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"QUEEN’s CLINIC"

What are gallstones?

Gallstones are stones that form in the gall (bile). Bile is a watery liquid made by the cells of the liver that is important for digesting food in the intestine, particularly fat. Liver cells secrete the bile they make into small canals within the liver. The bile flows through the canals and into larger collecting ducts within the liver (the intrahepatic bile ducts). The bile then flows within the intrahepatic bile ducts out of the liver and into the extrahepatic bile ducts-first into the hepatic bile ducts, then into the common hepatic duct, and finally into the common bile duct. From the common bile duct, there are two different directions that bile can flow. The first direction is on down the common bile duct and into the intestine where the bile mixes with food and promotes digestion of food. The second direction is into the cystic duct, and from there into the gallbladder (often misspelled as gall bladder). Once in the gallbladder, bile is concentrated by the removal (absorption) of water. During a meal, the muscle that makes up the wall of the gallbladder contracts and squeezes the concentrated bile in the gallbladder back through the cystic duct into the common duct and then into the intestine. (Concentrated bile is much more effective for digestion than the un-concentrated bile that goes from the liver straight into the intestine.) The timing of gallbladder contraction-during a meal-allows the concentrated bile from the gallbladder to mix with food.

Gallstones usually form in the gallbladder; however, they also may form anywhere there is bile--in the intrahepatic, hepatic, common bile, and cystic ducts. Gallstones also may move about within bile, for example, from the gallbladder into the cystic or common duct.





Posted on 7/2/2007 10:57:49 PM

What causes gallstones?

Gallstones are common--they occur in approximately 20% of women in the US, Canada and Europe--but there is a large variation in prevalence among ethnic groups. For example, gallstones occur 1 ½ to 2 times more commonly among Scandinavians and Mexican-Americans. Among American Indians, gallstone prevalence reaches more than 80%. These differences probably are accounted for by genetic (hereditary) factors. First-degree relatives (parents, siblings, and children) of individuals with gallstones are 1 ½ times more likely to have gallstones than if they did not have a first-degree relative with gallstones. Further support that genetic factors are important in determining who gets gallstones comes from twin studies. Among non-identical pairs of twins (who share 50% of their genes with each other), both individuals in a pair have gallstones 8% of the time. Among identical pairs of twins (who share 100% of their genes with each other), both individuals in a pair have gallstones 23% of the time.

There are several types of gallstones and each type has a different cause.

Posted on 7/2/2007 10:58:12 PM

Who is at risk for gallstones?

Risk for cholesterol gallstones. There is no relationship between cholesterol in the blood and cholesterol gallstones. Individuals with elevated blood cholesterol do not have an increased prevalence of cholesterol gallstones. A common misconception is that diet is responsible for the development of cholesterol gallstones, however, it isn't. The risk factors for developing cholesterol gallstones include:

Gender. Gallstones form more commonly in women than men.
Age. Gallstone prevalence increases with age.
Obesity. Obese individuals are more likely to form gallstones than thin individuals.
Pregnancy. Women who have been pregnant are more likely to form gallstones than women who have not been pregnant. Pregnancy increases the risk for cholesterol gallstones because during pregnancy, bile contains more cholesterol, and the gallbladder does not contract normally.
Birth control pills and hormone therapy. The increased levels of hormones caused by either treatment mimics pregnancy.
Rapid weight loss. Rapid weight loss by whatever means-very low calorie diets or obesity surgery-causes cholesterol gallstones in up to 50% of individuals. Many of the gallstones will disappear after the weight is lost, but many do not. Moreover, until they are gone, they may cause problems.
Crohn's disease. Individuals with Crohn's disease of the terminal ileum are more likely to develop gallstones. Gallstones form because patients with Crohn's disease lack enough bile acids to solubilize the cholesterol in bile. Normally, bile acids that enter the small intestine from the liver and gallbladder are absorbed back into the body in the terminal ileum and are secreted again by the liver into bile. In other words, the bile acids recycle. In Crohn's disease, the terminal ileum is diseased. Bile acids are not absorbed normally, the body becomes depleted of bile acids, and less bile acids are secreted in bile. There are not enough bile acids to keep cholesterol dissolved in bile, and gallstones form.
Increased blood triglycerides. Gallstones occur more frequently in individuals with elevated blood triglyceride levels.

Posted on 7/2/2007 10:59:40 PM

What are the symptoms of gallstones?

The majority of people with gallstones have no signs or symptoms and are unaware of their gallstones. (The gallstones are "silent.") Their gallstones often are found as a result of tests (e.g., ultrasound or X-ray examination of the abdomen) performed while evaluating medical conditions other than gallstones. Symptoms can appear later in life, however, after many years without symptoms. Thus, over a period of five years, approximately ten percent of people with silent gallstones will develop symptoms. Once symptoms develop, they are likely to continue and often will worsen.

Gallstones are blamed for many symptoms they do not cause. Among the symptoms gallstones do not cause are dyspepsia (including abdominal bloating and discomfort after eating), intolerance to fatty foods, belching, and flatulence (passing gas or farting). When signs and symptoms of gallstones occur, they virtually always occur because the gallstones obstruct the bile ducts.

The most common symptom of gallstones is biliary colic. Biliary colic is a very specific type of pain, occurring as the primary or only symptom in 80% of people with gallstones who develop symptoms. Biliary colic occurs when the extrahepatic ducts-cystic, hepatic or common bile-are suddenly blocked by a gallstone. (Slowly-progressing obstruction, as from a tumor, does not cause biliary colic.) Behind the obstruction, fluid accumulates and distends the ducts and gallbladder. In the case of hepatic or common bile duct obstruction, this is due to continued secretion of bile by the liver. In the case of cystic duct obstruction, the wall of the gallbladder secretes fluid into the gallbladder. It is the distention of the ducts or gallbladder that causes biliary colic.


Posted on 7/2/2007 11:00:35 PM

Characteristically, biliary colic comes on suddenly or builds rapidly to a peak over a few minutes. It is a constant pain--it does not come and go, though it may vary in intensity while it is present. It lasts for 15 minutes to 4-5 hours. If the pain lasts more than 4-5 hours, it means that a complication--usually cholecystitis--has developed. The pain usually is severe, but movement does not make the pain worse. In fact, patients experiencing biliary colic often walk about or writhe (twist the body in different positions) in bed trying to find a comfortable position. Biliary colic often is accompanied by nausea. Most commonly, biliary colic is felt in the middle of the upper abdomen just below the sternum. The second most common location for pain is the right upper abdomen just below the margin of the ribs. Occasionally, the pain also may be felt in the back at the lower tip of the scapula on the right side. On rare occasions, the pain may be felt beneath the sternum and be mistaken for angina or a heart attack . An episode of biliary colic subsides gradually once the gallstone shifts within the duct so that it is no longer obstructing.

