no doubt that one day there will be a libido pill for women and men, as I’m sure the drug companies are hard at work on this potentially lucrative solution.

There are a number of other sexual problems that women may experience at any age. One is dyspareunia, or painful sexual intercourse. Any part of the genitals can cause pain during sex, including the skin around the vagina. Vaginal infections, like yeast infections or viral infections, are a common cause, and the pain can be felt when either a tampon or penis is inserted into the vagina. It can also occur from just sitting or wearing pants. To treat dyspareunia, physicians may recommend hormone creams, dilators to help stretch the vagina, Kegel exercises, or, in rare cases, antidepressants.

Another potential cause of dyspareunia is vaginismus, an involuntary contraction of the vaginal muscles that may prevent insertion of the penis during intercourse. The diagnosis of vaginismus is usually problematic because it’s often difficult to separate the physical pain with the emotional anxiety of experiencing that pain; in other words, just the fear of the pain can cause vaginismus.

Any woman complaining of these symptoms should be taken seriously. A doctor must conduct a physical examination to eliminate the possibility of such physical causes as infections, fibroids, or anatomical deformities of the uterus, ovaries, or vagina. Even vaginal dryness can cause painful sex. A decrease in estrogen at menopause can cause the vaginal walls to become dry, creating a discomfort or pain during intercourse.

If there are no treatable physical conditions, it’s important to discuss the woman’s feelings as well as the physical situations that lead to this type of discomfort. Some women have a very positive attitude toward sex; other women have had negative sexual experiences that play a significant role in their fears and negative feelings about sex.

Some women may have a history of sexual abuse, rape, or trauma, for instance; these things need to be identified in a very delicate way. Treatment of vaginismus usually involves practicing relaxation techniques and doing Kegel exercises to relax the vaginal muscles. At home, one exercise that may prove beneficial is to have your partner gradually insert a dilator into your vagina. This must be done at a pace with which you feel comfortable until the pain and discomfort are overcome. Partner, doctor, and patient all have to be in sync for this type of therapy to be successful.

Many women experience discomfort or pain at the time of their period. This pain is caused by contractions of the muscle of the uterus during menstruation that occur due to the release of the prostaglandins, which are hormones that are produced in the lining of the uterus. For most women these menstrual contractions are neither severe nor disabling. But some women experience significant menstrual pains called dysmenorrhea.

Women suffering from dysmenorrhea should exercise, get plenty of sleep, and avoid stress. Over-the-counter painkillers can minimize the amount of prostaglandins released, and they usually help reduce the pain. If the painkillers are not effective, your doctor will have to look for other things that are causing the pain. And ultrasound is sometimes used in such cases to make sure you don’t have any other medical conditions, like pelvic inflammatory disease, endometriosis, or fibroids.

You Are What You Eat

349_healthy_foodI think Americans generally pay more attention to the gasoline they put in their cars than to the food they put in their mouths. We are a society of excess, and one of our more impressive excesses is the way in which we eat and what we choose to put in our mouths.

We are the leading country in the world in almost everything, yet our mortality rates, our cancer rates, and our neonatal death rates don’t rank among the best in the world. We lead in research, we lead in academic training, we lead in freedom of information, yet we don’t lead in taking care of our health.

We have all the knowledge in the world about everything in life, but that has made no impact on our health. Why? I think nutrition is part of the reason, and I think I know why.

No one is ever taught about nutrition. We certainly don’t teach the subject in grammar school, and it’s rarely taught in high school. Some colleges may offer it as an elective. But our parents certainly don’t talk to us about carbohydrates and proteins the way they do about the birds and the bees. If you combine this lack of knowledge with our appetite for diversity, taste, and presentation, what you have is a lot of people who know nothing about the food on their plate.

It’s never too late to learn about nutrition. The fundamental issue with nutrition is learning how to balance your caloric intake with the number of calories you burn. Everything we eat has a caloric value. If you take in more nutrients that contain a lot of calories and you don’t burn them up, the excess caloric energy is going to be stored as fat, and you’re going to gain weight. That weight and that fat will then interfere with all the normal functions of your body.

On the other hand, if you consume too few calories, say fewer than 1,200 calories a day, then your body doesn’t have sufficient energy to maintain adequate functioning. The caloric intake for a normal adult should range between 1,500 and 2,000 calories a day.

The body requires certain nutrients in order to work properly. Nutrients are the chemicals our body gets from food. These nutrients are used to build muscles, improve cell-to-cell transmission, and manufacture hormones. In describing nutrients, the word “essential” means that the body must consume them; it cannot produce them on its own. The nutrients we need include:

Essential amino acids.
The body requires amino acids to produce new body proteins and replace damaged proteins to build and maintain the body.