Biliary colic is a recurring symptom. Once the first episode occurs, there are likely to be other episodes. Also, there is a pattern of recurrence for each individual, that is, for some individuals the episodes tend to remain frequent while for others they tend to remain infrequent. The majority of people who develop biliary colic do not go on to develop cholecystitis or other complications.


Posted on 7/2/2007 11:01:49 PM

mujhay MOTA hona hay adnan samai jesa???

Posted on 7/4/2007 1:20:26 AM

khaya piya karo

Posted on 7/4/2007 10:29:24 PM

What is hyperthyroidism?

Hyperthyroidism is a condition in which an overactive thyroid gland is producing an excessive amount of thyroid hormones that circulate in the blood. ("Hyper" means "over" in Greek). Thyrotoxicosis is a toxic condition that is caused by an excess of thyroid hormones from any cause. Thyrotoxicosis can be caused by an excessive intake of thyroid hormone or by overproduction of thyroid hormones by the thyroid gland. Because both physicians and patients often use these words interchangeably, we will take some liberty by using the term "hyperthyroidism" throughout this article.

What are thyroid hormones?

Thyroid hormones stimulate the metabolism of cells. They are produced by the thyroid gland. The thyroid gland is located in the lower part of the neck, below the Adam's apple. The gland wraps around the windpipe (trachea) and has a shape that is similar to a butterfly formed by two wings (lobes) and attached by a middle part (isthmus).

The thyroid gland removes iodine from the blood (which comes mostly from a diet of foods such as seafood, bread, and salt) and uses it to produce thyroid hormones. The two most important thyroid hormones are thyroxine (T4) and triiodothyronine (T3) representing 99.9% and 0.1% of thyroid hormones respectively. The hormone with the most biological activity (i.e., the greatest effect on the body) is actually T3. Once released from the thyroid gland into the blood, a large amount of T4 is converted to T3--the more active hormone that affects the metabolism of cells.



Posted on 7/6/2007 10:03:45 PM

Thyroid hormone regulation--the chain of command

The thyroid itself is regulated by another gland located in the brain, called the pituitary. In turn, the pituitary is regulated in part by thyroid hormone that is circulating in the blood (a "feedback" effect of thyroid hormone on the pituitary gland) and in part by another gland called the hypothalamus, also a part of the brain.

The hypothalamus releases a hormone called thyrotropin releasing hormone (TRH), which sends a signal to the pituitary to release thyroid stimulating hormone (TSH). In turn, TSH sends a signal to the thyroid to release thyroid hormones. If overactivity of any of these three glands occurs, an excessive amount of thyroid hormones can be produced, thereby resulting in hyperthyroidism.

Hypothalamus - TRH

Pituitary- TSH

Thyroid- T4 and T3


The rate of thyroid hormone production is controlled by the pituitary gland. If there is an insufficient amount of thyroid hormone circulating in the body to allow for normal functioning, the release of TSH is increased by the pituitary in an attempt to stimulate the thyroid to produce more thyroid hormone. In contrast, when there is an excessive amount of circulating thyroid hormone, the release of TSH is reduced as the pituitary attempts to decrease the production of thyroid hormone.
What causes hyperthyroidism?

Some common causes of hyperthyroidism include:

Graves' Disease
Functioning adenoma ("hot nodule") & Toxic Multinodular Goiter (TMNG)
Excessive intake of thyroid hormones
Abnormal secretion of TSH
Thyroiditis (inflammation of the thyroid gland)
Excessive iodine intake Graves' Disease

Posted on 7/6/2007 10:05:47 PM

What are the symptoms of hyperthyroidism?

Hyperthyroidism is suggested by several signs and symptoms; however, patients with mild disease usually experience no symptoms. In patients older than 70 years, the typical signs and symptoms also may be absent. In general, the symptoms become more obvious as the degree of hyperthyroidism increases. The symptoms usually are related to an increase in the metabolic rate of the body. Common symptoms include:

Excessive sweating
Heat intolerance
Increased bowel movements
Tremor (usually fine shaking)
Nervousness; agitation
Rapid heart rate
Weight loss
Fatigue
Decreased concentration
Irregular and scant menstrual flow
In older patients, irregular heart rhythms and heart failure can occur. In its most severe form, untreated hyperthyroidism may result in "thyroid storm," a condition involving high blood pressure, fever, and heart failure. Mental changes, such as confusion and delirium, also may occur.

How is hyperthyroidism diagnosed?

Hyperthyroidism can be suspected in patients with tremors, excessive sweating, smooth, velvety skin, fine hair, a rapid heart rate and an enlarged thyroid gland. There may be puffiness around the eyes and a characteristic stare due to the elevation of the upper eyelids. Advanced symptoms are easily detected, but early symptoms, especially in the elderly, may be quite inconspicuous. In all cases, a blood test is needed to confirm the diagnosis.

The blood levels of thyroid hormones can be measured directly and usually are elevated with hyperthyroidism. However, the main tool for detection of hyperthyroidism is measurement of the blood TSH level. As mentioned earlier, TSH is secreted by the pituitary gland. If an excess amount of thyroid hormone is present, TSH is "down-regulated" and the level of TSH falls in an attempt to reduce production of thyroid hormone. Thus, the measurement of TSH should result in low or undetectable levels in cases of hyperthyroidism. However, there is one exception. If the excessive amount of thyroid hormone is due to a TSH-secreting pituitary tumor, then the levels of TSH will be abnormally high. This uncommon disease is known as "secondary hyperthyroidism."

Although the blood tests mentioned previously can confirm the presence of excessive thyroid hormone, they do not point to a specific cause. If there is obvious involvement of the eyes, a diagnosis of Graves' disease is almost certain. A combination of antibody screening (for Graves' disease) and a thyroid scan using radioactively-labelled iodine (which concentrates in the thyroid gland) can help diagnose the underlying thyroid disease. These investigations are chosen on a case-by-case basis.


Posted on 7/6/2007 10:08:02 PM

shahrukh khan:
roz pulao khatay tu ho x balli


tabhi lagta he nahee mujhay ye nazar laga deta hay lol

Posted on 7/7/2007 12:51:04 AM

QV seriously!! do u know any medicine for this??

Posted on 7/7/2007 12:51:30 AM

balli

pehlay aap apna HB level check kerwain
aap ki height kya hai aur weight

Posted on 7/8/2007 7:55:56 PM

sha
aap shayd bhool gaye
is topic kay shuru hi main, main nay clear ker diya tha kay ye topic chit chat kay liye nahin hai

Posted on 7/8/2007 7:56:59 PM

What is Alzheimer's disease?

Alzheimer's disease (AD) is a progressive disease of the brain that is characterized by impairment of memory and a disturbance in at least one other thinking function (for example, language or perception of reality). Many scientists believe that AD results from an increase in the production or accumulation of a specific protein (beta-amyloid protein) that leads to nerve cell death. Loss of nerve cells in strategic brain areas, in turn, causes deficits in the neurotransmitters, which are the brain's chemical messengers.

Alzheimer's disease is not a normal part of aging and is not something that inevitably happens in later life. Rather, it is one of the dementing disorders, which are a group of brain diseases that result in the loss of mental and physical functions.

Who develops Alzheimer's disease?

The main risk factor for AD is increased age. As the population ages, the frequency of AD continues to increase. 10 % of people over age 65 and 50 % of those over 85 have AD. The number of individuals with AD is expected to be 14 million by the year 2050. In 1998, the annual cost for the care of patients with AD in the United States was approximately $40,000 per patient.

There are also genetic risk factors for AD. The presence of several family members with AD has suggested that, in some cases, heredity may influence the development of AD. A genetic basis has been identified through the discovery of mutations in several genes that cause AD in a small subgroup of families in which the disease has frequently occurred at relatively early ages (beginning before age 50). Some evidence points to chromosome 19 as implicated in certain other families in which the disease has frequently developed at later ages.

Studies of aging and dementia (general mental deterioration) in the general population have identified three groups of subjects; persons who are not demented, those who are demented, and individuals who cannot be classified because they have a cognitive (thinking, memory) impairment, but do not meet the criteria for dementia.


Posted on 7/9/2007 10:39:54 PM

What are the causes of Alzheimer's disease?

With the exception of rare cases of familial AD, in whom the disease is caused by mutations (changes in the DNA) of a single gene, most cases of AD are probably caused by a variety of factors acting together. Cases without a family history are called "sporadic." The study of familial AD, however, has uncovered several proteins that are not only important for familial, but also for sporadic AD. These are the amyloid precursor protein (APP) and two presenilins. APP is a major component of plaques (abnormal deposits of proteins in the brain).

The break-down (faulty cleavage) of APPs likely increases their propensity to combine (aggregate) in plaques. Presenilins, on the other hand, are involved in the splitting (cleavage) of APP. Mutations in the genes that encode APPs and the presenilins can cause AD. This means that individuals carrying these mutations have a very high probability of developing AD.

Changes in other genes may not cause AD, but they may increase the risk of developing AD. The best-studied "risk" gene is the one that encodes apolipoprotein E (apoE). Certain forms (alleles) of this gene can increase the risk for AD. This effect is particularly striking in the setting of a positive family history for AD.

The apoE gene has three different forms (alleles) -- apoE2, apoE3, and apoE4. ApoE3 is the most common form in the general population. However, apoE4 occurs in approximately 40 % of all late-onset AD patients. People who inherit two apoE4 alleles (one from the mother and one from the father) are several times more likely to develop AD than those who have two of the more common E3 version. The least common allele, E2, lowers the risk of AD. People with one E2 and one E3 gene have only one-fourth the risk of developing Alzheimer's as do people with two E3 genes.

Since the 1970's, abnormalities in the brain's chemical messengers, called neurotransmitters, have been identified in patients with AD. Acetylcholine is a critical neurotransmitter in the process of forming memories. This chemical messenger is abundant in the nerve cells of the hippocampus and cerebral cortex, the regions that are devastated by AD. Levels of acetylcholine fall sharply in people with AD. Other neurotransmitters have also been implicated in AD. For example, serotonin, somatostatin, and noradrenaline levels are lower than normal in some Alzheimer's patients. Deficits in these substances may contribute to the memory and behavioral abnormalities in AD.

In addition to the known risk factors of age and family history, several other possible risk factors have been identified. Some studies have found that AD occurs more often among people who suffered traumatic head injuries earlier in life. Women may have a higher risk of the disease, although their higher rates may only reflect the effects of age, because women have longer life spans on average than do men. In addition, lower educational levels may increase the risk. It is not know whether this reflects a decreased "cognitive reserve" or other factors associated with a lower educational level.


Posted on 7/9/2007 10:53:30 PM

QUEEN VICTORIA:
balli

pehlay aap apna HB level check kerwain
aap ki height kya hai aur weight


HB bolay to??

height: 5'8"
weight: 60 kg

Posted on 7/13/2007 3:08:36 AM

shahrukh khan:
X-balli:
QV seriously!! do u know any medicine for this??


aik addad goli


tu rukk!! tujhay to main naswar ki goli bana ker khilata huun!

Posted on 7/13/2007 3:09:14 AM

balli

Hb means haemoglobin
in male normal value is 14 to 16


aap ka thora weight kam hai according to height

Posted on 7/13/2007 10:48:41 PM

How much exercise you should do?

In addition to the National Academies’ Institute of Medicine’s recommendation of 60 minutes of daily exercise to prevent weight gain, there are two other major U.S. guidelines for how much physical activity you need:

The American College of Sports Medicine recommends a five- to 10-minute warm-up and then 30 to 45 minutes of continuous aerobic activity (such as swimming, biking, walking, dancing, or jogging) three to five times a week, with a stretch and cool down period in the last five to 10 minutes. The ACSM also recommends weight training: at least one set (eight to 12 repetitions) each of eight to 10 different exercises, targeting the body's major muscle groups.
The surgeon general recommends accumulating 30 minutes of moderate-intensity activity (hard enough to leave you feeling "warm and slightly out of breath") on most, if not all, days of the week. You can do it in two bouts of 15 minutes, three bouts of 10 minutes, or one bout of 30 minutes. This recommendation emphasizes incorporating activity into your daily life -- walking instead of taking the bus, parking your car farther from the mall and walking across the parking lot, taking stairs instead of the elevator, and washing your car by hand.

Posted on 7/19/2007 10:47:56 PM

Q. What's the bottom line to weight loss?

The bottom line to weight loss is to burn more calories than you consume all day. (The behavior isn't simple, but the equation is.) For example, if you eat 2,500 calories a day and only burn 2,000, you gain weight; if you eat 1,500 calories and burn 2,000, you lose weight; if you eat 2,000 and burn 2,000 you maintain weight.

It's true that there are several medical conditions, and medications, that can make weight loss difficult (see below). But even if one of those factors applies to you, you still need to burn more calories than you consume to lose weight.

The good news is this: You can lose weight with a very modest amount of exercise.

People lose weight all the time without exercise by reducing their caloric intake. But keeping the weight off without exercise is another matter. Many experts agree that exercise is the single best predictor of long-term weight control. If you lose weight and don't start exercising, there's a very good chance you will regain it.