Vitamins and minerals.
These are recognized as essential nutrients that are specifically linked to the functionality of cells. If we’re deficient in vitamins and minerals, we develop a weak immune system, cell metabolism disorders, premature aging, scurvy, goiters, and bone loss.

Fatty acids.
Also essential, fatty acids are crucial for maintaining the body’s normal health. They are responsible for the normal formation of hormones and creation of some of the biological pathways responsible for dealing with inflammation and cell repair.

Sugars.
They are essential because they provide the fuel our cells need to function adequately, which allows the other nutrients to be utilized properly. If cells don’t have the sugar molecule necessary to generate the energy required for repairing, functioning, transmitting, and utilizing nutrients, then cellular damage and disease will result.

Each nutrient carries out one or more unique tasks your body needs to function. And because you need many nutrients to stay healthy—protein, fat, carbohydrates, vitamins, minerals—you have to eat a wide variety of foods to get them all.

It’s when we don’t recognize the necessity of all those elements that we begin getting into trouble. It’s like filling your gas tank with gasoline and forgetting to change the oil every 3,500 miles, or forgetting to put water in the radiator. The car needs the gasoline, the oil and the water, all in the proper proportions, in order to function properly. The same is true of the human body.

The problem, as I’ve mentioned before, is that about one-third of all American meals are prepared foods. And the problem with prepared foods is that their contents are not nutritionally balanced.

Our lack of knowledge of nutrition, combined with our obsession with processed foods, is really damaging our health. So we have to get back to fundamentals, a good example of which is the diet of people who live in the Mediterranean. Their diet is well balanced with vegetables and fruit, fish and lean meat, and the good unsaturated fats like olive oil.

Today, many people think that if they stick to low-fat or nonfat foods, they won’t gain weight. That’s a myth, because gaining weight has to do with calorie intake. If you take a salad and you add cheese and eggs and everything else in the book, even if you select low-fat ingredients, you’re still consuming a tremendous load of calories. And size matters, too; the size of your portions does make a difference in terms of the total amount of calories consumed. It’s just a plain mathematical calculation.

There are no magical foods that are going to help you burn calories or increase your cell metabolism either. There is no such a thing as a food that is more active in the body than others. People think that eating a grapefruit each day or having cabbage soup for lunch is going to burn off their fat. But that’s a myth. There is only one way to burn off those extra calories: exercise, any exercise at all.

How to Eat
It’s not just what or how much we are eating that’s the problem these days, it’s the way most of us eat. Many people skip breakfast, gulp down a quick lunch at noon, and then consume a large meal at seven o’clock at night.

Trouble is, they don’t need all that fuel at night. They need a little bit throughout the day when they are active—either moving, thinking, or both.

So what happens in the middle of the day if this is the way we eat? Without a supply of energy, our metabolism gets altered. Our blood sugar level is erratic. Our hormones go haywire trying to figure out where to obtain the fuel we need. People are always telling me, “I don’t eat, so how come I’m not losing weight?”

That’s the answer. Their metabolism is out of whack, and they need to get it back in order.

Supplements
If you eat a balanced diet with fruits, vegetables, grains, fish, and all the rest, you don’t need to take supplements. But how many of us really eat such a balanced diet?

And even if we do, because we are all predisposed for certain diseases and the aging processes, being proactive and adding certain supplements to our diet may be a good idea. But before popping supplements like candies from a bag of M&M’s, check with your doctor about what’s best for you. Some supplements can be toxic. Others may cause allergies or cross reactions with medications you may be taking. But there is no doubt that certain supplements can have specific health benefits and can lower the cost of health care at the same time.

An Important Word About Supplements
Many supplements contain active ingredients that can have strong effects on your body, and some supplements can interfere with prescription medicines. Always consult with your doctor or pharmacist before taking supplements.

I am particularly bullish on five supplements that have been well studied and are proven to support optimal health.

Omega-3 Fatty Acids
I love the omega-3 fatty acids. They are an important contributor to the improvement of human health. Some studies have shown that omega 3s are good for the prevention of heart disease, as well as for depression, rheumatoid arthritis, and asthma. You can get omega 3s by eating leafy greens and fish or by taking a fish oil tablet. Omega 3s assist with fat metabolism and help maintain a balance of good and bad cholesterol.

Calcium
Calcium is another very good supplement, specifically calcium with vitamin D. Calcium intake is an important factor in bone health and may play a role in the prevention of colon cancer, though it doesn’t appear to be the silver bullet that everyone hoped it would be. Research has shown that calcium supplements can significantly lower the occurrence of hip fractures among those aged 65 and older.

Folic Acid
Folic acid and folate are forms of a water-soluble vitamin B that occur naturally in leafy vegetables such as spinach and turnip greens, dry beans and peas, fortified cereal products, and some other fruits and vegetables. Folic acid supplements have been a lifesaver in the prevention of neural tube defects in children. They are also very beneficial for cell function and the prevention of heart disease.