Here are some factors that can keep you from losing weight and/or cause weight gain:

Thyroid or adrenal gland problems.
Medications like antidepressants.
Stopping smoking.
Rapid weight loss. This can lower metabolism because the body senses it is starving and make it harder to lose weight. The decrease in metabolic rate is often due to loss in muscle (when you lose weight, approximately 25% of the loss comes from muscle), so lifting weights is a good idea.
Menopause (and premenopause).
If you think any of these things are factors for you, your doctor may be able to help.

Otherwise, patience, determination, regular physical activity, and attention to your diet are the keys to long-term weight control. Doing these things will give you your best shot at reaching your weight loss goals and keeping the weight off.


Posted on 7/19/2007 10:50:05 PM

Gastric (Stomach) Cancer
---------------------------

Your stomach is a J-shaped organ in the upper abdomen where digestion begins
before food is passed to your intestines. Cancer can arise in any part of the
stomach, and is believed to develop slowly over many years.

Stomach cancer -- also referred to as gastric cancer -- is usually preceded by
precancerous changes in the stomach lining, although these changes rarely
produce symptoms. Because stomach cancer often does not cause symptoms until it
is quite advanced, it is not often detected in its earliest stages.

Most stomach cancers (90 to 95 percent) are classified as adenocarcinomas. Other
types of stomach cancer include squamous cell carcinoma, lymphoma, stromal
tumors (cancer of the muscle or connective tissue of the stomach wall), and
carcinoid tumors (cancer of the hormone-producing cells of the stomach).

The following factors increase the risk of stomach cancer:

* infection with the Helicobacter pylori bacterium, which may lead to chronic
inflammation of the inner layer of the stomach and possibly precancerous
changes; recent research has shown that antibiotic treatment may reduce the risk
of stomach cancer -- particularly stomach lymphoma -- in people infected with
this bacterium

* a diet high in consumption of smoked and salted foods, such as smoked fish and
meat and pickled vegetables; conversely, eating a diet high in fruits and
vegetables (particularly those high in beta-carotene and vitamin C can decrease
stomach-cancer risk

* high consumption of red meat; studies show that eating red meat more than 13
times per week can double the risk of stomach cancer

* smoking

* alcohol abuse

* previous stomach surgery, such as removal of stomach tissue in patients with
ulcers

* pernicious anemia, a severe inability to produce red blood cells, due to a
deficiency of vitamin B12

* Menetrier's disease, a very rare condition associated with large folds in the
stomach and low production of stomach acids

* blood type A (for unknown reasons)

* family cancer syndromes, such as Lynch syndrome and familial adenomatous
polyposis, which increase colorectal-cancer risk and slightly increase
stomach-cancer risk

* family history of stomach cancer

* stomach polyps (small benign growths that sometimes develop into stomach
cancers).


When symptoms of stomach cancer arise, they may include:

* indigestion and stomach discomfort

* a bloated feeling after eating

* mild nausea

* loss of appetite

* heartburn


In the more advanced stages of stomach cancer, a patient may experience the
following symptoms:

* blood in the stool

* vomiting

* unexplained weight loss

* stomach pain

These symptoms may also result from more benign illnesses, such as simple
indigestion or a stomach virus. However, if you have these symptoms over a long
period of time, you should see your doctor.

If your doctor suspects that you may have stomach cancer, you may have a barium
x-ray of your upper gastrointestinal system. For this test, you will be asked to
drink a liquid containing barium, which makes your stomach easier to see on an
x-ray. This test can be performed in a doctor's office or a hospital's radiology
department.

The doctor may also look inside your stomach using a gastroscope, a thin,
lighted tube that is inserted into your mouth and guided into your stomach (also
called upper endoscopy). A camera at the end of the tube enables your doctor to
see inside your stomach. Your doctor may take small samples of tissue to examine
for cancer cells. (You will receive a spray of anesthetic into your throat or
other medication to ensure that you are comfortable during this examination. )

A third, newer technique to diagnose stomach cancer is called endoscopic
ultrasound. Similar to gastroscopy, endoscopic ultrasound relies on a thin tube
inserted into the mouth and down into the stomach. At the tip of the tube is a
small ultrasound probe that bounces sound waves off the stomach walls. This test
is useful for estimating how far cancer has spread into the wall of the stomach,
to nearby organs, and to nearby lymph nodes -- a process called staging.

Another staging technique is called laparoscopy. This procedure involves minor
surgery using a small tube with a camera at the end to look inside your abdomen.
Doctors can look at the outside wall of your stomach, examine the lymph nodes,
and evaluate the surfaces of other abdominal organs to determine if the cancer
has spread to those areas.

In addition to these diagnostic tests, your doctor will take your medical
history into account, perform a physical examination, and order laboratory
studies such as blood tests.

The choice of treatment for stomach cancer depends on the stage of the disease
-- that is, how large the tumor has grown, how deeply it has invaded the layers
of the stomach, and whether it has spread to nearby organs, lymph nodes, or
other parts of the body.

Recent investigations suggest that a three-pronged attack on stomach cancer --
utilizing surgery to remove most of the tumor and chemotherapy and radiation
therapy to control cancer spread -- may improve the survival of patients with
stomach cancer. This combination approach is expected to become the standard of
care for patients with this disease.


Surgery

Surgery is the most common form of treatment for stomach cancer. If the results
of staging indicate that surgery is likely to help you, your doctor may perform
one of these operations to remove the cancer:

* subtotal gastrectomy : removal of the part of the stomach that contains the
cancer and parts of other tissues or organs near the tumor (such as the small
intestine or esophagus, depending on the location of the tumor)

* total gastrectomy : removal of the entire stomach and parts of the esophagus,
small intestine, and other tissue near the tumor; in this case the esophagus may
be connected to the small intestine so that you can continue to eat and swallow.

During the surgery, the surgeon will also remove nearby lymph nodes to examine
them for cancer cells. Sometimes the spleen (an organ in the upper abdomen that
filters blood and removes old blood cells) and part of the pancreas are also
removed.


Chemotherapy

Chemotherapy -- treatment with cancer-killing drugs -- is another option for
treating stomach cancer. It can be given to patients whose cancers have invaded
the layers of the stomach wall, nearby lymph nodes, and nearby organs.
Chemotherapy may be given before surgery (so-called neoadjuvant therapy) -- to
shrink the tumor first -- or after surgery (adjuvant therapy), to kill any
remaining cancer cells. These approaches are being evaluated in clinical trials.

When given alone or with radiation therapy, chemotherapy is also useful in some
patients to relieve stomach-cancer symptoms or to delay cancer recurrence and
extend a patient's life, especially in patients whose cancers cannot be
completely removed through surgery. 5-fluorouracil and cisplatin are the drugs
most commonly used to treat stomach cancer; other drugs (including paclitaxel,
docetaxel, and irinotecan) and new combinations of conventional drugs are
currently under investigation. Some are given intravenously (through a vein),
while others are given intraperitoneally (delivered directly into the abdominal
cavity).


Radiation Therapy

Radiation therapy is most commonly used in combination with chemotherapy for the
treatment of gastric cancer. New studies reveal that for many patients with
gastric cancer, the addition of radiation therapy plus chemotherapy after
surgery improves survival compared to surgery alone.





Posted on 7/24/2007 6:13:50 AM

What are gallstones?

Gallstones are stones that form in the gall (bile). Bile is a watery liquid made by the cells of the liver that is important for digesting food in the intestine, particularly fat. Liver cells secrete the bile they make into small canals within the liver. The bile flows through the canals and into larger collecting ducts within the liver (the intrahepatic bile ducts). The bile then flows within the intrahepatic bile ducts out of the liver and into the extrahepatic bile ducts-first into the hepatic bile ducts, then into the common hepatic duct, and finally into the common bile duct. From the common bile duct, there are two different directions that bile can flow. The first direction is on down the common bile duct and into the intestine where the bile mixes with food and promotes digestion of food. The second direction is into the cystic duct, and from there into the gallbladder (often misspelled as gall bladder). Once in the gallbladder, bile is concentrated by the removal (absorption) of water. During a meal, the muscle that makes up the wall of the gallbladder contracts and squeezes the concentrated bile in the gallbladder back through the cystic duct into the common duct and then into the intestine. (Concentrated bile is much more effective for digestion than the un-concentrated bile that goes from the liver straight into the intestine.) The timing of gallbladder contraction-during a meal-allows the concentrated bile from the gallbladder to mix with food.

Gallstones usually form in the gallbladder; however, they also may form anywhere there is bile--in the intrahepatic, hepatic, common bile, and cystic ducts. Gallstones also may move about within bile, for example, from the gallbladder into the cystic or common duct.




Posted on 7/25/2007 9:59:42 PM

What causes gallstones?

Gallstones are common--they occur in approximately 20% of women in the US, Canada and Europe--but there is a large variation in prevalence among ethnic groups. For example, gallstones occur 1 ½ to 2 times more commonly among Scandinavians and Mexican-Americans. Among American Indians, gallstone prevalence reaches more than 80%. These differences probably are accounted for by genetic (hereditary) factors. First-degree relatives (parents, siblings, and children) of individuals with gallstones are 1 ½ times more likely to have gallstones than if they did not have a first-degree relative with gallstones. Further support that genetic factors are important in determining who gets gallstones comes from twin studies. Among non-identical pairs of twins (who share 50% of their genes with each other), both individuals in a pair have gallstones 8% of the time. Among identical pairs of twins (who share 100% of their genes with each other), both individuals in a pair have gallstones 23% of the time.

There are several types of gallstones and each type has a different cause.



Posted on 7/25/2007 10:00:56 PM

What are the symptoms of gallstones?

The majority of people with gallstones have no signs or symptoms and are unaware of their gallstones. (The gallstones are "silent.") Their gallstones often are found as a result of tests (e.g., ultrasound or X-ray examination of the abdomen) performed while evaluating medical conditions other than gallstones. Symptoms can appear later in life, however, after many years without symptoms. Thus, over a period of five years, approximately ten percent of people with silent gallstones will develop symptoms. Once symptoms develop, they are likely to continue and often will worsen.

Gallstones are blamed for many symptoms they do not cause. Among the symptoms gallstones do not cause are dyspepsia (including abdominal bloating and discomfort after eating), intolerance to fatty foods, belching, and flatulence (passing gas or farting). When signs and symptoms of gallstones occur, they virtually always occur because the gallstones obstruct the bile ducts.

The most common symptom of gallstones is biliary colic. Biliary colic is a very specific type of pain, occurring as the primary or only symptom in 80% of people with gallstones who develop symptoms. Biliary colic occurs when the extrahepatic ducts-cystic, hepatic or common bile-are suddenly blocked by a gallstone. (Slowly-progressing obstruction, as from a tumor, does not cause biliary colic.) Behind the obstruction, fluid accumulates and distends the ducts and gallbladder. In the case of hepatic or common bile duct obstruction, this is due to continued secretion of bile by the liver. In the case of cystic duct obstruction, the wall of the gallbladder secretes fluid into the gallbladder. It is the distention of the ducts or gallbladder that causes biliary colic.

Characteristically, biliary colic comes on suddenly or builds rapidly to a peak over a few minutes. It is a constant pain--it does not come and go, though it may vary in intensity while it is present. It lasts for 15 minutes to 4-5 hours. If the pain lasts more than 4-5 hours, it means that a complication--usually cholecystitis--has developed. The pain usually is severe, but movement does not make the pain worse. In fact, patients experiencing biliary colic often walk about or writhe (twist the body in different positions) in bed trying to find a comfortable position. Biliary colic often is accompanied by nausea. Most commonly, biliary colic is felt in the middle of the upper abdomen just below the sternum. The second most common location for pain is the right upper abdomen just below the margin of the ribs. Occasionally, the pain also may be felt in the back at the lower tip of the scapula on the right side. On rare occasions, the pain may be felt beneath the sternum and be mistaken for angina or a heart attack . An episode of biliary colic subsides gradually once the gallstone shifts within the duct so that it is no longer obstructing.

Biliary colic is a recurring symptom. Once the first episode occurs, there are likely to be other episodes. Also, there is a pattern of recurrence for each individual, that is, for some individuals the episodes tend to remain frequent while for others they tend to remain infrequent. The majority of people who develop biliary colic do not go on to develop cholecystitis or other complications.


Posted on 7/25/2007 10:02:18 PM

Controlling Anger -- Before It Controls You
-----------------------------------------------


We all know what anger is, and we've all felt it: whether as a fleeting
annoyance or as full-fledged rage.

Anger is a completely normal, usually healthy, human emotion. But when it gets
out of control and turns destructive, it can lead to problems-problems at work,
in your personal relationships, and in the overall quality of your life. And it
can make you feel as though you're at the mercy of an unpredictable and powerful
emotion. This brochure is meant to help you understand and control anger.

What is Anger?

The Nature of Anger

Anger is "an emotional state that varies in intensity from mild irritation to
intense fury and rage," according to Charles Spielberger, PhD, a psychologist
who specializes in the study of anger. Like other emotions, it is accompanied by
physiological and biological changes; when you get angry, your heart rate and
blood pressure go up, as do the levels of your energy hormones, adrenaline, and
noradrenaline.