Glucosamine
I also like glucosamine. It has good anti-inflammatory effects, especially for individuals with arthritis. It doesn’t prevent arthritis, and it doesn’t repair or rejuvenate cartilage, but I think it’s a very good supplement because it helps promote joint function and relieves the symptoms of inflammation and pain.

Other supplements that are thought to make a positive contribution to health include saw palmetto, the fruit of the fan palm, for men. Native Americans consumed it as food and used it to treat urinary and genital problems. Some research has shown that it could be effective for the treatment of an enlarged prostate in men. It increases urinary flow and has no known safety hazards.

Smoking: Kicking the Habit

June 23, 2009 by Dr. Manny  
Filed under Articles, Healthy Living, Men's Health

349_smokingNobody wakes up one morning and suddenly decides to be a smoker. Smoking is a habit picked up from others who smoke. It’s a social disease. Individuals do it in imitation of somebody they respect who smokes, like parents or teachers, or they do it because their high school or college friends smoke and they want to fit in.

But once you put a cigarette in your mouth, you are exposed (not to mention that you are exposing everyone around you, as well) to the effects of nicotine, which is one of the most highly addictive drugs available today. And the more you smoke, the greater is your urge to smoke, and the more addicted you become.

The smoking habit will wreak havoc throughout the decades of your life because once you start to smoke, its deleterious effects spiral out of control, much like credit card debt. Smoking is associated not only with all kinds of cancer, from oral cancer to cervical cancer, but also with heart disease, which is the leading cause of death in the United States today for both men and women. Since smoking also affects the respiratory system, chronic smokers have a higher incidence of bronchitis (an inflammation of the lining of the tubes that connect the windpipe to the lungs) and emphysema (a chronic lung disease usually caused by exposure to toxic chemicals or tobacco smoke) than those who don’t smoke.

And smoking interferes with the immune system as well; that is, smokers are more prone to getting chronic diseases, flu, and viral illnesses than are nonsmokers.

Then there are the secondary effects that smoking has on others. Pregnant women who smoke have smaller-sized babies and have higher rates of premature babies. And children who are exposed to secondhand smoke have higher levels of asthma.

If you are a smoker, there may be no better thing you can do for your health than to quit smoking, and the best time to quit is as a young adult. You may have started smoking in high school or college, but now you are on your own, away from the peer pressures of your schoolmates and the influence of your parents (who may be smokers themselves), and making a new life for yourself. This is the easiest time to kick the habit.

Of course, quitting is easier said than done. As Mark Twain remarked: “Quitting smoking is easy. I’ve done it a thousand times.”

The reason it’s so difficult to quit is that it’s really a dual challenge, and you are unlikely to succeed in your quest unless you meet both challenges head-on.

The first challenge involves breaking the physical dependency that smoking causes. An absence of nicotine leads to withdrawal symptoms, including anxiety, nervousness, and an overwhelming desire for more nicotine. Very few people can go cold turkey and never pick up another cigarette again. Most people need to be gradually desensitized of their nicotine addiction.

One way to do that is with Nicorette gum or the nicotine patch. These products allow you to alter, over a course of weeks, the amount of nicotine that you ingest, until your body gets used to having no nicotine at all. Acupuncture and hypnosis have also helped people reduce or eliminate the withdrawal symptoms–irritability, depression, and lack of energy–that come from kicking the nicotine habit.

The second challenge for the smoker seeking to quit involves breaking the mental habit that smoking reinforces. The best way to do that is through the same system that got you smoking in the first place, through a peer support system. Just as in overcoming any addiction, breaking the smoking habit requires a support group, which can consist of friends, family, and/or coworkers. But you have to have somebody who is willing to be there for you, to give you the support you need when you are most likely to want to pick up another cigarette.

Quitting should be celebrated at every little step of the way because you’ll be seeing the benefits of your efforts in the minutes, days, weeks months, and years after you quit:

–Twenty minutes after you smoke your last cigarette, your heart rate drops.

–Twelve hours later, the carbon monoxide level in your bloodstream returns to normal.

–Two to three weeks after quitting, your circulation improves, and your lungs begin to function normally.

–One year after you quit, the excess risk of coronary heart disease is half that of a smoker.

–In five years’ time, your risk of stroke is reduced to that of a nonsmoker.

–In ten years’ time, your risk of dying of lung cancer is about half that of a smoker.

–And in 15 years, your risk of coronary heart disease is like that of someone who never smoked.

The long and short of it is, the sooner you quit, the quicker you’ll regain your health.