Anger can be caused by both external and internal events. You could be angry at
a specific person (Such as a coworker or supervisor) or event (a traffic jam, a
canceled flight), or your anger could be caused by worrying or brooding about
your personal problems. Memories of traumatic or enraging events can also
trigger angry feelings.

Expressing Anger

The instinctive, natural way to express anger is to respond aggressively. Anger
is a natural, adaptive response to threats; it inspires powerful, often
aggressive, feelings and behaviors, which allow us to fight and to defend
ourselves when we are attacked. A certain amount of anger, therefore, is
necessary to our survival.

On the other hand, we can't physically lash out at every person or object that
irritates or annoys us; laws, social norms, and common sense place limits on how
far our anger can take us.

People use a variety of both conscious and unconscious processes to deal with
their angry feelings. The three main approaches are expressing, suppressing, and
calming. Expressing your angry feelings in an assertive-not aggressive-manner is
the healthiest way to express anger. To do this, you have to learn how to make
clear what your needs are, and how to get them met, without hurting others.
Being assertive doesn't mean being pushy or demanding; it means being respectful
of yourself and others.

Anger can be suppressed, and then converted or redirected. This happens when you
hold in your anger, stop thinking about it, and focus on something positive. The
aim is to inhibit or suppress your anger and convert it into more constructive
behavior. The danger in this type of response is that if it isn't allowed
outward expression, your anger can turn inward-on yourself. Anger turned inward
may cause hypertension, high blood pressure, or depression.

Unexpressed anger can create other problems. It can lead to pathological
expressions of anger, such as passive-aggressive behavior (getting back at
people indirectly, without telling them why, rather than confronting them
head-on) or a personality that seems perpetually cynical and hostile. People who
are constantly putting others down, criticizing everything, and making cynical
comments haven't learned how to constructively express their anger. Not
surprisingly, they aren't likely to have many successful relationships.

Finally, you can calm down inside. This means not just controlling your outward
behavior, but also controlling your internal responses, taking steps to lower
your heart rate, calm yourself down, and let the feelings subside.

As Dr. Spielberger notes, "when none of these three techniques work, that's when
someone-or something-is going to get hurt."

Anger Management

The goal of anger management is to reduce both your emotional feelings and the
physiological arousal that anger causes. You can't get rid of, or avoid, the
things or the people that enrage you, nor can you change them, but you can learn
to control your reactions.

Are You Too Angry?

There are psychological tests that measure the intensity of angry feelings, how
prone to anger you are, and how well you handle it. But chances are good that if
you do have a problem with anger, you already know it. If you find yourself
acting in ways that seem out of control and frightening, you might need help
finding better ways to deal with this emotion.

Why Are Some People More Angry Than Others?

According to Jerry Deffenbacher, PhD, a psychologist who specializes in anger
management, some people really are more "hotheaded" than others are; they get
angry more easily and more intensely than the average person does. There are
also those who don't show their anger in loud spectacular ways but are
chronically irritable and grumpy. Easily angered people don't always curse and
throw things; sometimes they withdraw socially, sulk, or get physically ill.

People who are easily angered generally have what some psychologists call a low
tolerance for frustration, meaning simply that they feel that they should not
have to be subjected to frustration, inconvenience, or annoyance. They can't
take things in stride, and they're particularly infuriated if the situation
seems somehow unjust: for example, being corrected for a minor mistake.

What makes these people this way? A number of things. One cause may be genetic
or physiological: There is evidence that some children are born irritable,
touchy, and easily angered, and that these signs are present from a very early
age. Another may be sociocultural. Anger is often regarded as negative; we're
taught that it's all right to express anxiety, depression, or other emotions but
not to express anger. As a result, we don't learn how to handle it or channel it
constructively.

Research has also found that family background plays a role. Typically, people
who are easily angered come from families that are disruptive, chaotic, and not
skilled at emotional communications.

Is It Good To "Let it All Hang Out?"

Psychologists now say that this is a dangerous myth. Some people use this theory
as a license to hurt others. Research has found that "letting it rip" with anger
actually escalates anger and aggression and does nothing to help you (or the
person you're angry with) resolve the situation.

It's best to find out what it is that triggers your anger, and then to develop
strategies to keep those triggers from tipping you over the edge.

Strategies To Keep Anger At Bay

Relaxation

Simple relaxation tools, such as deep breathing and relaxing imagery, can help
calm down angry feelings. There are books and courses that can teach you
relaxation techniques, and once you learn the techniques, you can call upon them
in any situation. If you are involved in a relationship where both partners are
hot-tempered, it might be a good idea for both of you to learn these techniques.

Some simple steps you can try: Breathe deeply, from your diaphragm; breathing
from your chest won't relax you. Picture your breath coming up from your "gut."

Slowly repeat a calm word or phrase such as "relax," "take it easy." Repeat it
to yourself while breathing deeply.

Use imagery; visualize a relaxing experience, from either your memory or your
imagination.

Nonstrenuous, slow yoga-like exercises can relax your muscles and make you feel
much calmer.

Practice these techniques daily. Learn to use them automatically when you're in
a tense situation.

Cognitive Restructuring

Simply put, this means changing the way you think. Angry people tend to curse,
swear, or speak in highly colorful terms that reflect their inner thoughts. When
you're angry, your thinking can get very exaggerated and overly dramatic. Try
replacing these thoughts with more rational ones. For instance, instead of
telling yourself, "oh, it's awful, it's terrible, everything's ruined," tell
yourself, "it's frustrating, and it's understandable that I'm upset about it,
but it's not the end of the world and getting angry is not going to fix it
anyhow."

Be careful of words like "never" or "always" when talking about yourself or
someone else. "This !&*%@ machine never works," or "you're always forgetting
things" are not just inaccurate, they also serve to make you feel that your
anger is justified and that there's no way to solve the problem. They also
alienate and humiliate people who might otherwise be willing to work with you on
a solution.

Remind yourself that getting angry is not going to fix anything, that it won't
make you feel better (and may actually make you feel worse).

Logic defeats anger, because anger, even when it's justified, can quickly become
irrational. So use cold hard logic on yourself. Remind yourself that the world
is "not out to get you," you're just experiencing some of the rough spots of
daily life. Do this each time you feel anger getting the best of you, and it'll
help you get a more balanced perspective. Angry people tend to demand things:
fairness, appreciation, agreement, willingness to do things their way. Everyone
wants these things, and we are all hurt and disappointed when we don't get them,
but angry people demand them, and when their demands aren't met, their
disappointment becomes anger. As part of their cognitive restructuring, angry
people need to become aware of their demanding nature and translate their
expectations into desires. In other words, saying, "I would like" something is
healthier than saying, "I demand" or "I must have" something. When you're unable
to get what you want, you will experience the normal reactions-frustration,
disappointment, hurt-but not anger. Some angry people use this anger as a way to
avoid feeling hurt, but that doesn't mean the hurt goes away.

Problem Solving

Sometimes, our anger and frustration are caused by very real and inescapable
problems in our lives. Not all anger is misplaced, and often it's a healthy,
natural response to these difficulties. There is also a cultural belief that
every problem has a solution, and it adds to our frustration to find out that
this isn't always the case. The best attitude to bring to such a situation,
then, is not to focus on finding the solution, but rather on how you handle and
face the problem.

Make a plan, and check your progress along the way. Resolve to give it your
best, but also not to punish yourself if an answer doesn't come right away. If
you can approach it with your best intentions and efforts and make a serious
attempt to face it head-on, you will be less likely to lose patience and fall
into all-or-nothing thinking, even if the problem does not get solved right
away.

Better Communication

Angry people tend to jump to-and act on-conclusions, and some of those
conclusions can be very inaccurate. The first thing to do if you're in a heated
discussion is slow down and think through your responses. Don't say the first
thing that comes into your head, but slow down and think carefully about what
you want to say. At the same time, listen carefully to what the other person is
saying and take your time before answering.

Listen, too, to what is underlying the anger. For instance, you like a certain
amount of freedom and personal space, and your "significant other" wants more
connection and closeness. If he or she starts complaining about your activities,
don't retaliate by painting your partner as a jailer, a warden, or an albatross
around your neck.

It's natural to get defensive when you're criticized, but don't fight back.
Instead, listen to what's underlying the words: the message that this person
might feel neglected and unloved. It may take a lot of patient questioning on
your part, and it may require some breathing space, but don't let your anger-or
a partner's-let a discussion spin out of control. Keeping your cool can keep the
situation from becoming a disastrous one.

Using Humor

"Silly humor" can help defuse rage in a number of ways. For one thing, it can
help you get a more balanced perspective. When you get angry and call someone a
name or refer to them in some imaginative phrase, stop and picture what that
word would literally look like. If you're at work and you think of a coworker as
a "dirtbag" or a "single-cell life form," for example, picture a large bag full
of dirt (or an amoeba) sitting at your colleague's desk, talking on the phone,
going to meetings. Do this whenever a name comes into your head about another
person. If you can, draw a picture of what the actual thing might look like.
This will take a lot of the edge off your fury; and humor can always be relied
on to help unknot a tense situation.

The underlying message of highly angry people, Dr. Deffenbacher says, is "things
oughta go my way!" Angry people tend to feel that they are morally right, that
any blocking or changing of their plans is an unbearable indignity and that they
should NOT have to suffer this way. Maybe other people do, but not them!

When you feel that urge, he suggests, picture yourself as a god or goddess, a
supreme ruler, who owns the streets and stores and office space, striding alone
and having your way in all situations while others defer to you. The more detail
you can get into your imaginary scenes, the more chances you have to realize
that maybe you are being unreasonable; you'll also realize how unimportant the
things you're angry about really are. There are two cautions in using humor.
First, don't try to just "laugh off" your problems; rather, use humor to help
yourself face them more constructively. Second, don't give in to harsh,
sarcastic humor; that's just another form of unhealthy anger expression.

What these techniques have in common is a refusal to take yourself too
seriously. Anger is a serious emotion, but it's often accompanied by ideas that,
if examined, can make you laugh.

Changing Your Environment

Sometimes it's our immediate surroundings that give us cause for irritation and
fury. Problems and responsibilities can weigh on you and make you feel angry at
the "trap" you seem to have fallen into and all the people and things that form
that trap.

Give yourself a break. Make sure you have some "personal time" scheduled for
times of the day that you know are particularly stressful. One example is the
working mother who has a standing rule that when she comes home from work, for
the first 15 minutes "nobody talks to Mom unless the house is on fire." After
this brief quiet time, she feels better prepared to handle demands from her kids
without blowing up at them.

Some Other Tips for Easing Up on Yourself

Timing: If you and your spouse tend to fight when you discuss things at
night-perhaps you're tired, or distracted, or maybe it's just habit-try changing
the times when you talk about important matters so these talks don't turn into
arguments.

Avoidance: If your child's chaotic room makes you furious every time you walk by
it, shut the door. Don't make yourself look at what infuriates you. Don't say,
"well, my child should clean up the room so I won't have to be angry!" That's
not the point. The point is to keep yourself calm.

Finding alternatives: If your daily commute through traffic leaves you in a
state of rage and frustration, give yourself a project-learn or map out a
different route, one that's less congested or more scenic. Or find another
alternative, such as a bus or commuter train.

Do You Need Counseling?

If you feel that your anger is really out of control, if it is having an impact
on your relationships and on important parts of your life, you might consider
counseling to learn how to handle it better. A psychologist or other licensed
mental health professional can work with you in developing a range of techniques
for changing your thinking and your behavior.

When you talk to a prospective therapist, tell her or him that you have problems
with anger that you want to work on, and ask about his or her approach to anger
management. Make sure this isn't only a course of action designed to "put you in
touch with your feelings and express them"-that may be precisely what your
problem is. With counseling, psychologists say, a highly angry person can move
closer to a middle range of anger in about 8 to
10 weeks, depending on the circumstances and the techniques used.

What About Assertiveness Training?

It's true that angry people need to learn to become assertive (rather than
aggressive), but most books and courses on developing assertiveness are aimed at
people who don't feel enough anger. These people are more passive and
acquiescent than the average person; they tend to let others walk all over them.
That isn't something that most angry people do. Still, these books can contain
some useful tactics to use in frustrating situations.

Remember, you can't eliminate anger-and it wouldn't be a good idea if you could.
In spite of all your efforts, things will happen that will cause you anger; and
sometimes it will be justifiable anger. Life will be filled with frustration,
pain, loss, and the unpredictable actions of others. You can't change that; but
you can change the way you let such events affect you. Controlling your angry
responses can keep them from making you even more unhappy in the long run.

Posted on 7/26/2007 9:28:25 AM

Food and cancer
------------------


CANCER : Not all cancers are the same. 1/3 is curable. 1/3 is preventable.

2 factors of cancer that cannot be controlled are AGE & FAMILY HISTORY.


CAUSES OF CANCER:


1. Smoking is very often the main cause of cancer.

It kills us silently and drains money from us quietly. There?re 4,000 harmful
chemicals (though in diluted form) in one stick of cigarette. Taking one puff is
600 times worse than inhaling exhaust fumes from vehicles.