Secrets of the 7 Latin Powerfoods

June 15, 2009 by Dr. Manny  
Filed under Women's Health

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349_latin_powerfoodsBy eating the seven Latin powerfoods, by ingesting foods with antioxidant properties, and by eliminating bad oils and implementing good ones, you’re detoxifying yourself. What does this mean? Well, basically, every human cell takes food, burns it, creates waste, and then discards it. We all generate cellular by-products. However, when the cell doesn’t get rid of waste, we become less efficient. And when the waste is contaminated, it is difficult to eliminate. What we want is to have our cells metabolize effectively. Toxins don’t allow cells to work well. In order for us to lose weight, our cells must be working well. That’s why antioxidants, proteins, and good oils become important when you start to talk dieting and health. That’s also why when we see news reports about lowering cancer rates, they’re always—if you notice—linked with balanced diets. At the end of the day, cancers, aside from being genetically derived, are derived from cellular toxicity from poor diets and habits (like smoking and drinking).

The good news about all this is that you can eliminate a lot of the toxins in your body—and your body will respond relatively quickly. Consider this example using one of the most toxic activities people do to themselves: smoke. Did you know that if you quit smoking—even after twenty years of doing it—your body will immediately change? In fact, even after one hour of not smoking, the oxygen content in your cells is significantly higher! Now if your body responds that quickly to stopping one of the most detrimental toxins from invading it, you can recognize that a change in the body’s diet is also going to have immediate, beneficial effects.

Let’s look further into the seven Latin powerfoods and their subcategories and learn about their immediate effects on our bodies.

TOMATILLOS
These flavorful and unique small yellow-green tomatoes pack a lot more nutrients than regular red tomatoes. Used throughout Mexico and available now here in the States, tomatillos are rich in vitamins C, A, and folic acid, as well as potassium. They are a great source for your daily antioxidant needs.

GARBANZO BEANS
These delicious beans are very high in fiber, which will improve your elimination cycles and support the growth of healthy intestinal flora. They are very low in natural sugar content, and high in complex carbohydrate content and protein, giving you a steady source of high-quality fuel for balanced energy throughout your day. They also have a warming effect on your body and a calming effect on your mind. Garbanzo beans are used in cooking throughout Latin America and the Caribbean.

AVOCADO
Do not let the “high” fat content of avocados deter you from eating this fantastic fruit. In fact, the healthy monounsaturated oil in avocado will help you feel satiated after a meal and signal your body to burn more fat stores, as well as lower your bad cholesterol and raise your good cholesterol! Avocado also helps lubricate your intestines and assists in regulating your elimination cycles. Avocados are grown, and consumed, throughout the Americas.

GARLIC
Use garlic as often as you can in your cooking. Garlic is well known for its immune-boosting and antimicrobial properties. It also helps lower bad cholesterol. A clove of garlic a day can keep the doctor away! You will benefit from improved blood circulation as well as a stronger libido. The Spanish, Portuguese, and French are credited with introducing this powerfood to the New World, where it is now a ubiquitous ingredient.

CINNAMON
A half teaspoon a day of cinnamon can lower sugar levels in your blood, and studies show that cinnamon can aid in the prevention of diabetes. Cinnamon is also high in antioxidants, not to mention flavor. You can sprinkle cinnamon on fruits or whole grains instead of sugar for a delicious treat. You will also benefit from its sensually warming and cholesterol-lowering qualities. First used medicinally in Egypt and India and in parts of Europe since about 500 BC, this spice is now part of many Latin American and Caribbean cuisines.

CHILES
You can use chiles as often as you wish in your dishes for flavor and for health. Chiles of all types, like chipotle and other hot chiles, are high in minerals and antioxidants, giving a healthy boost to your immune system. Another interesting note about this powerfood is that although it is hot to taste, it actually has a cooling effect on your body. Blood rushes to the periphery of your body in response to the hot taste, and then the blood cools down before moving more to the center of your body, where your temperature is higher. That is why Latinos in hot tropical countries instinctively eat hot and spicy foods. Though many equate chiles with Mexico, they can be found in varied colors and shapes, as well as all different degrees of hotness, throughout Latin America and the Caribbean.

CILANTRO
Cilantro accelerates the excretion of toxic metals from your body. Excess toxic metals in the body can create a breeding ground for viral infections, so using cilantro on a daily basis in your cooking is a very smart choice for staying healthy. All you need is a handful in a salad or a couple of tablespoons in a cooked dish to reap the benefits of this medicinal plant. This herb—and its cousin, culantro—is used throughout the Americas.

Aside from these seven Latin powerfoods, there is a great assortment of others that fall under the same categories. These powerfoods contain a myriad of options offering benefits similar to the ones I’ve mentioned. If you’re looking for more variety—which is one of the main advantages of following a Latin diet—look at the powerfood categories below. You’ll see where each of the seven Latin powerfoods falls within the food groups and what other similar foods you can work with. Be creative! More color means more nutrients. By combining these healthy and natural Latin ingredients, you’ll be sure to optimize their effects!