2. Some foods that cause cancer is :

a. Barbecued Food

b. Deep Fried Food

c. Overheating Meat

d. Food that is high in fat causes our bile to secrete acid that contains a
chemical which is a promoter of cancer cells.

e. Food that contains preservatives, too much salt or nitrates, e.g. canned
food, salted egg & veggies, sausages, etc.

f. Overnight Rice (where Aflatoxin is accumulated)

g. Food that is low in fibre : Our body needs 25gm of both soluble & insoluble
fibre daily. We must drink at least 1.5 litres of plain water a day.

h. Contaminated Food (e.g. moulded bread causes our body to secrete toxins that
may eventually lead to liver cancer in the long run. Never eat bread that is
kept in room temperature for more than 2 days especially in a humid weather.)


3. Types of fat and which is the best?

Highly Recommended for Health :

a. Olive Oil - It does not absorb in our body.

b. Fish Oil - Omega 3 (contained in NI?s Circulytes) has poly-unsaturated fat.
It?s good for our brain cells.

c. Peanut Oil - It contains Vitamin E. A small dosage is recommended only.


4. Not Recommended for Health

a. Vegetable Fat - Palm oil is worse than coconut oil. It is high in cholesterol
and highly unsaturated.

b. Coconut Oil - It has saturated fat.


5. Specific Food & Beverages

a. Egg when eaten too much can cause High Colon Cancer, Risk Ovary Cancer,
Prostate Cancer.

b. Cabbage is highly recommended for health reason.

c. Tomato is best eaten raw with a bit of olive oil for better absorption. Other
alternative is to take tomato sauce.

d. Coffee is good because it contains 2 anti- oxidants. Inhale coffee aroma for
half each day is equivalent to eating 2 oranges a day. However, the residue of
over-burned coffee is extremely bad for health. It can cause cancer.

e. Tea, as long as it is in its original tealeaves and not processed into BOH or
Lipton packets, it is good for health. Tea contains 30 anti-oxidants.
Recommended dosage is cups a day.


EXERCISE AND BE FIT

Have a balanced lifestyle. Exercise regularly.

F : Frequency : 3 to 5 times a week.

I : Intensity : Exercise till we sweat and breath deeply.

T : Types of exercises : Find one that suits our age, lifestyle?


HAVE REGULAR CHECK-UP once we reach the age of 45 & above, it is recommended
that we go for regular comprehensive health examination. Early detection may
save lives.

Posted on 7/26/2007 9:36:59 AM

How much water do you need a day?
-------------------------------------   
          

Water is an important structural component of skin cartilage, tissues and organs. For human beings, every part of the body is dependent on water. Our body comprises about 75% water: the brain has 85%, blood is 90%, muscles are 75%, kidney is 82% and bones are 22% water. The functions of our glands and organs will eventually deteriorate if they are not nourished with good, clean water.


The average adult loses about 2.5 litres water daily through perspiration, breathing and elimination. Symptoms of the body's deterioration begins to appear when the body loses 5% of its total water volume. In a healthy adult, this is seen as fatigue and general discomfort, whereas for an infant, it can be dehydrating. In an elderly person, a 5% water loss causes the body chemistry to become abnormal, especially if the percentage of electrolytes is overbalanced with sodium.One can usually see symptoms of aging, such as wrinkles, lethargy and even disorientation. Continuous water loss over time will speed up aging as well as increase risks of diseases.


If your body is not sufficiently hydrated, the cells will draw water from your bloodstream, which will make your heart work harder. At the same time, the kidneys cannot purify blood effectively. When this happens, some of the kidney's workload is passed on to the liver and other organs, which may cause them to be severely stressed. Additionally, you may develop a number of minor health conditions such as constipation, dry and itchy skin, acne, nosebleeds, urinary tract infection, coughs, sneezing, sinus pressure, and headaches.


So, how much water is enough for you? The minimum amount of water you need depends on your body weight. A more accurate calculation, is to drink an ounce of water for every two pounds of body weight.

Posted on 7/29/2007 8:43:04 AM

thanx for this info........

Posted on 7/30/2007 10:38:12 PM

EVERY NUTRIENTS
-------------------


How to meet your daily dietary needs.

Many people know vitamins may help reduce the risk of some diseases. But not
many know which vitamins they need or how to determine if they're consuming
sufficient quantities of needed nutrients.

"Although research has shown the benefits of vitamins and minerals in a
healthful diet, the way to get these nutrients may not necessarily be in a
vitamin or mineral supplement," says Bobby Montgomery, an exercise physiologist.

Often, you can consume the small amounts of vitamins and minerals you need by
choosing a wide variety of foods.


RECOMMENDED DIET

According to the American Dietetic Association (ADA), a balanced diet includes:

Bread and grains: 6 to 11 serving per day

One serving equals one slice of bread, 1 ounce of ready-to-eat cereal or ½ cup
of cooked cereal, rice or pasta.


Vegetables: 3 to 5 servings per day

One serving equals 1 cup of raw, leafy vegetables; ½ cup of vegetable, cooked or
chopped raw; or ¾ cup of vegetable juice.

Milk, yogurt and cheese: 2 to 3 serving per day

One serving equals 1 cup of milk of yogurt, 1½ ounces of natural cheese or 2
ounces of processed cheese.

Meat, poultry, fish, dry beans, eggs and nuts: 2 to 3 serving per day

One serving equals 2 or 3 ounces of cooked lean meat, poultry or fish; 1 cup of
cooked dry beans; 2 eggs; and 2/3 cup nuts.


PEOPLE IN NEED

Some people can benefit from taking a supplement in addition to eating a
healthful diet, According to the ADA, a vitamin supplement may be helpful if you
fit any of the following profiles:


c You frequently skip meals or don't eat enough fruits, vegetables, grain and
dairy products

c You're on a low-calories diet

c You're a strict vegetarian

c You can't drink milk or eat yogurt

c You're a woman of childbearing age and don't eat fruits and vegetables

c You are pregnant

IF you believe you should take vitamin supplements, "It's important you first
talk with your doctor or dietitian to make sure you are not taking more or less
than you need and that none of the supplements could cause an interaction with
medications you take or conditions you have," says Montgomery.


TAKING SUPPLEMENTS

To help you take supplements safely, remember:

Self-prescribing mega doses of individual vitamin or mineral supplements can be
more harmful than helpful

Supplements can never take the place of a healthful diet

"It's also crucial to remember that 'natural' doesn't always mean safe," says
Montgomery. "Good health is more than pooping pills. It's about living a
healthful lifestyle with a nutritious diet and plenty of exercise."

"Your body also needs other substances found in food, such as protein, minerals,
carbohydrates and fat," says Montgomery. "Vitamins themselves often can't work
without the presence of other foods."

Posted on 8/2/2007 6:43:50 AM